Male Fertility After Inguinal Hernia Mesh Repair

Abstract

Patients who underwent inguinal hernia repair using Lichtenstein technique or laparoscopic approach did not father fewer children than expected. Thus, inguinal hernia repair using Lichtenstein or laparoscopic approach did not impair male fertility.

No Reason to Use Mesh in Groin Hernia Repair in Adolescents

“…A prospective study on 669 adult patients with inguinal hernias comparing total extraperitoneal (TEP) and Lichtenstein repair (both mesh-based approaches) also found that pain was more frequent in patients younger than 40 years of age [ 43 ]. A nationwide register study investigating fertility concluded that bilateral open and laparoscopic mesh repairs did not impair fertility in 18–30 years-old males [ 44 ]. Looking at recurrence, a database study on adults found that young male patients aged 18–29 years had lower reoperation rates for recurrence after non-mesh repair of indirect inguinal hernias compared with all other age groups [ 45 ].…”

Trans-umbilical single-incision laparoscopic trans-abdominal pre-peritoneal hernioplasty of inguinal hernia by self-made glove port

“…LIH has made significant strides and has become the first choice for inguinal hernia repair in many canters after a decade of experience. [ 15 ] For better cosmesis, several surgeons have attempted to reduce the port numbers and sizes during laparoscopic surgery to reduce the appearance of a scar. [ 16 ] Till date, several studies and meta-analysis showed SILS to be superior over multiport laparoscopic surgery mainly in terms of postoperative pain and cosmetic result.…”

Inguinal Hernia Repair and Male Health

“…По данным Z. Dong et al, открытая или лапароскопическая безнатяжная герниопластика с использованием синтетических сеток не оказывает существенного влияния на мужскую фертильность [37]. Результаты популяционного исследования A. P. Kohl et al не выявили достоверной разницы по количеству рожденных детей от мужчин с перенесенной герниопластикой и без нее [38].…”

“…Таким образом, анализ современных литературных данных демонстрирует противоречивые мнения о влиянии паховой герниопластики на мужское здоровье. Часть авторов указывают на четкую взаимосвязь хирургического вмешательства (герниопластики) и мужского бесплодия [11,29,31,35], другая часть авторов эту гипотезу не подтверждают [1,27,37,38]. В изученной зарубежной и российской литературе нет официальных данных о распространенности бесплодия у мужчин после паховой герниопластики.…”