Our Summary

This research paper is a review of existing studies on how different types of hernia repair surgeries might affect male fertility. The researchers looked at data from 35,740 patients across ten studies. They found that certain types of hernia repair might temporarily affect sperm movement, but the effects seem to be short-lived, lasting less than 48 hours after surgery. Only a very small percentage of men (0.03% for open surgery and 2.5% for laparoscopic surgery) experienced a total lack of sperm in the semen (obstructive azoospermia) after hernia repair with mesh. The study also found that 0.8% of men experienced infertility after open hernia repair with mesh, but the type of mesh didn’t seem to matter. The researchers concluded that hernia repair without mesh doesn’t seem to affect male fertility, but if mesh is used, there might be a small risk. They suggest that patients who haven’t yet completed their families or are currently under investigation for infertility should be informed about this possible risk before surgery.

FAQs

  1. How might hernia repair surgeries impact male fertility according to the research studies?
  2. What percentage of men experience a total lack of sperm after hernia repair surgeries?
  3. Does the type of mesh used in hernia repair surgeries affect male fertility?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hernia repair is to discuss any concerns about potential effects on fertility with their surgeon before the procedure. It is important for patients to be informed about the potential risks and discuss any fertility concerns with their healthcare provider to make an informed decision about their treatment options.

Suitable For

Patients who are typically recommended hernia repair are those who are experiencing symptoms of a hernia, such as pain, discomfort, or a bulge in the affected area. Hernia repair may also be recommended for patients with a hernia that is causing complications, such as incarceration or strangulation of the hernia contents. Additionally, patients with a hernia that is affecting their quality of life or ability to perform daily activities may also be recommended for surgery. It is important for patients to discuss their individual circumstances with their healthcare provider to determine if hernia repair is the appropriate course of action for them.

Timeline

Before hernia repair:

  1. Patient experiences symptoms such as pain, swelling, and discomfort in the affected area.
  2. Patient consults with a healthcare provider who diagnoses the hernia and recommends surgery.
  3. Patient undergoes pre-operative testing and preparation for the surgery.

After hernia repair:

  1. Patient undergoes hernia repair surgery, which can be done through open surgery or laparoscopic surgery.
  2. Patient experiences post-operative pain, swelling, and discomfort in the surgical site.
  3. Patient is advised to rest and avoid strenuous activities for a period of time to allow for proper healing.
  4. Patient may need to take pain medication and follow up with their healthcare provider for post-operative care.
  5. Patient gradually resumes normal activities as the surgical site heals and symptoms improve.

What to Ask Your Doctor

  1. How will the hernia repair surgery affect my fertility?
  2. What are the risks of experiencing infertility after hernia repair surgery?
  3. Are there different types of hernia repair procedures that may have different effects on male fertility?
  4. How long after surgery can I expect any potential effects on sperm movement to subside?
  5. Should I consider alternative treatment options if I am concerned about potential effects on my fertility?
  6. Are there any precautions or steps I can take before or after surgery to minimize the risk of infertility?
  7. What is the success rate of hernia repair surgery in terms of preserving fertility?
  8. Are there any specific factors about my individual case that may increase my risk of experiencing infertility after hernia repair surgery?
  9. How soon after surgery can I try to conceive if I am planning to start a family?
  10. Are there any additional resources or information available for patients concerned about the impact of hernia repair on fertility?

Reference

Authors: Kordzadeh A, Liu MO, Jayanthi NV. Journal: Hernia. 2017 Feb;21(1):1-7. doi: 10.1007/s10029-016-1560-0. Epub 2016 Dec 3. PMID: 27915384