No difference in sexual dysfunction after transabdominal preperitoneal (TAPP) approach for inguinal hernia with fibrin sealant or tacks for mesh fixation

H C Pommergaard; J Burcharth; K Andresen; A Q Fenger; J Rosenberg

doi:10.1007/s00464-016-5017-4

No difference in sexual dysfunction after transabdominal preperitoneal (TAPP) approach for inguinal hernia with fibrin sealant or tacks for mesh fixation

H C Pommergaard, J Burcharth, K Andresen, A Q Fenger, J Rosenberg

Department of Clinical Medicine

5 Citations (Scopus)

Abstract

BACKGROUND: Postoperative sexual dysfunction in relation to laparoscopic groin hernia surgery may be related to methods of mesh fixation. However, this has not been investigated earlier. Moreover, results regarding sexual dysfunction in females have not been reported systematically. The aim of this study was to compare fibrin sealant versus tacks for fixation of mesh regarding sexual dysfunction in males and females.

METHODS: Using the Danish Hernia Database, patients operated laparoscopically for groin hernia with a transabdominal preperitoneal (TAPP) procedure with fibrin sealant or tacks for mesh fixation were sent a questionnaire regarding sexual dysfunction. Sexually active patients without recurrence were evaluated in this study.

RESULTS: Pain during sexual activity was present in 115 of 1019 (11.3 %) males and 17 of 147 (11.6 %) females. There was no difference between fibrin sealant and tacks for mesh fixation and no difference between genders. Pain intensity, characteristics and origin were comparable between fibrin sealant and tacks for both genders. We found a relationship between a higher rate of sexual dysfunction and lower age for both genders.

CONCLUSION: We found no difference between fibrin sealant and tacks in pain during sexual activity or intensity of pain. However, younger age may be a risk factor for pain during sexual activity. Considering the high rate of postoperative sexual dysfunction, it is important to include this topic in the preoperative patient information.

Original language	English
Journal	Surgical Endoscopy
Volume	31
Issue number	2
Pages (from-to)	661-666
ISSN	0930-2794
DOIs	https://doi.org/10.1007/s00464-016-5017-4
Publication status	Published - 1 Feb 2017

Keywords

Adult
Age Factors
Aged
Aged, 80 and over
Databases, Factual
Denmark/epidemiology
Dyspareunia/epidemiology
Female
Fibrin Tissue Adhesive/therapeutic use
Hernia, Femoral/surgery
Hernia, Inguinal/surgery
Herniorrhaphy/methods
Humans
Laparoscopy/methods
Logistic Models
Male
Middle Aged
Postoperative Complications/epidemiology
Recurrence
Sexual Dysfunction, Physiological/epidemiology
Surgical Mesh
Surveys and Questionnaires
Tissue Adhesives/therapeutic use
Young Adult

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10.1007/s00464-016-5017-4

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title = "No difference in sexual dysfunction after transabdominal preperitoneal (TAPP) approach for inguinal hernia with fibrin sealant or tacks for mesh fixation",

abstract = "BACKGROUND: Postoperative sexual dysfunction in relation to laparoscopic groin hernia surgery may be related to methods of mesh fixation. However, this has not been investigated earlier. Moreover, results regarding sexual dysfunction in females have not been reported systematically. The aim of this study was to compare fibrin sealant versus tacks for fixation of mesh regarding sexual dysfunction in males and females.METHODS: Using the Danish Hernia Database, patients operated laparoscopically for groin hernia with a transabdominal preperitoneal (TAPP) procedure with fibrin sealant or tacks for mesh fixation were sent a questionnaire regarding sexual dysfunction. Sexually active patients without recurrence were evaluated in this study.RESULTS: Pain during sexual activity was present in 115 of 1019 (11.3 %) males and 17 of 147 (11.6 %) females. There was no difference between fibrin sealant and tacks for mesh fixation and no difference between genders. Pain intensity, characteristics and origin were comparable between fibrin sealant and tacks for both genders. We found a relationship between a higher rate of sexual dysfunction and lower age for both genders.CONCLUSION: We found no difference between fibrin sealant and tacks in pain during sexual activity or intensity of pain. However, younger age may be a risk factor for pain during sexual activity. Considering the high rate of postoperative sexual dysfunction, it is important to include this topic in the preoperative patient information.",

keywords = "Adult, Age Factors, Aged, Aged, 80 and over, Databases, Factual, Denmark/epidemiology, Dyspareunia/epidemiology, Female, Fibrin Tissue Adhesive/therapeutic use, Hernia, Femoral/surgery, Hernia, Inguinal/surgery, Herniorrhaphy/methods, Humans, Laparoscopy/methods, Logistic Models, Male, Middle Aged, Postoperative Complications/epidemiology, Recurrence, Sexual Dysfunction, Physiological/epidemiology, Surgical Mesh, Surveys and Questionnaires, Tissue Adhesives/therapeutic use, Young Adult",

