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Pain related sexual dysfunction after inguinal herniorrhaphy
Eske Kvanner Aasvang1, Bo Møhl, Morten Bay-Nielsen
1Section of Surgical Pathophysiology, The Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark Psychiatric Clinic, The Neuroscience Centre, Rigshospitalet, Copenhagen, Denmark Department of Surgery, Copenhagen University Hospital Glostrup, Denmark Danish Hernia Database Collaboration, Department of Surgical Gastroenterology, H:S Hvidovre University Hospital, Hvidovre, Denmark.
Pain
|March 21, 2006
Summary
Pain after inguinal hernia repair can significantly impact sexual function in young men. Approximately 3% of patients experience moderate to severe pain during sexual activity, leading to sexual dysfunction post-surgery.
Area of Science:
- Urology
- Andrology
- Surgical Outcomes Research
Background:
- Chronic pain after inguinal herniorrhaphy is well-documented, but pain-related sexual dysfunction is less understood.
- Previous studies have sporadically described chronic genital pain, dysejaculation, and sexual dysfunction following inguinal hernia repair.
Purpose of the Study:
- To determine the incidence of pain-related sexual dysfunction one year after inguinal herniorrhaphy.
- To assess the impact of pain on sexual function in patients who have undergone this procedure.
Main Methods:
- A nationwide questionnaire study conducted in September 2004.
- Involved 1015 men aged 18-40 who underwent inguinal herniorrhaphy between October 2002 and June 2003.
- Utilized data from the Danish Hernia Database collaboration; response rate was 68.4%.
Main Results:
- 18.4% reported frequent, moderate to severe pain at the hernia site during activity.
- 22.1% experienced pain during sexual activity, with 6.7% reporting moderate to severe pain frequently.
- 12.3% had genital or ejaculatory pain; 2.8% reported this pain significantly impaired sexual activity.
Conclusions:
- Pain during sexual activity and subsequent sexual dysfunction are clinically significant issues for approximately 3% of younger men post-inguinal herniorrhaphy.
- Intraoperative nerve damage and a predisposition to chronic pain conditions are likely contributing factors.
- Highlights the need for further investigation into managing sexual dysfunction after hernia repair.