Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique:A randomized clinical trial
| Autor: | Line Hupfeld, Rikke Therkildsen, Jesper Bjerg, Josephine Philip Rothman, Fritz Søbæk Sørensen, Jakob Burcharth, Siv Fonnes, Maj Britt Errebo, Søren Lykke Deigaard, D Hauge, Jacob Rosenberg, Kristoffer Andresen, Dorte Winther |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Hernia Inguinal Risk Assessment DYSEJACULATION law.invention 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications Sex Factors Randomized controlled trial law Interquartile range Scrotum medicine Journal Article Humans Hernia Herniorrhaphy Pain Postoperative business.industry Incidence Age Factors PAIN Middle Aged medicine.disease Surgery Inguinal hernia Sexual Dysfunction Physiological medicine.anatomical_structure Sexual dysfunction 030220 oncology & carcinogenesis Anesthesia 030211 gastroenterology & hepatology Female medicine.symptom business Sexual function HERNIORRHAPHY Penis Follow-Up Studies |
| Zdroj: | Andresen, K, Burcharth, J, Fonnes, S, Hupfeld, L, Rothman, J P, Deigaard, S, Winther, D, Errebo, M-B, Therkildsen, R, Hauge, D, Sorensen, F S, 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 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, vol. 161, no. 6, pp. 1690-1695 . https://doi.org/10.1016/j.surg.2016.12.030 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 (United States), vol. 161, no. 6, pp. 1690-1695 . https://doi.org/10.1016/j.surg.2016.12.030 |
| DOI: | 10.1016/j.surg.2016.12.030 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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