Can Complications of Hernia Surgery cause Erectile Dysfunction?

People with hernias often come to the doctor with complaints of heavy and enlarged balls (scrotum) while standing. The scrotum and penis form the external genitalia of males. The scrotum is essential for proper reproductive function. Any disease or procedure involving it can affect fertility, making procreation the primary concern for the patient.

Hernia surgery is a common medical procedure to repair a weakness or gap in the abdominal wall, where internal organs may protrude. While the surgery is generally safe and effective, like any medical intervention, it carries some risks and potential complications. One question that has intrigued both patients and healthcare professionals is whether complications of hernia surgery can lead to erectile dysfunction (ED).

Understanding Hernia Surgery Complications:

Hernia surgery, whether performed using traditional open techniques or minimally invasive methods like laparoscopy, aims to reinforce the weakened abdominal wall and prevent organ protrusion. While the majority of patients experience successful outcomes, complications can arise, including infection, bleeding, or issues related to anesthesia. It’s crucial to note that these complications are relatively rare and often treatable.

Can hernia surgery cause erectile dysfunction?

A not uncommon complication after hernia surgery is sexual dysfunction, warranting consideration in preoperative risk discussions. According to a study, about 5% of people experienced difficulties with sex, such as trouble finishing, and around 9% experienced pain during sex after getting hernia repaired.

This study was done on almost 5,000 patients who had hernia surgery. On average, these patients were around 52 years old, and they were followed up for about 10.5 months.

When comparing two types of surgery – one with smaller cuts (minimally invasive) and one with bigger cuts (open) – they found that about 8% had sex problems after the minimally invasive surgery, and about 4% had issues after the open surgery. For pain during sex, around 7% had issues after the minimally invasive surgery, while about 13% had problems after the open surgery.

The Role of Nerve Damage:

One potential connection between complications from hernia surgery and erectile dysfunction is related to nerve damage. The surgical procedure involves manipulating tissues and organs, and this can unintentionally harm nerves responsible for sexual function. The critical nerves in question include the ilioinguinal, iliohypogastric, and genitofemoral nerves. If these nerves suffer damage or become trapped during surgery, it could result in various sensory and motor impairments, potentially impacting sexual function. Patients may report symptoms such as pain during sex.

Postoperative Pain and Psychological Factors:

Complications such as chronic pain after hernia surgery (a result of nerve entrapment) can have a psychological impact on patients. Persistent pain may contribute to anxiety and stress, which are well-known factors associated with erectile dysfunction. The fear of experiencing pain during sexual activity can also create a negative feedback loop, exacerbating the problem. Patients need to communicate openly with their healthcare providers about any postoperative pain or psychological distress to address these issues promptly.

Preventive Measures and Patient Education:

To minimize the risk of complications and potential effects on sexual function, it is crucial for healthcare providers to thoroughly educate patients about the surgical procedure, potential risks, and postoperative care. Emphasizing the importance of early detection and intervention for complications can contribute to better outcomes.

Patients considering hernia surgery should communicate openly with their healthcare providers to fully understand the potential risks and benefits. In the event of postoperative complications, early detection, and appropriate management can help mitigate any adverse effects on sexual function.

Dr Imtiaz, an endovascular surgeon and interventional radiologist, is an expert in answering these queries. His areas of expertise are male and female infertility issues.

Here are answers to some common questions related to hernia surgery.

Can a hernia cause low testosterone?

While hernias can impact sexual health in various ways, there is currently no study supporting the idea that hernias directly affect testosterone levels.

How long after hernia surgery can I have intercourse?

There are no specific periods to suggest when you can have intercourse after hernia surgery. The scenario varies for each person. Generally, it is advisable to wait for at least one week after surgery. However, you can resume intercourse as long as there is no pain or discomfort.

Can you get a hernia from ejaculating?

A hernia is a defect in the abdominal wall that allows abdominal contents to protrude and slide into the scrotum. Risk factors include chronic constipation, coughing, and weight lifting. Essentially, any factor causing increased abdominal pressure can lead to a hernia. It’s important to note that ejaculation plays no role in the development of a hernia.

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