Does the presence of a mesh have an effect on the testicular blood flow after surgical repair of indirect inguinal hernia?

Ramadan, Selma Uysal; Gökharman, Dilek; Tunçbilek, Işıl; Özer, Hilal; Koşar, Pınar Nercis; Kaçar, Mahmut; Temel, Selim; Koşar, Uğur

doi:10.1002/jcu.20516

Cited by 18 publications

(11 citation statements)

References 15 publications

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“…Neto et al ., Ramadan et al ., and Lal et al . did not find any statistically noteworthy elevation in RIs, which is in conjugation with our study[ 18 19 20 ] where no significant difference between the RI of any artery in their preoperative and early postoperative period was noted. Roos et al .…”

Section: Discussionsupporting

confidence: 89%

Does laparoscopic hernia repair affect the vascularity of testis?

Lodha

Badkur

Garg

et al. 2020

J Family Med Prim Care

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Context: Laparoscopic hernia repair, despite its safety and effectivity is related to some drawbacks. Testicular complications are uncommon but serious among them. Testicular atrophy occurs in 0% to 2% of patients after hernioplasty. Aim: In this study, we tried to evaluate the effects of laparoscopic total extraperitoneal (TEP) repair on testicular blood flow in Indian population by comparing the testicular perfusion in preoperative and postoperative status. Settings and Design: A prospective study. Subjects and Methods: A prospective study was conducted among adult male patients having an uncomplicated inguinal hernia. Preoperative and postoperative CDUS evaluation of testicular blood flow was done for each patient. Statistical Analysis Used: Data were analyzed using the SPSS (SPSS, Chicago, IL, USA) software program. Results: The resistive indexes of testicular, capsular, and intratesticular arteries of the operated and nonoperated side were similar preoperatively and did not differ ominously postoperatively. Conclusion: Laparoscopic hernia surgery does not have any significant effect on testicular blood supply and can be advocated safely without any added risk of testicular atrophy.

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Section: Discussionsupporting

confidence: 89%

Does laparoscopic hernia repair affect the vascularity of testis?

Lodha

Badkur

Garg

et al. 2020

J Family Med Prim Care

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“…Testicular arterial impedance, venous plexus flow, and testicular perfusion were assessed pre-and postoperatively on both sides, and the follow-up time was 2 months. The results showed that there were no significant changes regarding testicular flow ( P > 0.05) [ 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…This study suggested that polypropylene mesh did not lead to any clinically significant problems on testicular flow in patients undergoing open hernia repair with either non-complicated or incarcerated hernia [ 14 ]. In the Ramadan et al study, it showed that there was no significant change to testicular flow in the hernia side vs. non-hernia side; thus, different types of hernias may not impact infertility under the open hernia repair with mesh [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

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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“…The introduction of meshes in the repair of inguinal hernias, and their direct contact with the femoral veins and their branches, prompted some researchers to study the effect of the mechanical factor of the prosthesis, their contraction (20-75 % of the original size) and the reaction of the tissue (inflammatory process) to blood flow in the femoral artery and vein. None of the studies of testicular flow have shown negative effects [20][21][22]. Taylor et al [9] were the first to study venous flow and found no evidence to support the hypothesis that the contraction of the mesh implanted in the groin had a negative effect on femoral venous flow.…”

Section: Discussionmentioning

confidence: 96%

Slow femoral venous flow and venous thromboembolism following inguinal hernioplasty in patients without or with low molecular weight heparin prophylaxis

Lozano

Sánchez-Fernández

González‐Porras

et al. 2015

Hernia

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Does the presence of a mesh have an effect on the testicular blood flow after surgical repair of indirect inguinal hernia?

Abstract: Mesh implantation/perimesh fibrosis does not adversely affect ipsilateral testicular flow. Mesh application is still a safe procedure in male patients in whom testicular function is important.

Cited by 18 publications

References 15 publications

Does laparoscopic hernia repair affect the vascularity of testis?

Does laparoscopic hernia repair affect the vascularity of testis?

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

Slow femoral venous flow and venous thromboembolism following inguinal hernioplasty in patients without or with low molecular weight heparin prophylaxis

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