TY - JOUR
T1 - Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique
T2 - A randomized clinical trial
AU - Andresen, Kristoffer
AU - Burcharth, Jakob
AU - Fonnes, Siv
AU - Hupfeld, Line
AU - Rothman, Josephine Philip
AU - Deigaard, Søren
AU - Winther, Dorte
AU - Errebo, Maj-Britt
AU - Therkildsen, Rikke
AU - Hauge, Dina
AU - Sørensen, Fritz Søbæk
AU - Bjerg, Jesper
AU - Rosenberg, Jacob
N1 - Copyright © 2017 Elsevier Inc. All rights reserved.
PY - 2017/6
Y1 - 2017/6
N2 - BACKGROUND: Sequelae after inguinal hernia repair include pain-related impairment of sexual function. Pain during intercourse can originate from the scar, scrotum, penis, or during ejaculation. The aim of this study was to investigate if the Onstep technique resulted in better results than the Lichtenstein technique regarding pain-related impairment of sexual function.METHODS: This study was part of the randomized ONLI trial (NCT01753219, Onstep versus Lichtenstein for inguinal hernia repair). Separate reporting of pain-related impairment of sexual function was planned before the study start, with a separate sample size calculation. Participants were randomized to the Onstep or Lichtenstein technique for repair of their primary inguinal hernia and followed up at 6 months postoperative with the use of a questionnaire specific for pain-related impairment of sexual function.RESULTS: A total of 259 patients completed the 6-month follow-up, 129 in the Lichtenstein group and 130 in the Onstep group. Among the patients operated with the Onstep technique, 17 experienced pain during sexual activity 6 months after operation compared with 30 patients operated with the Lichtenstein technique (P = .034). Both subgroups that experienced pain during sexual activity had a median visual analog scale score of 0 with an interquartile range of 0 to 2 (P = .349). The Lichtenstein technique resulted in new pain in 14 patients, whereas the Onstep procedure gave new pain in 7 patients (P = .073).CONCLUSION: The Onstep technique was superior to the Lichtenstein technique in terms of pain during sexual activity 6 months after operation.
AB - BACKGROUND: Sequelae after inguinal hernia repair include pain-related impairment of sexual function. Pain during intercourse can originate from the scar, scrotum, penis, or during ejaculation. The aim of this study was to investigate if the Onstep technique resulted in better results than the Lichtenstein technique regarding pain-related impairment of sexual function.METHODS: This study was part of the randomized ONLI trial (NCT01753219, Onstep versus Lichtenstein for inguinal hernia repair). Separate reporting of pain-related impairment of sexual function was planned before the study start, with a separate sample size calculation. Participants were randomized to the Onstep or Lichtenstein technique for repair of their primary inguinal hernia and followed up at 6 months postoperative with the use of a questionnaire specific for pain-related impairment of sexual function.RESULTS: A total of 259 patients completed the 6-month follow-up, 129 in the Lichtenstein group and 130 in the Onstep group. Among the patients operated with the Onstep technique, 17 experienced pain during sexual activity 6 months after operation compared with 30 patients operated with the Lichtenstein technique (P = .034). Both subgroups that experienced pain during sexual activity had a median visual analog scale score of 0 with an interquartile range of 0 to 2 (P = .349). The Lichtenstein technique resulted in new pain in 14 patients, whereas the Onstep procedure gave new pain in 7 patients (P = .073).CONCLUSION: The Onstep technique was superior to the Lichtenstein technique in terms of pain during sexual activity 6 months after operation.
KW - Adult
KW - Age Factors
KW - Female
KW - Follow-Up Studies
KW - Hernia, Inguinal/diagnosis
KW - Herniorrhaphy/adverse effects
KW - Humans
KW - Incidence
KW - Male
KW - Middle Aged
KW - Pain, Postoperative/epidemiology
KW - Postoperative Complications/epidemiology
KW - Risk Assessment
KW - Sex Factors
KW - Sexual Dysfunction, Physiological/epidemiology
KW - Young Adult
U2 - 10.1016/j.surg.2016.12.030
DO - 10.1016/j.surg.2016.12.030
M3 - Journal article
C2 - 28262253
SN - 0039-6060
VL - 161
SP - 1690
EP - 1695
JO - Surgery (United States)
JF - Surgery (United States)
IS - 6
ER -