BACKGROUND: Open tension-free techniques of @entity547 repair using synthetic meshes revealed an excellent @entity1 comfort with low recurrence rates. The influence of the resulting @entity82 on testicular perfusion and sexual function is still unclear. METHODS: In a prospective observation study testicular volume, perfusion, and sexual function was investigated before plug and patch repair, after 3 months, and every 6 months thereafter. Testicular volume and perfusion was examined by a standardized scrotal ultrasound and duplex sonography. Sexual function was assessed by a validated anonymized questionnaire. RESULTS: Seventy-three @entity1 were included and follow-up examinations by questionnaire and sonography, respectively, were completed in 73 and 68 @entity1 after 3 months, 51 and 43 after 6, and 24 and 14 after 12 months. Preoperative testicular volume and flow volume was comparable between the side of @entity547 and the contralateral side (average 10.2 +/- 4.8 cm3 versus 9.8 +/- 5.3, respectively) and showed no significant differences during follow-up. In 11 (15%) @entity1 with preexisting disorders sexual function was normalized postoperatively. Ten (14%) other @entity1 (3 of them with @entity158 ) described limitations of sexual activity due to @entity158 (n = 4; 6%) or a loss of sensitivity in the inguinal area (n = 6; 8%) after the procedure. Among these, sexual function recovered spontaneously within 12 months postoperatively in 6 @entity1 (2 with @entity158 , 4 with loss of sensitivity). In all other @entity1 sexual function showed no changes after @entity169 repair. CONCLUSIONS: So far there is no evidence for a significant @entity602 and the sexual function after @entity169 repair in the plug and patch technique.

Sexual function and testicular perfusion after XXXX repair with mesh.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity82 :: ('MESH:D005355', 'Disease') :: ['fibrosis'] @entity602 :: ('MESH:D013118', 'Disease') :: ['impairment of the cord structures'] @entity158 :: ('MESH:D010146', 'Disease') :: ['inguinal pain', 'neuralgia pain'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia'] @entity169 :: ('MESH:D006552', 'Disease') :: ['inguinal hernia']
@entity169 :: (MESH:D006552,Disease) :: ['inguinal hernia']
