Study of testicular vascularity after totally extraperitoneal repair in inguinal hernia

Abstract

Background: Totally extra-peritoneal repair is one of the commonly used method for repair of inguinal hernia which is gaining popularity in recent days. Its effect on testicular vascularity has not been well established. The objective of this study was to study testicular vascularity following totally extra-peritoneal repair [TEP] in inguinal hernia.Methods: This study was prospective observational study performed on patients with inguinal hernia undergoing TEP where testicular USG doppler parameters like peak systolic velocity (PSV), end diastolic velocity (EDV), resistivity index (RI) and pulsatilty index (PI) were measured on pre-operative day, on 3rd postoperative day and 90th postoperative day, and serum values of FSH, LH and Testosterone were measured preoperatively and 90th postoperative day and these values were compared.Results: 42 patients were included in this study. There was no statistically significant difference in the values of PSV (p=0.497), EDV (p=0.981), RI (p=0.290) and PI (p=0.733) between preoperative value, 3rd postoperative day, and 90th postoperative day. There was no statistically significant difference in the serum values of FSH (p=0.376), LH (p=0.101) and Testosterone (p=0.506) between preoperative and 90th postoperative day level.Conclusions: It was concluded that totally extra-peritoneal repair (TEP) do not affect testicular perfusion. However large scale multi-institute trails with bigger sample size is required to find out effect of TEP on testicular vascularity.