Azoospermie et antécédent de cure de hernie inguinale chez l’adulte

Khodari, M.; Ouzzane, A.; Marcelli, F.; Yakoubi, Rachid; Mitchell, Tim; Zerbib, Philippe; Jm, Rigot

doi:10.1016/j.purol.2015.06.008

Cited by 9 publications

(9 citation statements)

References 22 publications

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“…The main outcomes included: testicular volume, testicular resistivity index, serum FSH, serum testosterone, serum LH, semen volume, concentration, motility, α-glucosidase, morphology, peak systolic velocity, end diastolic velocity, pulsatility index, and obstructive azoospermia with a follow-up from six to 36 months. Table 1 demonstrates the characteristics of the included trials [ 9 , 10 , 13 – 19 , 27 – 46 ].…”

Section: Resultsmentioning

confidence: 99%

“… Resistive index 3 Gvenetadze 2016 (III-3b) [ 16 ] Georgia Open Case control Lichtenstein 66 Gvenetadze method 149 19–40 mesh Bilateral Oligospermia, reduction of the quantitative sperm 1,6 Shkvarkovskiy 2015 (III-3b) [ 17 ] Russian Open Case control New method 61 19–61 Polymeric mesh Hernia testicular arteries, testicular volume, sex hormones level. NS Lichtenstein 63 Yan 2015 (IV-4) [ 18 ] China Open Retrospective study 142 24.0 ± 2.0 mesh Unilateral Infertility Sex function 3–36 Khodari 2015 (IV-4) [ 19 ] France Open Retrospective study 69 NS polypropylene mesh Bilateral (history of hernia repair) Risk of infertility NS Stula 2014 (II-2b) [ 27 ] Croatia TAPP/Open Cohort study TAPP 29 61(33–81) Prolene mesh Unilateral Bilateral testicular blood flow (RI, PSV, EDV), ASA 5–6 Open 53 Peeters 2014 (I-1b) [ 28 ] Belgium TEP RCT Marlex ® 20 20–50 (Marlex ®) VyproII ® TiMesh ® Unilateral 39 Bilateral 20 Semen analysis 36 VyproII ® 20 TiMesh ® 19 Schouten 2012 (protocol) [ …”

Section: Resultsmentioning

confidence: 99%

“…There was no infertility found [ 18 ]. Khodari et al (level IV 4 ) reported that there were 69 azoospermia patients with a history of adult inguinal hernia repair surgery from 1990 to 2011, but there was no detailed report provided in the analysis [ 19 ]. Chu et al examined four cases under the inguinal hernia mesh repair with the results showing that testicular ischemia of 2/4 patients was changed, caused by either the mesh loosening or being removed [ 37 ].…”

Section: Resultsmentioning

confidence: 99%

“…To circumvent the limitation of the previous review, we have included several additional RCTs and control trials on male infertility and hernia repair published from 2015 to 2017 [ 12 – 19 ], detailed sub-group analyses, and additional databases and clinical trials. In addition, the Jada score and levels of evidence from Oxford Centre for Evidence-based Medicine were used to assess the quality of included studies.…”

Section: Introductionmentioning

confidence: 99%

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Does the use of hernia mesh in surgical inguinal hernia repairs cause male infertility? A systematic review and descriptive analysis

et al. 2018

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ObjectiveThe aim of this study was to systematically review the available clinical trials examining male infertility after inguinal hernias were repaired using mesh procedures.MethodsThe Cochrane Library, PubMed, Embase, Web of Science, and Chinese Biomedical Medicine Database were investigated. The Jada score was used to evaluate the quality of the studies, “Oxford Centre for Evidence-based Medicine-Levels of Evidence” was used to assess the level of the trials, and descriptive analysis was used to evaluate the studies.ResultsTwenty nine related trials with a total of 36,552 patients were investigated, including seven randomized controlled trials (RCTs) with 616 patients and 10 clinical trials (1230 patients) with mesh or non-mesh repairs. The Jada score showed that there were six high quality RCTs and one low quality RCT. Levels of evidence determined from the Oxford Centre for Evidence-based Medicine further demonstrated that those six high quality RCTs also had high levels of evidence. It was found that serum testosterone, LH, and FSH levels declined in the laparoscopic group compared to the open group; however, the testicular volume only slightly increased without statistical significance. Testicular and sexual functions remained unchanged after both laparoscopic transabdominal preperitoneal hernia repair (TAPP) and totally extra-peritoneal repair (TEP). We also compared the different meshes used post-surgeries. VyproII/Timesh lightweight mesh had a diminished effect on sperm motility compared to Marlex heavyweight mesh after a one-year follow-up, but there was no effect after 3 years. Additionally, various open hernia repair procedures (Lichtenstein, mesh plug method, posterior pre-peritoneal mesh repair, and anterior tension-free repair) did not cause infertility.ConclusionsThis systematic review suggests that hernia repair with mesh either in an open or a laparoscopic procedure has no significant effect on male fertility.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Does the use of hernia mesh in surgical inguinal hernia repairs cause male infertility? A systematic review and descriptive analysis

et al. 2018

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“…Khodari et al 13 studied 69 patients with azoospermia and performed proximal surgical collection of sperm in three groups: one submitted to correction of bilateral hernia, one with risk factors for infertility and the third with unilateral hernia. They did not find a positive relation with the surgical technique used or even the use of a prosthesis.…”

Section: ■ Discussionmentioning

confidence: 99%

Prospective ultrasonographic study of blood flow and testicular volume in patients submitted to surgical repair of inguinal hernia without using prosthesis

David

Goldenberg

2018

Acta Cir. Bras.

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Prospective ultrasonographic study of blood flow and testicular volume in patients submitted to surgical repair of inguinal hernia without using prosthesis 1 AbstractPurpose: To evaluate the behavior of arterial circulation and testicular volume in patients submitted to conventional inguinal hernia repair without the use of a synthetic prosthesis to reinforce the posterior wall. Methods: A prospective observational clinical trial was performed on 26 male patients with unilateral inguinal hernia types I and II by the Nyhus classification, who underwent surgical correction using the modified Bassini technique. Bilateral Doppler ultrasonography was performed preoperatively, at the third and at the sixth postoperative month. The studied variables were: systolic peak velocity (SPV), diastolic peak velocity (DPV), resistance index (RI), pulsatility index (PI) and testicular volume.

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