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Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study
Joakim M Bischoff1, Gitte Linderoth, Eske Kvanner Aasvang
1Section of Surgical Pathophysiology 4074, Rigshospitalet, Copenhagen University, Blegdamsvej 9, 2100, Copenhagen, Denmark. joakim.mutahi.bischoff@rh.regionh.dk
Surgical Endoscopy
|October 21, 2011
Summary
Laparoscopic inguinal herniorrhaphy can cause dysejaculation (ejaculation problems) in 3.1% and sexual pain in 10.9% of men. These sexual dysfunctions are significant post-surgical complications requiring further investigation into improved techniques.
Area of Science:
- Urology
- Surgical Outcomes
- Male Sexual Health
Background:
- Inguinal hernia repair can lead to sexual dysfunction, including dysejaculation and genital pain.
- Previous studies focused on open herniorrhaphy, leaving laparoscopic outcomes less understood.
Purpose of the Study:
- To determine the nationwide prevalence of dysejaculation and sexual pain after laparoscopic inguinal herniorrhaphy.
- To assess the impact of these complications on sexual activity in a large male cohort.
Main Methods:
- A nationwide questionnaire study of 1,172 men aged 18-50 who underwent primary laparoscopic inguinal herniorrhaphy.
- Data collected on dysejaculation and sexual pain, with follow-up ranging from 3 months to 12 years post-surgery.
Main Results:
- Dysejaculation occurred in 3.1% of patients, and 10.9% reported sexual pain.
- 2.4% experienced moderate to severe pain impacting sexual activity.
- Older age and longer follow-up correlated with lower pain prevalence.
Conclusions:
- Sexual dysfunction, including dysejaculation and pain, is a significant issue following laparoscopic inguinal herniorrhaphy.
- Further research is needed to evaluate techniques like glue fixation of meshes to minimize these risks.
