Inguinal hernia(IH)is a common complication in prostate cancer patients undergoing radical prostatectomy(RP),which seriously affects their quality of life.The repair of IH is often challenging due to the adhesion in the inguinal area caused by previous surgery.This article focuses on the risk factors for IH after RP,including surgical approach,postoperative anatomical changes,low body mass index(BMI),muscle loss,advanced age,international prostate symptom score(IPSS),and patent sheath process,and prevention strategies for IH after RP,including robot assisted laparoscopic radical prostatectomy(RARP)with IH repair,preservation of the posterior pubic space in RARP,treatment of the spermatic cord,extraperitoneal RARP,and intraoperative management of the sheath like process,aiming to provide reference for urologists and to improve patients'quality of life.