Sperm motility after laparoscopic inguinal hernia repair with lightweight meshes: 3-year follow-up of a randomised clinical trial
Purpose To analyse the effects of lightweight meshes in laparoscopic inguinal hernia repair on male fertility aspects, chronic pain development and recurrence at 3-year follow-up. Methods Fifty-nine male patients with a primary, unilateral or bilateral inguinal hernia were randomised to laparoscopic...
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| Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2014-06, Vol.18 (3), p.361-367 |
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| creator | Peeters, E. Spiessens, C. Oyen, R. De Wever, L. Vanderschueren, D. Penninckx, F. Miserez, M. |
| description | Purpose
To analyse the effects of lightweight meshes in laparoscopic inguinal hernia repair on male fertility aspects, chronic pain development and recurrence at 3-year follow-up.
Methods
Fifty-nine male patients with a primary, unilateral or bilateral inguinal hernia were randomised to laparoscopic inguinal hernia repair using a standard polypropylene (Marlex
®
) or lightweight mesh (VyproII
®
, TiMesh
®
). Patients attended clinical follow-up 3 years postoperatively, at which male fertility aspects, by semen analysis and scrotal ultrasound, chronic pain status (McGill Pain Questionnaire), quality of life (SF-36) and recurrence were assessed, or completed quality of life, pain and hernia-specific questionnaires at home.
Results
In total, 49 patients (83.1 %) completed follow-up (median follow-up = 39.1 months), by questionnaire and/or clinical follow-up. As other semen parameters and scrotal ultrasound results, sperm motility was unchanged compared to 1 year postoperatively, but not significantly different between VyproII
®
and TiMesh
®
versus Marlex
®
patients (−8.5 % and −8 % vs. −2.8 %;
P
= 0.23). Pain perception and quality of life were comparable between the heavyweight and lightweight groups, and no change was noted in comparison with 1 year postoperatively. Chronic pain incidence was 6.1 % (3 patients), without occurrence of disabling pain. Three patients were clinically diagnosed with a recurrent hernia (5.9 %).
Conclusions
The decrease in sperm motility in patients operated on with a lightweight mesh compared to patients operated on with a heavyweight mesh 1 year after laparoscopic inguinal hernia repair could not be confirmed at 3 years follow-up. Furthermore, heavyweight and lightweight groups were comparable regarding quality of life, chronic pain and recurrence rate. |
| doi_str_mv | 10.1007/s10029-012-1028-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1530957688</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3319498391</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-fe5bf00bb6f98ba63bb38d39027d27f58d831faf0a2209fa743f223f5b64e9763</originalsourceid><addsrcrecordid>eNp1kUuLFTEQhYM4OA_9AW4k4MZNtPLodOJOBnWEARczrkO6O7k3Q7rTJt1c7tJ_Prn0KCK4qSqo75yEOgi9pvCeArQfSq1ME6CMUGCK6GfogjJRBwbi-WmWDREa5Dm6LOUBAJSQ6gU6Z5xJLYBeoF93s8sjHtMSYliO2PrFZRztbHMqfZpDj8O0W8NkI967PAWLs5ttyPgQlj2OYbdfDu5U8ejK3pWPmJOjsxn7FGM6kHXGyeOqstOQxlDcgPsYptBXwyUHG1-iM29jca-e-hX68eXz_fUNuf3-9dv1p1vSC8EW4l3TeYCuk16rzkredVwNXANrB9b6Rg2KU289WMZAe9sK7hnjvumkcLqV_Aq923znnH6uriym_qZ3MdrJpbUY2nDQTSuVqujbf9CHtOZ6go3iUjVAK0U3qq-nKtl5M-cw2nw0FMwpH7PlY2o-5pSP0VXz5sl57UY3_FH8DqQCbANKXU07l_96-r-uj7glnEo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1530368501</pqid></control><display><type>article</type><title>Sperm motility after laparoscopic inguinal hernia repair with lightweight meshes: 3-year follow-up of a randomised clinical trial</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Peeters, E. ; Spiessens, C. ; Oyen, R. ; De Wever, L. ; Vanderschueren, D. ; Penninckx, F. ; Miserez, M.</creator><creatorcontrib>Peeters, E. ; Spiessens, C. ; Oyen, R. ; De Wever, L. ; Vanderschueren, D. ; Penninckx, F. ; Miserez, M.</creatorcontrib><description>Purpose
To analyse the effects of lightweight meshes in laparoscopic inguinal hernia repair on male fertility aspects, chronic pain development and recurrence at 3-year follow-up.
Methods
Fifty-nine male patients with a primary, unilateral or bilateral inguinal hernia were randomised to laparoscopic inguinal hernia repair using a standard polypropylene (Marlex
®
) or lightweight mesh (VyproII
®
, TiMesh
®
). Patients attended clinical follow-up 3 years postoperatively, at which male fertility aspects, by semen analysis and scrotal ultrasound, chronic pain status (McGill Pain Questionnaire), quality of life (SF-36) and recurrence were assessed, or completed quality of life, pain and hernia-specific questionnaires at home.
