Fertility in males after childhood, adolescent, and adult inguinal operations.


BACKGROUND/PURPOSE:Inguinal hernia repair and orchidopexy are among the most common operations in boys. The impact on future fertility has not been conclusively defined. This study evaluates sperm quality after previous inguinal surgery. METHODS:Spermiograms of men with a desire to conceive children were analyzed. History of previous inguinal surgery (hernia repair, orchidopexy, varicocele ligation) was correlated with sperm quality. Other influential factors (age, BMI, chronic medication, tobacco use) were also tested. RESULTS:A total of 333 patients were included. Overall, 12.6% of the subjects had undergone previous inguinal surgery. Of these, 17 (43%) were inguinal hernia repairs, 8 (20%) orchidopexies, and 6 (15%) varicocele ligations, while 9 (22%) could not give an exact history. Abnormal spermiograms were found in 60% (n = 24) of those with previous inguinal surgery versus 48% in controls (p = 0.16). On multivariate analysis, pathologic spermiogram parameters were associated with previous inguinal surgery, orchidopexy, use of chronic medication, and smoking, but NOT with inguinal hernia or varicocele repair alone. CONCLUSIONS:Previous inguinal hernia or varicocele repair does not seem to impact negatively on quality of sperm later in life. Orchidopexy, smoking, and use of chronic medication, however, were all associated with pathologic sperm quality parameters. TYPE OF STUDY:Prospective comparative study. LEVEL OF EVIDENCE:Level II.


J Pediatr Surg


Silber S,Becker VM,Seufert R,Muensterer OJ




Has Abstract


2019-01-01 00:00:00














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    abstract:BACKGROUND/PURPOSE:Development of indirect inguinal hernia and hydrocele in childhood is readily explained by the persistence of smooth muscle component around the processus vaginalis (PV) after the descent of the testis into the scrotum. The aim of this study was to investigate the expression of smooth muscle myosin h...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


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    journal_title:Journal of pediatric surgery

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    authors: Merei JM

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    journal_title:Journal of pediatric surgery

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    authors: Zitsman JL

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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


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    更新日期:2016-05-01 00:00:00

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    pub_type: 杂志文章


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    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


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    更新日期:2000-11-01 00:00:00