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Effects of totally extraperitoneal and lichtenstein hernia repair on men’s sexual function and quality of life

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Abstract

Background

In the literature, there have been scant studies that compare the effects of totally extraperitoneal (TEP) and Lichtenstein hernia (LH) repairs on men’s sexual function and quality of life. Our aim in this study was to study the sexual function of men after TEP and LH repair according to SF 36 (Health Survey Scoring Demonstration) and IIEF (The International Index of Erectile Function).

Methods

A total of 176 men with unilateral inguinal hernia were randomized into two groups. Group T (n = 88) received TEP hernia repair, and Group L (n:88) received LH repair. Patients’ demographics and perioperative findings were recorded. For all patients, the preoperative as well as postoperative 7th, 30th and 90th day SF 36 and IIEF were recorded.

Results

A total of 176 operations consisting of 88 TEP and 88 LH repairs were evaluated. There were no differences in demographics, hernia type, and complications except for body mass index (BMI). The operative time was higher in Group T (29.6 ± 5.8 vs. 43.5 ± 5.7 min; p = 0.001). The averages of the SF 36-Vitality and Social Function for Postoperative (PO) 30th day scores were higher in Group T. The averages of the SF 36-Bodily Pain, General Health, Physical Role, Emotional Role for PO 7–30th days SF36- Mental Health for PO 7th day and SF 36 Physical Function for PO 30–90th days scores were statistically higher in Group T. The averages of the IIEF- Erectile Function for PO 30th day, IIEF- Orgasmic Function, Sexual Desire, Intercourse Satisfaction, and Intercourse Satisfaction for PO 7th and 30th days scores were higher in Group T.

Conclusions

TEP and LH repairs have similar results for recurrence, complications, and hospital stay; otherwise, TEP repair yields better results than the LH repair in the postoperative course at the 7th and 30th day evaluation, concerning sexual function and quality of life, but this benefit is no longer apparent at the 90th day. Although the short-term differences were statistically significant, they were moderate and might have a limited impact from the clinical point of view.

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References

  1. Rutkow IM (2003) Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am 83:1045–1051

    Article  Google Scholar 

  2. Neumayer L, Hurdcr AG, Jonasson O et al (2004) Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 350:1819–1827

    Article  CAS  Google Scholar 

  3. Kartal A, Yalcın M, Citgez B, Uzunkoy A (2017) The effect of chronic constipation on the development of inguinal herniation. Hernia 21:531–535

    Article  CAS  Google Scholar 

  4. Langeveld HR, Van’t Riet M, Weidema WF et al (2010) Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial): a randomized controlled trial. Ann Surg 251(5):819–824

    Article  Google Scholar 

  5. Eker HH, Langeveld HR, Klitsie PJ et al (2012) Randomized clinical trial of total extraperitoneal inguinal hernioplasty vs Lichtenstein repair: a long-term follow-up study. Arch Surg 147(3):256–260

    Article  Google Scholar 

  6. Eklund A, Montgomery A, Bergkvist L et al (2010) Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Br J Surg 97(4):600–608

    Article  CAS  Google Scholar 

  7. Verhagen T, Loos MJ, Scheltinga MR, Roumen RM (2016) Surgery for chronic inguinodynia following routine herniorrhaphy: beneficial effects on dysejaculation. Hernia 20(1):63–68

    Article  CAS  Google Scholar 

  8. Bansal VK, Krishna A, Manek P et al (2017) A prospective randomized comparison of testicular functions, sexual functions and quality of life following laparoscopic totally extra-peritoneal (TEP) and trans-abdominal pre-peritoneal (TAPP) inguinal hernia repairs. Surg Endosc 31:1478–1486

    Article  Google Scholar 

  9. Gürbulak EK, Gürbulak B, Akgün İE, Özel A, Akan D, Ömeroğlu S, Öz A, Mihmanlı M, Bektaş H (2015) Effects of totally extraperitoneal (TEP) and Lichtenstein hernia repair on testicular blood flow and volume. Surgery 158:1297–1303

    Article  Google Scholar 

  10. Tadaki C, Lomelin D, Simorov A, Jones R, Humphreys M, daSilva M et al (2016) Perioperative outcomes and costs of laparoscopic versus open inguinal hernia repair. Hernia 20:399–404

    Article  CAS  Google Scholar 

  11. Hedberg HM, Hall T, Gitelis M, Lapin B, Butt Z, Linn JG et al (2018) Quality of life after laparoscopic totally extraperitoneal repair of an asymptomatic inguinal hernia. Surg Endosc 32:813–819

    Article  Google Scholar 

  12. Simons MP, Aufenacker T, Bay-Nielsen M et al (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13:343–403

    Article  CAS  Google Scholar 

  13. Aasvang EK, Mohl B, Bay-Nielsen M, Kehlet H (2006) Pain related sexual dysfunction after inguinal herniorrhaphy. Pain 122:258–263

    Article  Google Scholar 

  14. Bischoff JM, Linderoth G, Aasvang EK, Werner MU, Kehlet H (2012) Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study. Surg Endosc 26:979–983

    Article  Google Scholar 

  15. Andresen K, Burcharth J, Fonnes S, Hupfeld L, Rothman JP, Deigaard S et al (2017) Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique: a randomized clinical trial. Surgery 161(6):1690–1695

    Article  Google Scholar 

  16. Lawrence K, McWhinnie D, Jenkinson C et al (1997) Quality of life in patients undergoing inguinal hernia repair. Ann R Coll Surg Engl 79:40–45

    CAS  PubMed  PubMed Central  Google Scholar 

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Funding

This research was funded from departmental sources.

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Authors and Affiliations

  1. General Surgery Clinic, Okmeydani Education and Research Hospital, Kaptanpasa, Darulaceze cad. No: 27, Okmeydani, Sisli, Istanbul, 34384, Turkey

    Riza Gurhan Isil

  2. General Surgery, Ozel Camlica Erdem Hospital, Alemdag cad. Yan yol No: 36, Uskudar, Istanbul, 34696, Turkey

    Omer Avlanmis

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  1. Riza Gurhan Isil
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  2. Omer Avlanmis
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Contributions

Riza Gurhan ISIL and Omer AVLANMIS were the primary surgeons and designed the study. Riza Gurhan ISIL wrote the manuscript.

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Correspondence to Riza Gurhan Isil.

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Riza Gurhan ISIL and Omer AVLANMIS have no conflict of interest or financial ties to disclose.

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Isil, R.G., Avlanmis, O. Effects of totally extraperitoneal and lichtenstein hernia repair on men’s sexual function and quality of life. Surg Endosc 34, 1103–1111 (2020). https://doi.org/10.1007/s00464-019-06857-0

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  • DOI: https://doi.org/10.1007/s00464-019-06857-0

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