Abstract
The fibrotic reaction of polypropylene mesh after tension- free (TFR) inguinal herniorrhaphy causing vasal obstruction has been implicated as the reason for infertility in a group of patients presented in a recent paper by Shin and colleagues [1]. The purpose of this presentation is to examine the controversial subject of infertility and inguinal hernia repair and analyze some of the currently available evidence.
Access provided by Autonomous University of Puebla. Download to read the full chapter text
Chapter PDF
Similar content being viewed by others
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
References
Shin D, Lipshultz LI, Goldstein M, et al. Herniorrhaphy with polypropylene mesh causing inguinal vasal obstruction: A preventable cause of obstructive azoospermia. Ann Surg. 2005; 241: 553–558
Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am 2003; 83: 1045–51, v–vi
Ceylan H, Karakok M, Guldur E, Cengiz B, Bagci C, Mir E. Temporary stretch of the testicular pedicle may damage the vas deferens and the testis. J Pediatr Surg 2003; 38: 1530–1533
Sheynkin YR, Hendin BN, Schlegel PN, Goldstein M. Microsurgical repair of iatrogenic injury to the vas deferens. J Urol 1998; 159: 139–141
Iles J. Specialisation in elective herniorrhaphy. Lancet 1965; 17: 751–755
Wantz GE. Testicular atrophy and chronic residual neuralgia as risks of inguinal hernioplasty. Surg Clin North Am 1993; 73: 571–581
Amid PK. Groin hernia repair: Open techniques. World J Surg 2005; 29: 1046–1051
Yavetz H, Harash B, Yogev L, Homonnai ZT, Paz G. Fertility of men following inguinal hernia repair. Andrologia 1991; 23: 443–446
Ridgway PF, Shah J, Darzi AW. Male genital tract injuries after contemporary inguinal hernia repair. BJU Int. 2002; 90: 272–276
Silich RC, McSherry CK. Spermatic granuloma. an uncommon complication of the tension-free hernia repair. Surg Endosc 1996; 10: 537–539
Seifman BD, Ohl DA, Jarow JP, Menge AC. Unilateral obstruction of the vas deferens diagnosed by seminal vesicle aspiration. Tech Urol. 1999;5:113–115.
Aydede H, Erhan Y, Sakarya A, Kara E, Ilkgul O, Can M. Effect of mesh and its localisation on testicular flow and spermatogenesis in patients with groin hernia. Acta Chir Belg. 2003; 103: 607–610
Dilek ON, Yucel A, Akbulut G, Degirmenci B. Are there adverse effects of herniorrhaphy techniques on testicular perfusion? evaluation by color doppler ultrasonography. Urol Int 2005; 75: 167–169
Uzzo RG, Lemack GE, Morrissey KP, Goldstein M. The effects of mesh bioprosthesis on the spermatic cord structures: A preliminary report in a canine model. J Urol. 1999; 161: 1344–1349
Fitzgibbons RJ, Jr, Salerno GM, Filipi CJ, Hunter WJ, Watson P. A laparoscopic intraperitoneal onlay mesh technique for the repair of an indirect inguinal hernia. Ann Surg 1994; 219: 144–156
Peiper C, Junge K, Klinge U, Strehlau E, Ottinger A, Schumpelick V. Is there a risk of infertility after inguinal mesh repair? Experimental studies in the pig and the rabbit. Hernia. 2006; 10: 7–12
Goldenberg A, Paula JF. Effects of the polypropylene mesh implanted through inguinotomy in the spermatic funiculus, epididium and testis of dogs. Acta Cir Bras. 2005; 20: 461–467
Taneli F, Aydede H, Vatansever S, Ulman C, Ari Z, Uyanik BS. The long-term effect of mesh bioprosthesis in inguinal hernia repair on testicular nitric oxide metabolism and apoptosis in rat testis. Cell Biochem Funct 2005; 23: 213–220
Berndsen FH, Bjursten LM, Simanaitis M, Montgomery A. Does mesh implantation affect the spermatic cord structures after inguinal hernia surgery? An experimental study in rats. Eur Surg Res 2004; 36: 318–322
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Fitzgibbons, R.J. (2007). The Mesh and the Spermatic Cord. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Recurrent Hernia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68988-1_31
Download citation
DOI: https://doi.org/10.1007/978-3-540-68988-1_31
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-37545-6
Online ISBN: 978-3-540-68988-1
eBook Packages: MedicineMedicine (R0)