Hello. Thanks for using this forum. I suppose in your case, firstly the incisional henia which is causing pain should be surgical corrected, as later on as the age progresses and the muscles become more lax, this can present with further complications. As far as GERD
is concerned, weak LES is one of the major causes. However a delayed passage from the pyloric sphincter can also present with the same. However i would not be of the opinion that the incisional hernia
along with the enlarged prostate
is causing pressure on the pyloric sphincter to be causing GERD. The best treatment for this is proton pump
blockers along with dietary changes as best advised by your GI specialist. Regards.