Mechanism, assessment, and incidence of male infertility after inguinal hernia surgery: a review of the preclinical and clinical literature

Tekatli, H.; Schouten, N.; Dalen, Thijs van; Burgmans, I; Smakman, Niels

doi:10.1016/j.amjsurg.2012.03.002

Cited by 47 publications

(28 citation statements)

References 39 publications

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“…Infertility has a high worldwide psychosocial burden, some aspects of it carrying higher importance in Eastern countries 3,4. Male infertility has a substantial share of the total infertility burden 5–7. There are many reasons why a man can be the one experiencing fertility issues, such as low sperm motility.…”

Section: Introductionmentioning

confidence: 99%

Association of body mass index with some fertility markers among male partners of infertile couples

Hajshafiha¹,

Ghareaghaji²,

Salemi³

et al. 2013

IJGM

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BackgroundThe available evidence on the role of obesity and body mass index (BMI) on male infertility has been controversial or inconclusive to some extent.ObjectivesThe aim of this study was to investigate the role of BMI on some male-fertility laboratory indicators both among infertile and fertile men in an Iranian population.Methods and materialsA total of 159 male patients who had lived as a partner in an infertile couple for at least 1 year, after regular reproductive activity in their married life, and who sought infertility consultation, were investigated. BMI was assessed, and a morning blood sample was taken assessing serum levels of testosterone, sex hormone-binding globulin, prolactin, luteinizing hormone (LH), follicle-stimulating hormone, and estradiol. Semen-analysis parameters were also measured.ResultsIn this study, it was found that the likelihood of oligospermia was increased at higher BMI values. Obese men were found to be 3.5 times more likely to have oligospermia than those with normal BMI. BMI was not found to be associated with mean numeric values of the semen-analysis parameters, including sperm count, sperm morphology, and sperm motility. BMI was not significantly correlated with some hormone levels, such as LH, prolactin, and LH/follicle-stimulating hormone ratio. However, a statistically significant association was observed between BMI and estradiol (P < 0.01), sex hormone-binding globulin (P < 0.001), and also the testosterone/estradiol ratio (P < 0.001). A different pattern of associations in this study was observed when the associations between BMI and sexual hormone levels were compared between fertile and subfertile/infertile men.ConclusionThe association explored between BMI and some sexual hormones and semen characteristics, as well as different patterns of this association between fertile and subfertile/infertile men, will be of help to broaden our understanding of the effect of obesity on some male reproductive physiologic characteristics among fertile and infertile men.

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Section: Introductionmentioning

confidence: 99%

Association of body mass index with some fertility markers among male partners of infertile couples

Hajshafiha¹,

Ghareaghaji²,

Salemi³

et al. 2013

IJGM

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“…The assessment of gonadal function is an invasive procedure; therefore, neither this parameter nor semen analysis is an optimal measure of the effects of LH on the fertility of children with inguinal hernias. Testicular perfusion can be evaluated by determining the RI of the intratesticular artery [16]. It is assumed that inguinal hernia repair may cause a mechanical obstruction of the spermatic vessels, which may lead to an increased RI in the ipsilateral testicle [17,18].…”

Section: + Modelmentioning

confidence: 99%

Effects of single-port laparoscopic percutaneous extraperitoneal closure on the orientation of the vas deferens and testicular perfusion and volume: Experience from a single center

et al. 2016

Journal of Pediatric Urology

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“…Vas obstruction caused by IH repair is a common cause of seminal tract obstruction . The incidence of injury is 0.3–7.2% in adult IH repair, but reaches 27% in patients with a history of IH repair . In Japan, its incidence rate in 2000 was 27%, which decreased to 9% in 2013, and the cause of iatrogenicity has decreased.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopy‐assisted vasovasostomy for post‐herniorrhaphy vas deferens obstruction

et al. 2020

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Introduction Repair of obstructive azoospermia caused by childhood herniorrhaphy may be difficult. Therefore, intracytoplasmic sperm injection using testicular sperm is performed. However, vasovasostomy combined with laparoscopic surgery is challenging. Case presentation A 42‐year‐old man underwent inguinal hernia repair at age 3. He had normal testicular size, azoospermia, normal hormone levels (follicle‐stimulating hormone, luteinizing hormone, and testosterone), absence of Y chromosome micro deletion, and karyotype:46XY, t(1:21)(p34.1:q22.3). He was diagnosed with obstructive azoospermia. Repeated intracytoplasmic sperm injections using testicular sperm resulted in miscarriages. Vasovasostomy combined with laparoscopic surgery was subsequently performed. Postoperative semen analysis result was almost normal. After intracytoplasmic sperm injection of ejaculated sperm, his wife got pregnant. Conclusion Even if patients have chromosomal abnormalities, performing microsurgical re‐anastomosis first is recommended. To our knowledge, this is the first case of a laparoscopy‐assisted vasovasostomy for post‐herniorrhaphy vas deferens obstruction in Japan.

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Mechanism, assessment, and incidence of male infertility after inguinal hernia surgery: a review of the preclinical and clinical literature

Cited by 47 publications

References 39 publications

Association of body mass index with some fertility markers among male partners of infertile couples

Association of body mass index with some fertility markers among male partners of infertile couples

Effects of single-port laparoscopic percutaneous extraperitoneal closure on the orientation of the vas deferens and testicular perfusion and volume: Experience from a single center

Laparoscopy‐assisted vasovasostomy for post‐herniorrhaphy vas deferens obstruction

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