Influence of the transabdominal preperitoneal inguinal hernia repair on the testicular vessels and reproductive function of youth patients
Objective:To explore the influence of the transabdominal preperitoneal inguinal hernia repair on the testicular ves-sels and reproductive function of youth patients.Methods:There were 32 male patients with inguinal hernia enrolled in this study who were treated with laparoscopic transabdominal preperitoneal hernia repair from Jun.2018 to Jan.2020.All patients underwent ultrasound examination one day before surgery,one month and six months after surgery for bilateral spermatic vein inner diameter,testicular vo-lume,testicular artery inner diameter,the peak systolic blood flow velocity of testicular artery.And the serum testosterone concentrations as well as the international index of erectile function were monitored and compared.Results:The 32 patients were all successfully opera-ted.Compared with before operation,the spermatic vein diameter was significantly enlarged 1 month after operation.However,there was no significant difference between the data measured 6 months after operation and the preoperative data.There were no significant diffe-rences in serum testosterone concentration,international erectile function index,testicular volume,testicular artery inner diameter and peak systolic blood flow velocity before operation,1 month and 6 months after surgery.Conclusions:The laparoscopic transabdominal preperitoneal inguinal hernia repair may affect the inner diameter of spermatic vein in the early postoperative period,and the diameter could restore normal after 6 months.This procedure is safe and reliable,and has no significant influence on the testicular vessels and reproductive function of patients.
Hernia,inguinalTransabdominal preperitoneal herniorrhaphyLaparoscopyTesticular vesselsReproductive function
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