Pain related sexual dysfunction after inguinal herniorrhaphy
Pain during and after sex is the most common problem that hernia
mesh causes.
Aasvang found that its incidence was 22.1% in males 18 to 40
years of age in the Danish hernia database. He also found that
overall the incidence of chronic pain was 18.4%. The reports of the
incidence of chronic pain in the medical literature range from 30%
to 10%. The closest to a consensus from other hernia surgeons who I
know and respect is that the correct number is a 20% incidence of
chronic pain after mesh inguinal hernia surgery.
The vas deferens is a muscular and innervated tube which carries sperm from the testical to the prostate. Inguinal hernia repair, laparoscopic and open anterior approach, places mesh in direct contact with the vas deferens. Experimental implantation of mesh in dogs demonstrates complete obliteration of the vas deferens in 9 of 10 dogs. Human specimens demonstrate the mesh invading the wall of the vas and the neural plexus of the vas. There are reports of bilateral inguinal hernia repair being associated an increased incidence of infertility. It is only surprising that the incidence of pain related sexual dysfunction after mesh inguinal herniorrhaphy is not higher.
Search:
Video - Patient interview
The Art of Hernia Surgery
Why do surgeons refuse to repair hernias without mesh?
Recovering from mesh pain
ASIA Syndrome
Video - Hernia Repair
Hernia Mesh Voices - What Mesh Victims have to say
The Standard of Care
Seven reasons not to have mesh hernia surgery
Hernia Repair
Cognitive Dissonance
What Patients Know
Mesh Bandwagon
Onset of Hernia Mesh Pain
Hernia Mesh Symptoms
Shouldice Hospital - Canadian Hernia Society Meeting
Results - Mesh Removal Survey II
Why does hernia mesh hurt?
Open Letter in Support of Mesh Pain Patients
Pain related sexual dysfunction after inguinal herniorrhaphy
Advice to patients with chronic pain after mesh hernia surgery
A note to hernia surgeons
Why do some surgeons say that hernia mesh should not be removed?
"Milan—Chronic groin pain after hernia surgery is now considered the most important issue facing inguinal hernia surgeons and their patients. Yet, there is still much uncertainty surrounding what causes the pain and how to prevent it." - Victoria Stern, General Surgery News
Click Here for Consultation
