Advertisement

Surgical Endoscopy

, Volume 29, Issue 12, pp 3722–3725 | Cite as

Pain during sexual activity before and after laparoscopic inguinal hernia repair

  • Mette A. Tolver
  • Jacob Rosenberg
Article

Abstract

Background

Sexual life may be impaired by pain during sexual activity in patients with inguinal hernia. On the other hand, inguinal hernia repair has also been reported to cause sexual dysfunction in terms of pain during sexual activity and ejaculation. The primary aim of this study was to estimate the prevalence of pain during sexual activity before and after laparoscopic inguinal hernia repair, and the secondary, to describe pain location, frequency of pain during sexual activity, and to which degree sexual life was affected by the pain. Furthermore, to examine whether preoperative pain during sexual activity was a risk factor for postoperative pain during sexual activity.

Methods

A prospective questionnaire study before and 6 months after hernia repair was conducted. Men (age 18–85 years) undergoing laparoscopic inguinal hernia repair were included.

Results

In total, 160 men were included. Overall, 23 % of patients complained preoperatively of pain during sexual activity. Sexual life was affected in moderate-to-severe degree in 17 %. Ten percent had pain during sexual activity 6 months after hernia repair. The prevalence of men with pain during sexual activity was not increased after hernia repair (p = 0.080). Instead, there was a trend toward a reduction. Both before and after hernia repair sexually related pain was primarily located in the groin area and in the scrotum. Patients with preoperative pain during sexual activity had a higher risk of postoperative pain during sexual activity compared with patients without pain preoperatively (p = 0.0007).

Conclusion

Having an inguinal hernia may be related to pain during sexual activity before operation. We did not find an increase in sexually related pain after operation. On the contrary, there was a trend toward decreased pain related to sexual activity after laparoscopic inguinal hernia repair. Preoperative pain during sexual activity predisposed to postoperative pain during sexual activity.

Keywords

Inguinal hernia Laparoscopic Pain Sexual activity 

Notes

Disclosures

M.A. Tolver and J. Rosenberg have no conflicts of interest or financial ties to disclose regarding the present study.

References

  1. 1.
    El-Awady SE, Elkholy AA (2009) Beneficial effect of inguinal hernioplasty on testicular perfusion and sexual function. Hernia 13:251–258CrossRefPubMedGoogle Scholar
  2. 2.
    Schouten N, van Dalen T, Smakman N, Clevers GJ, Davids PH, Verleisdonk EJ, Tekatli H, Burgmans JP (2012) Impairment of sexual activity before and after endoscopic totally extraperitoneal (TEP) hernia repair. Surg Endosc 26:230–234CrossRefPubMedGoogle Scholar
  3. 3.
    Zieren J, Menenakos C, Paul M, Muller JM (2005) Sexual function before and after mesh repair of inguinal hernia. Int J Urol 12:35–38CrossRefPubMedGoogle Scholar
  4. 4.
    Aasvang EK, Gmaehle E, Hansen JB, Gmaehle B, Forman JL, Schwarz J, Bittner R, Kehlet H (2010) Predictive risk factors for persistent postherniotomy pain. Anesthesiology 112:957–969CrossRefPubMedGoogle Scholar
  5. 5.
    Bittner R, Gmahle E, Gmahle B, Schwarz J, Aasvang E, Kehlet H (2010) Lightweight mesh and noninvasive fixation: an effective concept for prevention of chronic pain with laparoscopic hernia repair (TAPP). Surg Endosc 24:2958–2964CrossRefPubMedGoogle Scholar
  6. 6.
    Bischoff JM, Linderoth G, Aasvang EK, Werner MU, Kehlet H (2012) Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study. Surg Endosc 26:979–983CrossRefPubMedGoogle Scholar
  7. 7.
    Aasvang EK, Mohl B, Bay-Nielsen M, Kehlet H (2006) Pain related sexual dysfunction after inguinal herniorrhaphy. Pain 122:258–263CrossRefPubMedGoogle Scholar
  8. 8.
    Tolver MA, Strandfelt P, Forsberg G, Hjorne FP, Rosenberg J, Bisgaard T (2012) Determinants of a short convalescence after laparoscopic transabdominal preperitoneal inguinal hernia repair. Surgery 151:556–563CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of SurgeryHerlev HospitalHerlevDenmark

Personalised recommendations