Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique: A randomized clinical trial

Kristoffer Andresen; Jakob Burcharth; Siv Fonnes; Line Hupfeld; Josephine Philip Rothman; Søren Deigaard; Dorte Winther; Maj-Britt Errebo; Rikke Therkildsen; Dina Hauge; Fritz Søbæk Sørensen; Jesper Bjerg; Jacob Rosenberg

doi:10.1016/j.surg.2016.12.030

Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique: A randomized clinical trial

Kristoffer Andresen, Jakob Burcharth, Siv Fonnes, Line Hupfeld, Josephine Philip Rothman, Søren Deigaard, Dorte Winther, Maj-Britt Errebo, Rikke Therkildsen, Dina Hauge, Fritz Søbæk Sørensen, Jesper Bjerg, Jacob Rosenberg

Department of Clinical Medicine

8 Citations (Scopus)

Abstract

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.

Original language	English
Journal	Surgery
Volume	161
Issue number	6
Pages (from-to)	1690-1695
ISSN	0039-6060
DOIs	https://doi.org/10.1016/j.surg.2016.12.030
Publication status	Published - Jun 2017

Keywords

Adult
Age Factors
Female
Follow-Up Studies
Hernia, Inguinal/diagnosis
Herniorrhaphy/adverse effects
Humans
Incidence
Male
Middle Aged
Pain, Postoperative/epidemiology
Postoperative Complications/epidemiology
Risk Assessment
Sex Factors
Sexual Dysfunction, Physiological/epidemiology
Young Adult

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10.1016/j.surg.2016.12.030

Cite this

Andresen, K., Burcharth, J., Fonnes, S., Hupfeld, L., Rothman, J. P., Deigaard, S., Winther, D., Errebo, M-B., Therkildsen, R., Hauge, D., Sørensen, F. S., Bjerg, J., & Rosenberg, J. (2017). Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique: A randomized clinical trial. Surgery, 161(6), 1690-1695. https://doi.org/10.1016/j.surg.2016.12.030

Andresen, K, Burcharth, J, Fonnes, S, Hupfeld, L, Rothman, JP, Deigaard, S, Winther, D, Errebo, M-B, Therkildsen, R, Hauge, D, Sørensen, FS, Bjerg, J & Rosenberg, J 2017, 'Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique: A randomized clinical trial', Surgery, vol. 161, no. 6, pp. 1690-1695. https://doi.org/10.1016/j.surg.2016.12.030

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title = "Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique: A randomized clinical trial",

abstract = "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.",

keywords = "Adult, Age Factors, Female, Follow-Up Studies, Hernia, Inguinal/diagnosis, Herniorrhaphy/adverse effects, Humans, Incidence, Male, Middle Aged, Pain, Postoperative/epidemiology, Postoperative Complications/epidemiology, Risk Assessment, Sex Factors, Sexual Dysfunction, Physiological/epidemiology, Young Adult",

author = "Kristoffer Andresen and Jakob Burcharth and Siv Fonnes and Line Hupfeld and Rothman, {Josephine Philip} and S{\o}ren Deigaard and Dorte Winther and Maj-Britt Errebo and Rikke Therkildsen and Dina Hauge and S{\o}rensen, {Fritz S{\o}b{\ae}k} and Jesper Bjerg and Jacob Rosenberg",

year = "2017",

month = jun,

doi = "10.1016/j.surg.2016.12.030",

language = "English",

volume = "161",

pages = "1690--1695",

journal = "Surgery (United States)",

issn = "0039-6060",

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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

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 -

Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique: A randomized clinical trial

Abstract

Keywords

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