Influence of inguinal hernia mesh repair on testicular flow and sperm autoimmunity
Stula I et al. – Inguinal hernia mesh repair do not have clinically significant influence on testicular flow and immunological response.Methods
- From February 2010 to December 2010, 43 male patients who underwent inguinal hernia mesh repair were included in a prospective study.
- Testicular, capsular and intratesticular arterial flow dynamics were measured by Color Doppler ultrasound before the operation, in early and late postoperative period.
- The antisperm antibodies were analyzed before hernia repair and 5 months after.
- The difference between patients who underwent laparoscopic (Group I) and anterior open tension–free hernia repair (Group II) in age, duration of symptoms and hernia characteristics were not significant.
- Statistically significant differences were found in peak–systolic and end–diastolic velocity in testicular and intratesticular arteries in Group II and in peak–systolic velocity on all levels in Group I.
- Only Group I had significant differences in resistive index of intratesticular arteries.
- All the values returned to basal in late postoperative period except testicular peak–systolic velocity in Group I which stayed in normal range.
- Wilcox matched pair test showed significant difference between preoperative and late postoperative measurements of the antisperm antibodies only in Group II, but it was within normal range in all cases.