El-Awady S E, Elkholy A A-M
Department of Surgery, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Hernia. 2009 Jun;13(3):251-8. doi: 10.1007/s10029-009-0480-7. Epub 2009 Feb 19.
To evaluate the effects of Lichtenstein tension-free inguinal hernioplasty on sexual function and generic quality of life, testicular volume, and perfusion.
In a prospective study, testicular volume, testicular perfusion, sexual function, generic quality of life, chronic inguinal pain, and groin sepsis were investigated before and 3 and 9 months after surgical hernia repair.
Forty male patients completed this study. No differences in testicular volume or in peak systolic velocity were observed between the hernia and healthy sides of the body (P > 0.05). Preoperatively, there was a significantly higher end diastolic velocity (P < 0.04) and resistive index (P < 0.001) on the hernia side compared with the normal side; these elevations returned to normal postoperatively. Three months postoperative, the studied sexual function domains, except orgasm domain, and total sexual score presented significant improvement (P(s) < 0.05 and 0.001 respectively). By the end of the study, the mean total sexual score and the number of patients with enhanced total score had showed further clinical progress. The total generic quality-of-life score, general health perception and physical function, vitality, and social domains were statistically recovered at 3 months postoperative (P < 0.05), with further improvement in total score at 9 months. Two patients developed superficial groin sepsis, and seven (17.5%) experienced chronic inguinal pain.
Inguinal hernia impaired testicular perfusion that improved postoperatively. Lichtenstein tension-free hernioplasty improved sexual function and generic quality of life without adverse mesh effects on testicular volume or perfusion.
评估李金斯坦无张力腹股沟疝修补术对性功能、总体生活质量、睾丸体积及灌注的影响。
在一项前瞻性研究中，于手术疝修补术前、术后3个月和9个月对睾丸体积、睾丸灌注、性功能、总体生活质量、慢性腹股沟疼痛及腹股沟感染进行调查。
40例男性患者完成了本研究。患侧与健侧身体的睾丸体积或收缩期峰值流速未见差异（P>0.05）。术前，患侧的舒张末期流速（P<0.04）和阻力指数（P<0.001）显著高于正常侧；术后这些升高恢复正常。术后3个月，除性高潮领域外，所研究的性功能领域及总性功能评分均有显著改善（P值分别<0.05和0.001）。到研究结束时，总性功能评分均值及总分提高的患者数量均显示出进一步的临床进展。总体生活质量总分、总体健康感知及身体功能、活力和社会领域在术后3个月有统计学意义的恢复（P<0.05），9个月时总分进一步改善。2例患者发生浅表性腹股沟感染，7例（17.5%）出现慢性腹股沟疼痛。
腹股沟疝会损害睾丸灌注，术后可改善。李金斯坦无张力疝修补术可改善性功能和总体生活质量，且补片对睾丸体积或灌注无不良影响。