author = "Pommergaard, {H C} and J Burcharth and K Andresen and Fenger, {A Q} and J Rosenberg",

year = "2017",

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doi = "10.1007/s00464-016-5017-4",

language = "English",

volume = "31",

pages = "661--666",

journal = "Surgical Endoscopy and Other Interventional Techniques",

issn = "0930-2794",

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T1 - No difference in sexual dysfunction after transabdominal preperitoneal (TAPP) approach for inguinal hernia with fibrin sealant or tacks for mesh fixation

AU - Pommergaard, H C

AU - Burcharth, J

AU - Andresen, K

AU - Fenger, A Q

AU - Rosenberg, J

PY - 2017/2/1

Y1 - 2017/2/1

N2 - BACKGROUND: Postoperative sexual dysfunction in relation to laparoscopic groin hernia surgery may be related to methods of mesh fixation. However, this has not been investigated earlier. Moreover, results regarding sexual dysfunction in females have not been reported systematically. The aim of this study was to compare fibrin sealant versus tacks for fixation of mesh regarding sexual dysfunction in males and females.METHODS: Using the Danish Hernia Database, patients operated laparoscopically for groin hernia with a transabdominal preperitoneal (TAPP) procedure with fibrin sealant or tacks for mesh fixation were sent a questionnaire regarding sexual dysfunction. Sexually active patients without recurrence were evaluated in this study.RESULTS: Pain during sexual activity was present in 115 of 1019 (11.3 %) males and 17 of 147 (11.6 %) females. There was no difference between fibrin sealant and tacks for mesh fixation and no difference between genders. Pain intensity, characteristics and origin were comparable between fibrin sealant and tacks for both genders. We found a relationship between a higher rate of sexual dysfunction and lower age for both genders.CONCLUSION: We found no difference between fibrin sealant and tacks in pain during sexual activity or intensity of pain. However, younger age may be a risk factor for pain during sexual activity. Considering the high rate of postoperative sexual dysfunction, it is important to include this topic in the preoperative patient information.

AB - BACKGROUND: Postoperative sexual dysfunction in relation to laparoscopic groin hernia surgery may be related to methods of mesh fixation. However, this has not been investigated earlier. Moreover, results regarding sexual dysfunction in females have not been reported systematically. The aim of this study was to compare fibrin sealant versus tacks for fixation of mesh regarding sexual dysfunction in males and females.METHODS: Using the Danish Hernia Database, patients operated laparoscopically for groin hernia with a transabdominal preperitoneal (TAPP) procedure with fibrin sealant or tacks for mesh fixation were sent a questionnaire regarding sexual dysfunction. Sexually active patients without recurrence were evaluated in this study.RESULTS: Pain during sexual activity was present in 115 of 1019 (11.3 %) males and 17 of 147 (11.6 %) females. There was no difference between fibrin sealant and tacks for mesh fixation and no difference between genders. Pain intensity, characteristics and origin were comparable between fibrin sealant and tacks for both genders. We found a relationship between a higher rate of sexual dysfunction and lower age for both genders.CONCLUSION: We found no difference between fibrin sealant and tacks in pain during sexual activity or intensity of pain. However, younger age may be a risk factor for pain during sexual activity. Considering the high rate of postoperative sexual dysfunction, it is important to include this topic in the preoperative patient information.

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KW - Age Factors

KW - Aged

KW - Aged, 80 and over

KW - Databases, Factual

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KW - Dyspareunia/epidemiology

KW - Female

KW - Fibrin Tissue Adhesive/therapeutic use

KW - Hernia, Femoral/surgery

KW - Hernia, Inguinal/surgery

KW - Herniorrhaphy/methods

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KW - Male

KW - Middle Aged

KW - Postoperative Complications/epidemiology

KW - Recurrence

KW - Sexual Dysfunction, Physiological/epidemiology

KW - Surgical Mesh

KW - Surveys and Questionnaires

KW - Tissue Adhesives/therapeutic use

KW - Young Adult

U2 - 10.1007/s00464-016-5017-4

DO - 10.1007/s00464-016-5017-4

M3 - Journal article

C2 - 27287916

SN - 0930-2794

VL - 31

SP - 661

EP - 666

JO - Surgical Endoscopy and Other Interventional Techniques

JF - Surgical Endoscopy and Other Interventional Techniques

IS - 2

ER -

No difference in sexual dysfunction after transabdominal preperitoneal (TAPP) approach for inguinal hernia with fibrin sealant or tacks for mesh fixation

Abstract

Keywords

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