Bilateral endoscopic total extraperitoneal (TEP) inguinal hernia repair does not induce obstructive XXXX : data of a retrospective and prospective trial.

@entity1 @entity249 @entity86 @entity547 @entity169 @entity3893
BACKGROUND: The endoscopic totally extraperitoneal (TEP) mesh repair is nowadays a well-established tension-free method for @entity169 . Mainly based on animal studies and case reports, a concern about the risk of @entity86 was expressed. This clinical study aimed to evaluate the risk of @entity249 due to obstructive @entity3893 in @entity1 of fertile age who underwent a @entity547 repair. METHODS: Over 3  years (2005-2008) 59 male @entity1 , 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). RESULTS: No 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 @entity1 due to the operation. CONCLUSION: The standardized TEP technique for simultaneous @entity169 repair in male @entity1 was not associated with a higher risk for @entity86 after mesh implantation. The use of heavy-weight meshes had no negative effect on fertility.
