Larry Lipshultz has built a strong reputation as a urologist and men's health specialist. His Houston practice has assisted many patients throughout the area dealing with various health problems, restoring wellness and helping them start families and lead fulfilling lives. Our practice offers a number of effective, state-of-the-art male fertility treatments , though the best treatment tends to be determine by cause of the infertility. Let's take a moment right now to address one potential cause of male infertility: hernias and hernia repair surgeries. A hernia occurs when the internal organs of the abdominal region bulge through the wall of tissue that is intended to protect it and keep in in place.
Male infertility following inguinal hernia repair: a systematic review and pooled analysis.
Can We Be Sure Polypropylene Mesh Causes Infertility?
Low sperm count means that the fluid semen you ejaculate during an orgasm contains fewer sperm than normal. A low sperm count is also called oligospermia ol-ih-go-SPUR-me-uh. A complete absence of sperm is called azoospermia. Your sperm count is considered lower than normal if you have fewer than 15 million sperm per milliliter of semen. Having a low sperm count decreases the odds that one of your sperm will fertilize your partner's egg, resulting in pregnancy.
Metrics details. The aim of this study was to systematically review the available clinical trials examining male infertility after inguinal hernias were repaired using mesh procedures. Twenty nine related trials with a total of 36, patients were investigated, including seven randomized controlled trials RCTs with patients and 10 clinical trials patients with mesh or non-mesh repairs. Levels of evidence determined from the Oxford Centre for Evidence-based Medicine further demonstrated that those six high quality RCTs also had high levels of evidence. It was found that serum testosterone, LH, and FSH levels declined in the laparoscopic group compared to the open group; however, the testicular volume only slightly increased without statistical significance.
Just when most experts were thinking that the problem of recurrence had been all but eliminated for primary inguinal herniorrhaphy because of the tension-free mesh concept, along comes this disturbing manuscript by Shin and colleagues incriminating the mesh fibrotic reaction as a cause of infertility. Fourteen patients are presented with infertility secondary to obstructive azoospermia normal sperm in a testicular biopsy yet no sperm in the ejaculate felt to be related to the fibroplastic involvement of the vas deferens after a heterogeneous group of mesh repairs conventional, laparoscopic, unilateral, bilateral. All patients underwent surgical exploration with intraoperative vasography.