Safety and efficacy of Tension Free Mesh Repair of Bilateral Inguinal Hernia on The Testicular Functions.

Background: Lichtenstein repair is the standard surgical method of inguinal hernia. The impact of the mesh repair on the testis and incidence of infertility after the mesh repair is still a subject of discussion. The aim of this study was to evaluate the testicular functions after tension free mesh repair of bilateral inguinal hernia. Subjects and methods: In the period between October 2018 and April 2019 in the General Surgery Department of Zagazig University and Al Ahrar teaching Hospitals, 18 male patients with bilateral inguinal hernia ranging between 20 and 40 years were subjected to Lichtenstein tension free mesh repair. All the patients have been evaluated pre & 6 months postoperatively to assess the testicular functions after the repair. Results: No significant differences have been noted between the pre & postoperative fertility parameters which include the testicular volume and perfusion measured by scrotal Doppler ultrasound, semen quality which determine spermatogenesis and hormonal assessment which evaluate the endocrinological status. Conclusions: Lichtenstein tension free mesh repair is an effective procedure for the repair of bilateral inguinal hernia when an experienced surgeon in laparoscopic repair isn't present. It is a safe method with less complication rates regarding recurrence, pain. Also, it can be used in the young adults using a synthetic mesh without any fear for the future fertility of those patients. [ABSTRACT FROM AUTHOR]