Can Hernia Surgery Impact PSA Levels? What Patients Should Know

Understanding the Relationship Between Hernia Surgery and PSA

Hernia repair is a common surgical procedure, especially among older men who may also be at risk for prostate issues. A question that often arises is whether hernia surgery can affect prostate-specific antigen (PSA) levels. While hernia repair itself does not directly impact PSA, there are some important considerations for patients undergoing both hernia and prostate procedures.

Combined Hernia Repair and Prostate Procedures

In some cases, surgeons may perform laparoscopic totally extraperitoneal (TEP) hernia repair along with transurethral resection of the prostate (TURP) in a single operation. This combined approach can be beneficial for patients dealing with both inguinal hernias and prostate enlargement. However, it’s crucial to understand the potential risks and complications.

Elevated PSA as a Warning Sign

An elevated PSA level prior to combined hernia and prostate surgery may serve as a warning sign. While PSA is primarily associated with prostate cancer screening, it can also indicate other prostate issues, including chronic inflammation or infection. Patients with higher PSA levels before surgery may be at increased risk for postoperative complications.

Potential Complications and Mesh-Related Issues

One concern in combined procedures is the risk of mesh infection following hernia repair. In rare cases, bladder erosion caused by the surgical mesh could lead to infection. Additionally, chronic prostate inflammation, as suggested by elevated PSA, might contribute to postoperative complications.

The Importance of Preoperative Evaluation

Given these potential risks, thorough preoperative evaluation is essential. Surgeons should carefully consider PSA levels and other prostate health indicators before proceeding with combined hernia and prostate procedures. In some cases, it may be advisable to address prostate issues separately from hernia repair.

Monitoring PSA After Hernia Surgery

For patients who have undergone hernia repair, particularly those with a history of prostate concerns, continued monitoring of PSA levels is important. Any unexpected changes in PSA following hernia surgery should be discussed with a healthcare provider to rule out potential complications or unrelated prostate issues.

While hernia surgery itself does not directly affect PSA levels, the relationship between hernia repair, prostate health, and PSA is complex. Patients considering hernia surgery, especially those with known prostate issues, should have open discussions with their healthcare providers about potential risks and the best approach for their individual situations.