Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Feb;20(1):63-8.
doi: 10.1007/s10029-015-1410-5. Epub 2015 Aug 11.

Surgery for chronic inguinodynia following routine herniorrhaphy: beneficial effects on dysejaculation

T Verhagen  1 , M J A Loos  2 , M R M Scheltinga  2   3 , R M H Roumen  2   4
Affiliations

Surgery for chronic inguinodynia following routine herniorrhaphy: beneficial effects on dysejaculation

T Verhagen et al. Hernia. 2016 Feb.

Abstract

Purpose: Pain during sexual activities and ejaculation is reported by 3-4% of men after routine inguinal herniorrhaphy. The potential beneficial effects of surgery for chronic groin pain on dysejaculation are unknown. The objective of this study was to determine dysejaculation rates in a series of patients reporting chronic postherniorrhaphy pain and evaluate the effects of tailored neurectomy on dysejaculation.

Methods: We evaluated male patients (>18 years) operated for chronic groin pain after inguinal herniorrhaphy during a 6-year time period (2004-2010). Dysejaculation was defined as a burning or searing sensation associated with ejaculation. Men reporting symptoms possibly associated with dysejaculation were sent a questionnaire investigating pain characteristics (VAS, 0-100), influence on sex life and effects of the tailored neurectomy. A Post-Herniorrhaphy Dysejaculation Score (PHDS, 0-12 points) was introduced to quantify the severity of the dysejaculation syndrome.

Results: A series of 100 males operated for chronic inguinal pain after standard herniorrhaphy were studied. Thirty-four men reported symptoms of dysejaculation prior to the tailored neurectomy. Sex life was negatively influenced in 20 of these, and 5 completely abstained from any sexual activity. Following surgery including tailored neurectomy, funicular release and/or mesh removal, VAS for dysejaculation pain was significantly reduced [n = 20, 55 (95% CI 47-63) versus 21 (95% CI 13-29), p < 0.001]. PHDS scores were also significantly attenuated [n = 20, 10 (3-12) versus 2 (0-10), p < 0.001]. Sex life normalized in two-thirds of these men (13/20).

Conclusion: Dysejaculation in men suffering from chronic pain after routine inguinal herniorrhaphy is not uncommon. A tailored neurectomy, funicular release and/or mesh removal offer relief in the majority of these patients.

Keywords: Dysejaculation; Herniorrhaphy; Mesh; Neurectomy; Post-Herniorrhaphy Dysejaculation Score.

PubMed Disclaimer

References

    1. Hernia. 2008 Dec;12(6):645-7 - PubMed
    1. Zentralbl Chir. 2004 Oct;129(5):369-73 - PubMed
    1. Am J Surg. 2001 Mar;181(3):204-6 - PubMed
    1. Eur Urol. 2001;40 Suppl 3:13-8 - PubMed
    1. Surg Endosc. 1998 Mar;12(3):247-51 - PubMed

MeSH terms

LinkOut - more resources