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
Randomized Controlled Trial
. 2021 Jun;35(6):2936-2941.
doi: 10.1007/s00464-020-07733-y. Epub 2020 Jun 15.

A prospective randomized comparison of sexual function and semen analysis following laparoscopic totally extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) inguinal hernia repair

Krishna Asuri  1 , Aamir Mohammad  2 , Om Prakash Prajapati  2 , Rajesh Sagar  3 , Atin Kumar  4 , Mona Sharma  5 , Pradeep Kumar Chaturvedi  5 , Shardool Vikram Gupta  2 , Sanjeet Kumar Rai  2 , Mahesh Chandra Misra  6 , Virinder Kumar Bansal  2
Affiliations
Randomized Controlled Trial

A prospective randomized comparison of sexual function and semen analysis following laparoscopic totally extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) inguinal hernia repair

Krishna Asuri et al. Surg Endosc. 2021 Jun.

Abstract

Background: With standardization of laparoscopic technique of groin hernia repair, the focus of surgical outcome has shifted to lesser studied parameters like sexual function and fertility.

Methods: This prospective randomized study was conducted in a single surgical unit at a tertiary care hospital. A sample size of 144 was calculated with 72 in each group (Group 1 TEP and Group 2 TAPP). Primary outcomes measured included comparison of sexual function using BMFSI, qualitative semen analysis and ASA levels between patients undergoing TEP or TAPP repair. Semen analysis and ASA was measured pre-operatively and 3 months post-operatively.

Results: A total of 145 patients were randomized into two groups, TAPP (73) and TEP (72) patients. Both the groups were comparable in terms of demographic profile and hernia characteristics with majority of the patients in both the groups having unilateral inguinal hernia (89.0% in TAPP group and 79.2% in TEP group). Both the groups showed statistically significant improvement in overall sexual function score (BMFSI) at 3 months; however, there was no inter group difference. Both the groups were also comparable in terms of ASA and qualitative semen analysis.

Conclusion: Both TEP and TAPP repair are comparable in terms of sexual function and effect on semen analysis. Laparoscopic repair improves the overall sexual functions in patients with groin hernia.

Keywords: Groin hernia; Semen analysis; Sexual functions; TAPP; TEP.

PubMed Disclaimer

References

    1. Skawran S, Weyhe D, Schmitz B, Belyaev O, Bauer KH (2011) Bilateral endoscopic total extraperitoneal (TEP) inguinal hernia repair does not induce obstructive azoospermia: data of a retrospective and prospective trial. World J Surg 35:1643–1648 - DOI
    1. Singh AN, Bansal VK, Misra MC, Kumar S, Rajeshwari S, Kumar A (2012) Testicular functions, chronic groin pain, and quality of life after laparoscopic and open mesh repair of inguinal hernia: a prospective randomized controlled trial. Surg Endosc 26(5):1304–1317 - DOI
    1. Beddy P, Ridgway PF, Geoghegan T, Peirce C, Govendcr P, Keane FBV et al (2006) Inguinal hernia repair protects testicular function: a prospective study of open and Laparoscopic herniorrhaphy. J Am Coll Surg 13:17–23 - DOI
    1. Junge K, Binnebösel M, Rosch R, Öttinger A, Stumpf M, Mühlenbruch G et al (2010) Influence of mesh materials on the integrity of the vas deferens following Lichtenstein hernioplasty: an experimental model. Hernia 12:621–626 - DOI
    1. Bischoff JM, Linderoth G, Aasvang EK, Werner MU, Kehlet H (2012) Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study. Surg Endosc 26:979–983 - DOI

Publication types

LinkOut - more resources