Results
In total, 49 patients (83.1 %) completed follow-up (median follow-up = 39.1 months), by questionnaire and/or clinical follow-up. As other semen parameters and scrotal ultrasound results, sperm motility was unchanged compared to 1 year postoperatively, but not significantly different between VyproII
®
and TiMesh
®
versus Marlex
®
patients (−8.5 % and −8 % vs. −2.8 %;
P
= 0.23). Pain perception and quality of life were comparable between the heavyweight and lightweight groups, and no change was noted in comparison with 1 year postoperatively. Chronic pain incidence was 6.1 % (3 patients), without occurrence of disabling pain. Three patients were clinically diagnosed with a recurrent hernia (5.9 %).
Conclusions
The decrease in sperm motility in patients operated on with a lightweight mesh compared to patients operated on with a heavyweight mesh 1 year after laparoscopic inguinal hernia repair could not be confirmed at 3 years follow-up. Furthermore, heavyweight and lightweight groups were comparable regarding quality of life, chronic pain and recurrence rate.</description><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-012-1028-9</identifier><identifier>PMID: 23269401</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Adult ; Chronic Pain - etiology ; Follow-Up Studies ; Hernia, Inguinal - surgery ; Herniorrhaphy - methods ; Humans ; Infertility, Male - etiology ; Laparoscopy ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Quality of Life ; Recurrence ; Sperm Motility ; Surgical Mesh ; Young Adult</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2014-06, Vol.18 (3), p.361-367</ispartof><rights>Springer-Verlag France 2012</rights><rights>Springer-Verlag France 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-fe5bf00bb6f98ba63bb38d39027d27f58d831faf0a2209fa743f223f5b64e9763</citedby><cites>FETCH-LOGICAL-c442t-fe5bf00bb6f98ba63bb38d39027d27f58d831faf0a2209fa743f223f5b64e9763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10029-012-1028-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10029-012-1028-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23269401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peeters, E.</creatorcontrib><creatorcontrib>Spiessens, C.</creatorcontrib><creatorcontrib>Oyen, R.</creatorcontrib><creatorcontrib>De Wever, L.</creatorcontrib><creatorcontrib>Vanderschueren, D.</creatorcontrib><creatorcontrib>Penninckx, F.</creatorcontrib><creatorcontrib>Miserez, M.</creatorcontrib><title>Sperm motility after laparoscopic inguinal hernia repair with lightweight meshes: 3-year follow-up of a randomised clinical trial</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Purpose
To analyse the effects of lightweight meshes in laparoscopic inguinal hernia repair on male fertility aspects, chronic pain development and recurrence at 3-year follow-up.
Methods
Fifty-nine male patients with a primary, unilateral or bilateral inguinal hernia were randomised to laparoscopic inguinal hernia repair using a standard polypropylene (Marlex
®
) or lightweight mesh (VyproII
®
, TiMesh
®
). Patients attended clinical follow-up 3 years postoperatively, at which male fertility aspects, by semen analysis and scrotal ultrasound, chronic pain status (McGill Pain Questionnaire), quality of life (SF-36) and recurrence were assessed, or completed quality of life, pain and hernia-specific questionnaires at home.
Results
In total, 49 patients (83.1 %) completed follow-up (median follow-up = 39.1 months), by questionnaire and/or clinical follow-up. As other semen parameters and scrotal ultrasound results, sperm motility was unchanged compared to 1 year postoperatively, but not significantly different between VyproII
®
and TiMesh
®
versus Marlex
®
patients (−8.5 % and −8 % vs. −2.8 %;
P
= 0.23). Pain perception and quality of life were comparable between the heavyweight and lightweight groups, and no change was noted in comparison with 1 year postoperatively. Chronic pain incidence was 6.1 % (3 patients), without occurrence of disabling pain. Three patients were clinically diagnosed with a recurrent hernia (5.9 %).
