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Postherniotomy dysejaculation: successful treatment with mesh removal and nerve transection

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Abstract

Dysejaculation following groin hernia repair can occur in about 1–2% of patients, resulting in impairment of sexual function. We report a case of chronic postherniotomy dysejaculation treated with transection of the ilioinguinal and iliohypogastric nerves and decompression of vas deferens that was embedded and twisted in shrunken mesh and scar tissue. At three months follow-up, there was reduced overall pain and no dysejaculation, and quantitative sensory testing showed reversal of sensory abnormalities, except for sensory loss, compared with preoperative values.

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References

  1. Bendavid R (1995) Dysejaculation. Probl Gen Surg 12:237–238

    Google Scholar 

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

    Google Scholar 

  3. Aasvang EK, Mohl B, Kehlet H (2007) Ejaculatory pain: a specific postherniotomy pain syndrome? Anesthesiology 107:298–304

    Article  PubMed  Google Scholar 

  4. Christiansen CG, Sandlow JI (2003) Testicular pain following vasectomy: a review of postvasectomy pain syndrome. J Androl 24:293–298

    PubMed  Google Scholar 

  5. Peiper C, Junge K, Klinge U et al. (2006) Is there a risk of infertility after inguinal mesh repair? Experimental studies in the pig and the rabbit. Hernia 10:7–12

    Google Scholar 

  6. Shin D, Lipshultz LI, Goldstein M et al. (2005) Herniorrhaphy with polypropylene mesh causing inguinal vasal obstruction: a preventable cause of obstructive azoospermia. Ann Surg 241:553–558

    Google Scholar 

  7. Amid PK, Hiatt JR (2007) New understanding of the causes and surgical treatment of postherniorrhaphy inguinodynia and orchalgia. J Am Coll Surg 205:381–385

    Article  PubMed  Google Scholar 

  8. Aasvang E, Kehlet H (2005) Surgical management of chronic pain after inguinal hernia repair. Br J Surg 92:795–801

    Article  PubMed  CAS  Google Scholar 

  9. Ferzli GS, Edwards ED, Khoury GE (2007) Chronic pain after inguinal herniorrhaphy. J Am Coll Surg 205:333–341

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Section of Surgical Pathophysiology, Juliane Marie Centre, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100, Copenhagen, Denmark

    E. K. Aasvang & H. Kehlet

Authors
  1. E. K. Aasvang
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  2. H. Kehlet
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Correspondence to E. K. Aasvang.

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Aasvang, E.K., Kehlet, H. Postherniotomy dysejaculation: successful treatment with mesh removal and nerve transection. Hernia 12, 645–647 (2008). https://doi.org/10.1007/s10029-008-0373-1

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  • DOI: https://doi.org/10.1007/s10029-008-0373-1

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