Does tension-free hernia repair have a great influence on fertility

Update Date: 2025-12-22 Source: Network

summary

Tension free herniorrhaphy this surgical treatment may be less contact, so it will be relatively unfamiliar. At present, there are two kinds of tension-free herniorrhaphy commonly used: flat plate tension-free herniorrhaphy and mesh plug tension-free herniorrhaphy. Let's talk about the effect of tension-free hernia repair on fertility.

Does tension-free hernia repair have a great influence on fertility

First, current animal studies suggest that the foreign body reaction of hernia mesh can affect the structure and function of spermatic cord and testis, including varicocele, thickening, hemodynamic changes and atrophic orchitis. Goldenberg et al. 5 found that patch surgery could aggravate the inflammatory reaction around the vas deferens in the dog model, and the vas deferens were smaller than those in the control group.

Second: foreign countries have studied the influence of inguinal hernia repair on male reproductive function earlier. Hormonnai et al. 8 reported that 14.4% of male patients with infertility after inguinal hernia repair as early as 1980. The size of testis on the affected side has significantly changed, sperm activity has decreased, and serum testosterone secretion has also been affected.

Third: the current mainstream view is that the impact of male reproductive function after inguinal hernia surgery is caused by the local immune inflammatory reaction caused by the injury of spermatic cord or the adhesion of patch and spermatic cord tissue.12 this reaction may lead to the damage of blood testicular barrier and the release of antisperm antibody (ASA) into the blood. ASA can lead to the decrease of sperm number and motility.

matters needing attention

In the past, the traditional hernia surgery that we often used was suture. According to this name, we can also clearly know that it is to directly suture the defective part. This traditional method has a high incidence rate, so the relative advantages of tension free hernia repair are many.