Inguinal Hernia Repair and Male Fertility

Bilateral Inguinal Hernia Repair and Male Fertility: A Randomized Clinical Trial Comparing Lichtenstein Versus Laparoscopic Transabdominal Preperitoneal (TAPP) Technique

General objective: To evaluate the fertility of adult men submitted to bilateral herniorrhaphy with mesh placement by the Lichtenstein and laparoscopic approaches

Specific objectives: To correlate pre and postoperative data (90 and 180 days) of adult men, according to biochemistry parameters (hemogram and CRP), autoimmune (anti-sperm antibodies), hormonal (FSH, LH and testosterone), perfusion and volume testicular (USG of testicles with Doppler), spermogram, sexual changes, pain and quality of life (standard questionnaires).

Inclusion Criteria:

• Male
• Age between 19 and 60 years old
• Bilateral inguinal hernia
• Primary and reducible inguinal hernia

Exclusion Criteria:

• Age less than 19 or more than 60 years old
• ASA >III
• Genito-urinary infection
• Immunodeficiency
• History of testicular trauma2
• History of surgery or pelvic radiotherapy
• History of testicular disease
• Fertility problems or sexual
• Illness that can be infertile
• Recurrent hernia
• Unilateral hernia
• Femoral or inguine-scrotal hernia
• Imprisoned hernia
• Use of Gonadotrophins
• Use of anabolic steroids