Persistent orchialgia after inguinal hernia repair: diagnosis, neuroanatomy, and surgical management

Chen, D. C.; Amid, Parviz K.

doi:10.1007/s10029-013-1172-x

Cited by 10 publications

(5 citation statements)

References 14 publications

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“…Orchialgia elicited by compression of the testis is typically a nociceptive sensation that is dull and aching. It may be accompanied by anatomical changes, such as testicular enlargement or atrophy [7] . In our case, the patient had hyperesthesia of the anterior skin of the right scrotum, testicular atrophy, and orchialgia evoked by compression of the testis.…”

Section: Discussionmentioning

confidence: 99%

“…Although the iliohypogastric nerve does not directly provide sensory innervation for the scrotum per se, “triple neurectomy” is the primary surgical treatment of neuropathic orchialgia as selective neurectomy has limited efficacy because of the crisscross innervation of the scrotum by the three nerves. [3] , [6] , [7] , [9] On the other hand, there are some patients with neuropathic orchialgia who are not adequately addressed by triple neurectomy [9] . The testes have no somatic innervation and receive sensory fibers from paravasal nerves located just along the vas deferens ( Fig.…”

Section: Discussionmentioning

confidence: 99%

“…3 E ), originating from the deep pelvic plexus [4] . Neuropathy of these nerve fibers is also involved in post-hernia repair orchialgia [3] , [7] , [9] . Patients with orchialgia who undergo preperitoneal repair may be at a risk of injury to the paravasal nerve fibers due to direct contact with the mesh [3] .…”

Section: Discussionmentioning

confidence: 99%

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Successful treatment for patients with chronic orchialgia following inguinal hernia repair by means of meshoma removal, orchiectomy and triple-neurectomy

Narita

Moriyoshi

Hanada

et al. 2015

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Successful treatment for patients with chronic orchialgia following inguinal hernia repair by means of meshoma removal, orchiectomy and triple-neurectomy

Narita

Moriyoshi

Hanada

et al. 2015

International Journal of Surgery Case Reports

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“…Injury to the inguinal segment of the genital branch of genitofemoral nerve may occur during removal of the cremasteric muscle layer, cord mobilization, dissection or ligation of the hernia sac, suturing of the inguinal floor, or specifically during placement of an inlay mesh (plug) ultimately contributing to significant post-operative cord tenderness. 18 7% participants in Group B complained of pain along the spermatic cord radiating till testes and occasionally tight aching feeling in lower abdomen and groin. On physical examination, spermatic cord tenderness was elicited.…”

Section: Discussionmentioning

confidence: 99%

An observational study to compare the outcomes of onlay technique with combined onlay-plug technique of mesh hernioplasty in inguinal hernia

2022

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Background: Inguinal Hernia is a common entity in general surgical practices across the world. Its management though appears to be straightforward, could still be a nightmare for a surgeon if not dealt with proper attention and care. Lichtenstein’s mesh hernioplasty is still one of the most popular surgeries performed for inguinal hernia repair across the world. At our institute, we commonly perform this surgery with either Onlay mesh hernioplasty technique or combined Onlay-Plug mesh technique. The double mesh placement had always kept us engaged in regards to its post-operative outcomes and its advantage over single onlay mesh. We were also keen to take the subject due to the scarce availability of the recent literature.Methods: This prospective observational study was conducted in the Department of Surgery, Dr. Hedgewar Hospital, Aurangabad, Maharashtra, India on 200 patients who were randomly and equally divided into two groups. Patients in Group A underwent Onlay mesh hernioplasty surgery, while patients in Group B underwent combined Onlay-Plug mesh hernioplasty surgery. Post-operative outcomes were assessed in both groups for a period of six months.Results: There was a significant difference between the two groups in terms of post-operative pain, scrotal edema, cord tenderness, and wound infection as patients in Group 2 who underwent combined Onlay-Plug mesh repair were found to have more incidences of the above-mentioned post-operative outcomes.Conclusions: Single Onlay mesh placement is sufficient. There is no significant benefit of keeping an additional Plug/Inlay mesh in patients undergoing tension-free mesh inguinal hernioplasty as per our findings.

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“…ductus deferens) 6 – 9 ]. The presence of resistive orchialgia cases emerging secondary to inguinal hernia was reported by Chen et al [ 10 ]. It is obvious that sexual activity can be negatively affected, especially in these patients.…”

Section: Discussionmentioning

confidence: 99%

Does inguinal hernia repair have an effect on sexual functions?

Sönmez

Sonbahar²,

Bora³

et al. 2016

CEJU

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IntroductionThe aim of this study is to evaluate sexual functions which are affected by inguinal hernias and may change after hernia repair surgery.Material and methodsA total of 47 patients who underwent Lichtenstein tension-free anterior repair and inguinal hernia surgery were evaluated in terms of erectile function, intercourse function, sexual desire, overall satisfaction and orgasm satisfaction using the International Index of Erectile function questionnaire (IIEF) scoring system before surgery and in the first and sixth months after surgery. Parameters evaluated with the IIEF score before the surgery and in the first and sixth months after surgery were compared statistically using the Wilcoxon test.ResultsThe average age of patients was 46.2 ±11.2 years (range: 22–67). It was determined that all scores, apart from sexual desire (p = 0.08), significantly increased in the postoperative first and sixth months compared to the preoperative period. It was measured that the preoperative sexual desire score increased significantly in the postoperative sixth month (p <0.001). A significant score was also detected when all scores in the postoperative sixth month were compared to the postoperative first month.ConclusionsInguinal hernia surgery positively affects sexual functions compared to the preoperative period. The improvement in sexual parameters in addition to the benefits of hernia removal and presence of no significant postoperative complications indicates that this surgery is useful and safe.

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Persistent orchialgia after inguinal hernia repair: diagnosis, neuroanatomy, and surgical management

Cited by 10 publications

References 14 publications

Successful treatment for patients with chronic orchialgia following inguinal hernia repair by means of meshoma removal, orchiectomy and triple-neurectomy

Successful treatment for patients with chronic orchialgia following inguinal hernia repair by means of meshoma removal, orchiectomy and triple-neurectomy

An observational study to compare the outcomes of onlay technique with combined onlay-plug technique of mesh hernioplasty in inguinal hernia

Does inguinal hernia repair have an effect on sexual functions?

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