ArticleWorld journal of surgery2011
Bilateral endoscopic total extraperitoneal (TEP) inguinal hernia repair does not induce obstructive azoospermia: data of a retrospective and prospective trial.
Article in World journal of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- TEP for elective primary unilateral inguinal hernia repair in men: what do we know?Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Does the use of hernia mesh in surgical inguinal hernia repairs cause male infertility? A systematic review and descriptive analysis.Reproductive health · 2018Pooled it
- Male infertility following inguinal hernia repair: a systematic review and pooled analysis.Hernia : the journal of hernias and abdominal wall surgery · 2017Pooled it
- A prospective randomized comparison of sexual function and semen analysis following laparoscopic totally extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) inguinal hernia repair.Surgical endoscopy · 2021Trial
- Do we have to rethink slit-mesh technique in endoscopic inguinal hernia repair? - A matched pair analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Bilateral endoscopic totally extraperitoneal (TEP) inguinal hernia repair does not impair male fertility.Hernia : the journal of hernias and abdominal wall surgery · 2017Observational
- Laparoscopic TEP repair of inguinal hernia does not alter testicular perfusion.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- [Hernia surgery: minimization of complications by selection of the "correct mesh"].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014Review
- Male infertility after endoscopic Totally Extraperitoneal (Tep) hernia repair (Main): rationale and design of a prospective observational cohort study.BMC surgery · 2012Article
- Bilateral endoscopic total extraperitoneal (TEP) inguinal hernia repair does not induce obstructive azoospermia: data of a retrospective and prospective trial.World journal of surgery · 2011Article
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5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe endoscopic totally extraperitoneal (TEP) mesh repair is nowadays a well-established tension-free method for inguinal hernia repair. Mainly based on animal studies and case reports, a concern about the risk of postoperative infertility was expressed. This clinical study aimed to evaluate the risk of infertility due to obstructive azoospermia in men of fertile age who underwent a bilateral hernia repair.
methodsOver 3 years (2005-2008) 59 male patients, 18-60 years of age, underwent a bilateral TEP repair. Twenty-one of them were prospectively ("light mesh") and 38 retrospectively ("heavy mesh") evaluated for testicular volume and perfusion, serum levels of sexual hormones, ejaculate volume, and number of spermatic cells. Those parameters were determined preoperatively (prospective group) and not earlier than 3 months postoperatively (both groups).
resultsNo significant difference between pre- and postoperative values was detected in the prospectively studied group. All postoperative parameters were within the normal range in the retrospective group. There was no evidence of impaired fertility in any patient due to the operation.
conclusionThe standardized TEP technique for simultaneous bilateral inguinal hernia repair in male patients was not associated with a higher risk for postoperative infertility after mesh implantation. The use of heavy-weight meshes had no negative effect on fertility.
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