Modified Lichtenshtein hernioplasty prevents male infertility
Merab Kiladze1, Tamaz Gvenetadze, Giorgi Giorgobiani
1Department of Surgery at Gudushauri National Medical Center, Georgia.
Introduction:
Lichtenstein hernia repair made revolutionary progress in hernia treatment. Since that a lot of modifications have been proposed. In a few of them attention is drawn to spermatic cord isolation from a mesh for prevention of spermatic cord involvement into inflammatory process which may lead to disturbances in ejaculation act and spermatogenesis itself
Aim Of The Study:
To compare morphological parameters of sperm prior and after hernia surgery in those groups of patients who underwent Lichtenstein and modified Lichtenstein (with spermatic cord isolation from a mesh by Gvenetadze) hernia repairs.
Conclusion:
Our experience showed that modified Lichtenstein hernioplasty which involves spermatic cord complete isolation from the mesh prevents male infertility especially in the case of bilateral hernia repair.