Conclusions
The decrease in sperm motility in patients operated on with a lightweight mesh compared to patients operated on with a heavyweight mesh 1 year after laparoscopic inguinal hernia repair could not be confirmed at 3 years follow-up. Furthermore, heavyweight and lightweight groups were comparable regarding quality of life, chronic pain and recurrence rate.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Chronic Pain - etiology</subject><subject>Follow-Up Studies</subject><subject>Hernia, Inguinal - surgery</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Infertility, Male - etiology</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Quality of Life</subject><subject>Recurrence</subject><subject>Sperm Motility</subject><subject>Surgical Mesh</subject><subject>Young Adult</subject><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUuLFTEQhYM4OA_9AW4k4MZNtPLodOJOBnWEARczrkO6O7k3Q7rTJt1c7tJ_Prn0KCK4qSqo75yEOgi9pvCeArQfSq1ME6CMUGCK6GfogjJRBwbi-WmWDREa5Dm6LOUBAJSQ6gU6Z5xJLYBeoF93s8sjHtMSYliO2PrFZRztbHMqfZpDj8O0W8NkI967PAWLs5ttyPgQlj2OYbdfDu5U8ejK3pWPmJOjsxn7FGM6kHXGyeOqstOQxlDcgPsYptBXwyUHG1-iM29jca-e-hX68eXz_fUNuf3-9dv1p1vSC8EW4l3TeYCuk16rzkredVwNXANrB9b6Rg2KU289WMZAe9sK7hnjvumkcLqV_Aq923znnH6uriym_qZ3MdrJpbUY2nDQTSuVqujbf9CHtOZ6go3iUjVAK0U3qq-nKtl5M-cw2nw0FMwpH7PlY2o-5pSP0VXz5sl57UY3_FH8DqQCbANKXU07l_96-r-uj7glnEo</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Peeters, E.</creator><creator>Spiessens, C.</creator><creator>Oyen, R.</creator><creator>De Wever, L.</creator><creator>Vanderschueren, D.</creator><creator>Penninckx, F.</creator><creator>Miserez, M.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140601</creationdate><title>Sperm motility after laparoscopic inguinal hernia repair with lightweight meshes: 3-year follow-up of a randomised clinical trial</title><author>Peeters, E. ; Spiessens, C. ; Oyen, R. ; De Wever, L. ; Vanderschueren, D. ; Penninckx, F. ; Miserez, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-fe5bf00bb6f98ba63bb38d39027d27f58d831faf0a2209fa743f223f5b64e9763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Chronic Pain - etiology</topic><topic>Follow-Up Studies</topic><topic>Hernia, Inguinal - surgery</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Infertility, Male - etiology</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Quality of Life</topic><topic>Recurrence</topic><topic>Sperm Motility</topic><topic>Surgical Mesh</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peeters, E.</creatorcontrib><creatorcontrib>Spiessens, C.</creatorcontrib><creatorcontrib>Oyen, R.</creatorcontrib><creatorcontrib>De Wever, L.</creatorcontrib><creatorcontrib>Vanderschueren, D.</creatorcontrib><creatorcontrib>Penninckx, F.</creatorcontrib><creatorcontrib>Miserez, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peeters, E.</au><au>Spiessens, C.</au><au>Oyen, R.</au><au>De Wever, L.</au><au>Vanderschueren, D.</au><au>Penninckx, F.</au><au>Miserez, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sperm motility after laparoscopic inguinal hernia repair with lightweight meshes: 3-year follow-up of a randomised clinical trial</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>18</volume><issue>3</issue><spage>361</spage><epage>367</epage><pages>361-367</pages><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Purpose
To analyse the effects of lightweight meshes in laparoscopic inguinal hernia repair on male fertility aspects, chronic pain development and recurrence at 3-year follow-up.
Methods
Fifty-nine male patients with a primary, unilateral or bilateral inguinal hernia were randomised to laparoscopic inguinal hernia repair using a standard polypropylene (Marlex
®
) or lightweight mesh (VyproII
®
, TiMesh
®
). Patients attended clinical follow-up 3 years postoperatively, at which male fertility aspects, by semen analysis and scrotal ultrasound, chronic pain status (McGill Pain Questionnaire), quality of life (SF-36) and recurrence were assessed, or completed quality of life, pain and hernia-specific questionnaires at home.
Results
In total, 49 patients (83.1 %) completed follow-up (median follow-up = 39.1 months), by questionnaire and/or clinical follow-up. As other semen parameters and scrotal ultrasound results, sperm motility was unchanged compared to 1 year postoperatively, but not significantly different between VyproII
®
and TiMesh
®
versus Marlex
®
patients (−8.5 % and −8 % vs. −2.8 %;
P
= 0.23). Pain perception and quality of life were comparable between the heavyweight and lightweight groups, and no change was noted in comparison with 1 year postoperatively. Chronic pain incidence was 6.1 % (3 patients), without occurrence of disabling pain. Three patients were clinically diagnosed with a recurrent hernia (5.9 %).
Conclusions
The decrease in sperm motility in patients operated on with a lightweight mesh compared to patients operated on with a heavyweight mesh 1 year after laparoscopic inguinal hernia repair could not be confirmed at 3 years follow-up. Furthermore, heavyweight and lightweight groups were comparable regarding quality of life, chronic pain and recurrence rate.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>23269401</pmid><doi>10.1007/s10029-012-1028-9</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 1265-4906 |
| ispartof | Hernia : the journal of hernias and abdominal wall surgery, 2014-06, Vol.18 (3), p.361-367 |
| issn | 1265-4906 1248-9204 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1530957688 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Adult Chronic Pain - etiology Follow-Up Studies Hernia, Inguinal - surgery Herniorrhaphy - methods Humans Infertility, Male - etiology Laparoscopy Male Medicine Medicine & Public Health Middle Aged Original Article Quality of Life Recurrence Sperm Motility Surgical Mesh Young Adult |
| title | Sperm motility after laparoscopic inguinal hernia repair with lightweight meshes: 3-year follow-up of a randomised clinical trial |
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