腹腔镜腹股沟疝修补术前后性行为期间的疼痛。
Pain during sexual activity before and after laparoscopic inguinal hernia repair.
作者信息
Tolver Mette A, Rosenberg Jacob
机构信息
Department of Surgery, Herlev Hospital, Herlev Ringvej 75, 2730, Herlev, Denmark.
出版信息
Surg Endosc. 2015 Dec;29(12):3722-5. doi: 10.1007/s00464-015-4143-8. Epub 2015 Mar 18.
BACKGROUND
Sexual life may be impaired by pain during sexual activity in patients with inguinal hernia. On the other hand, inguinal hernia repair has also been reported to cause sexual dysfunction in terms of pain during sexual activity and ejaculation. The primary aim of this study was to estimate the prevalence of pain during sexual activity before and after laparoscopic inguinal hernia repair, and the secondary, to describe pain location, frequency of pain during sexual activity, and to which degree sexual life was affected by the pain. Furthermore, to examine whether preoperative pain during sexual activity was a risk factor for postoperative pain during sexual activity.
METHODS
A prospective questionnaire study before and 6 months after hernia repair was conducted. Men (age 18-85 years) undergoing laparoscopic inguinal hernia repair were included.
RESULTS
In total, 160 men were included. Overall, 23% of patients complained preoperatively of pain during sexual activity. Sexual life was affected in moderate-to-severe degree in 17%. Ten percent had pain during sexual activity 6 months after hernia repair. The prevalence of men with pain during sexual activity was not increased after hernia repair (p = 0.080). Instead, there was a trend toward a reduction. Both before and after hernia repair sexually related pain was primarily located in the groin area and in the scrotum. Patients with preoperative pain during sexual activity had a higher risk of postoperative pain during sexual activity compared with patients without pain preoperatively (p = 0.0007).
CONCLUSION
Having an inguinal hernia may be related to pain during sexual activity before operation. We did not find an increase in sexually related pain after operation. On the contrary, there was a trend toward decreased pain related to sexual activity after laparoscopic inguinal hernia repair. Preoperative pain during sexual activity predisposed to postoperative pain during sexual activity.
背景
腹股沟疝患者的性生活可能会受到性活动时疼痛的影响。另一方面，据报道腹股沟疝修补术也会导致性活动时疼痛和射精方面的性功能障碍。本研究的主要目的是评估腹腔镜腹股沟疝修补术前、后性活动时疼痛的患病率，次要目的是描述疼痛部位、性活动时疼痛的频率，以及疼痛对性生活的影响程度。此外，研究术前性活动时疼痛是否为术后性活动时疼痛的危险因素。
方法
在疝修补术前和术后6个月进行了一项前瞻性问卷调查研究。纳入接受腹腔镜腹股沟疝修补术的男性（年龄18 - 85岁）。
结果
共纳入160名男性。总体而言，23%的患者术前抱怨性活动时疼痛。17%的患者性生活受到中度至重度影响。10%的患者在疝修补术后6个月性活动时疼痛。疝修补术后性活动时疼痛的男性患病率没有增加（p = 0.080）。相反，有下降趋势。疝修补术前、后与性相关的疼痛主要位于腹股沟区和阴囊。术前性活动时疼痛的患者与术前无疼痛的患者相比，术后性活动时疼痛的风险更高（p = 0.0007）。
结论
患有腹股沟疝可能与术前性活动时疼痛有关。我们未发现术后与性相关的疼痛增加。相反，腹腔镜腹股沟疝修补术后与性活动相关的疼痛有下降趋势。术前性活动时疼痛易导致术后性活动时疼痛。
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