Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study
Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study
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DOI：
10.1007/s00464-011-1980-y
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发表时间：
2012-04-01
影响因子：
3.1
通讯作者：
Kehlet, Henrik
中科院分区：
文献类型：
--
作者：
Bischoff, Joakim M.;Linderoth, Gitte;Kehlet, Henrik
背景 在开放性腹股沟疝修补术后，高达 4% 的年轻男性中，射精困难以及性活动期间腹股沟和生殖器疼痛是一个临床重大问题。本问卷研究的目的是评估全国范围内腹腔镜腹股沟疝修补术术后射精困难和性活动疼痛的发生率。 方法 研究人群包括丹麦疝气数据库中登记的所有年龄在 18-50 岁之间的男性（n = 1,671），他们在 1998 年 1 月 1 日至 2009 年 11 月 30 日期间接受了初次腹腔镜疝修补术。术后 3 个月至 12 年邮寄射精困难和性活动疼痛，纳入 1,172 名患者进行分析。结果 有效率 68.7% (n = 805)。 25 名患者（3.1%）在腹腔镜修复术后出现射精障碍。 88 名患者 (10.9%) 报告性活动期间腹股沟或生殖器疼痛，19 名患者 (2.4%) 报告疼痛已使其性活动中度或重度受损。老年患者和随访时间较长的患者性活动时疼痛发生率较低。结论 射精障碍和疼痛相关的性活动障碍是腹腔镜腹股沟疝修补术后的一个重要问题。需要评估改进的腹腔镜技术以及使用轻质网片的胶水固定来降低发生这些并发症的风险的作用。
Background Dysejaculation and pain from the groin and genitals during sexual activity represent a clinically significant problem in up to 4% of younger males after open inguinal herniorrhaphy. The aim of this questionnaire study is to assess the prevalence of dysejaculation and pain during sexual activity after laparoscopic inguinal herniorrhaphy on a nationwide basis.Methods The study population comprised all men aged 18-50 years registered in the Danish Hernia Database (n = 1,671) who underwent primary laparoscopic herniorrhaphy between January 1, 1998 and November 30, 2009. Questionnaires regarding dysejaculation and pain during sexual activity were mailed 3 months to 12 years after surgery, and 1,172 patients were included for analysis.Results The response rate was 68.7% (n = 805). Dysejaculation occurring after laparoscopic repair was present in 25 patients (3.1%). Pain from the groin or genitals during sexual activity was reported by 88 patients (10.9%), and 19 patients (2.4%) reported that the pain had impaired their sexual activity to a moderate or severe degree. Older patients and patients with longer follow-up had lower prevalence of pain during sexual activity.Conclusions Dysejaculation and pain-related impairment of sexual activity is a significant problem after laparoscopic inguinal herniorrhaphy. The role of improved laparoscopic technique with use of glue fixation of lightweight meshes to reduce the risk of developing these complications needs to be evaluated.