Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study
Surgical Endoscopy, 11/11/2011
Bischoff JM et al. – Dysejaculation and pain–related impairment of sexual activity is a significant problem after laparoscopic inguinal herniorrhaphy. The role of improved laparoscopic technique with use of glue fixation of lightweight meshes to reduce the risk of developing these complications needs to be evaluated.Older patients and patients with longer follow–up had lower prevalence of pain during sexual activity.Methods
- The study population comprised all men aged 18–50 years registered in the Danish Hernia Database (n = 1,671) who underwent primary laparoscopic herniorrhaphy between January 1, 1998 and November 30, 2009.
- Questionnaires regarding dysejaculation and pain during sexual activity were mailed 3 months to 12 years after surgery, and 1,172 patients were included for analysis.
- The response rate was 68.7% (n = 805). Dysejaculation occurring after laparoscopic repair was present in 25 patients (3.1%).
- Pain from the groin or genitals during sexual activity was reported by 88 patients (10.9%), and 19 patients (2.4%) reported that the pain had impaired their sexual activity to a moderate or severe degree.
- Older patients and patients with longer follow–up had lower prevalence of pain during sexual activity.