The effects of Lichtenstein tension-free mesh hernia repair on testicular arterial perfusion and sexual functions

Buluş, Hakan; Doğan, Mustafa; Taş, Adnan; Ağladıoğlu, Kadir; Coskun, Assoc. Prof. Ali

doi:10.1007/s00508-013-0321-7

Cited by 14 publications

(15 citation statements)

References 12 publications

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“…The control group included the patients who underwent inguinal hernia repair since both procedures were similar in terms of surgical approach, operation time, anesthesia, postoperative followup, and possible surgical stress. In a previous study, Bulus, Dogan, Tas, Agladıoglu, and Coskun (2013) concluded that tension-free mesh hernia repair does not have any negative effect on testicular perfusion and sexual function and can be safely performed for the treatment of inguinal hernia (Bulus et al, 2013). To the best of our knowledge, this is the first study investigating the possible role of varicocelectomy procedure on the postoperative increase in NSE frequency and libido.…”

Section: Discussionmentioning

confidence: 78%

Effect of Varicocelectomy on the Frequency of Nocturnal Sperm Emissions

Kara¹,

Aydoğdu

Oğuz

et al. 2015

Am J Mens Health

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The aim of this study was to investigate the frequency of nocturnal sperm emissions (NSE) in varicocele patients after varicocele surgery. A total of 127 patients, 96 varicocele (Group 1) and 31 patients with inguinal hernia (Group 2) were included in this study. Mean age, laterality of surgical procedures, spermiogram results, marital status, and postoperative serum hormone levels were noted for all patients. Two groups were compared in terms of Beck depression score (BDS) and anxiety scores (AS). The frequency of NSE and libido changes in the patients during 10 days postoperatively was evaluated. The number of the patients who had NSE and increased libido were significantly higher in the varicocelectomy group when compared with the control group. No significant difference was noted between the groups in terms of BDS, AS, and serum hormone levels. No association was reported between BDS, AS, and serum hormone levels and the presence of NSE in Group 1. The incidence of NSE was higher in younger men. Increased libido was significantly associated with NSE in Group 1. Cord dissection during surgery may be a factor on increased frequency of NSEs in varicocele patients.

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Section: Discussionmentioning

confidence: 78%

Effect of Varicocelectomy on the Frequency of Nocturnal Sperm Emissions

Kara¹,

Aydoğdu

Oğuz

et al. 2015

Am J Mens Health

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“…Bulus et al investigated the effects of perimesh fibrosis and edema on testicular arterial flow and sexual function following Lichtenstein tension-free mesh repair. They found that hernia repair did not have any negative effects on sexual activity [ 16 ].…”

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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“…Bulus et al 18 found no adverse effects on testicular perfusion at the Doppler in patients submitted to hernia repair by the Lichtenstein technique. They found, however, a statistically significant increase in mean arterial flow velocity on the side of the hernia after surgery, and this change was considered transient.…”

Section: ■ Discussionmentioning

confidence: 99%

Prospective ultrasonographic study of blood flow and testicular volume in patients submitted to surgical repair of inguinal hernia without using prosthesis

David

Goldenberg

2018

Acta Cir. Bras.

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Prospective ultrasonographic study of blood flow and testicular volume in patients submitted to surgical repair of inguinal hernia without using prosthesis 1 AbstractPurpose: To evaluate the behavior of arterial circulation and testicular volume in patients submitted to conventional inguinal hernia repair without the use of a synthetic prosthesis to reinforce the posterior wall. Methods: A prospective observational clinical trial was performed on 26 male patients with unilateral inguinal hernia types I and II by the Nyhus classification, who underwent surgical correction using the modified Bassini technique. Bilateral Doppler ultrasonography was performed preoperatively, at the third and at the sixth postoperative month. The studied variables were: systolic peak velocity (SPV), diastolic peak velocity (DPV), resistance index (RI), pulsatility index (PI) and testicular volume.

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The effects of Lichtenstein tension-free mesh hernia repair on testicular arterial perfusion and sexual functions

Abstract: Lichtenstein tension-free mesh hernia repair does not have any negative effects on testicular perfusion and sexual function; it can be performed safely for treatment of inguinal hernia.

Cited by 14 publications

References 12 publications

Effect of Varicocelectomy on the Frequency of Nocturnal Sperm Emissions

Effect of Varicocelectomy on the Frequency of Nocturnal Sperm Emissions

Does inguinal hernia repair have an effect on sexual functions?

Prospective ultrasonographic study of blood flow and testicular volume in patients submitted to surgical repair of inguinal hernia without using prosthesis

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