LONG TERM SEX REALTED QUALITY OF LIFE AND HEALTH RELATED QUALITY OF LIFE IN PATIENT UNDERGOING TEP AND OPEN HERNIA REPAIR saurabhmaurya12800@gmail.com

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LONG TERM SEX REALTED QUALITY OF LIFE AND HEALTH RELATED QUALITY OF LIFE IN PATIENT UNDERGOING TEP AND OPEN HERNIA REPAIR

4

India

Oral only

Chronic pain as a result of hernia surgery is well-recognized.Knowledge of impairment of sexual function due to pain caused by an inguinal hernia or a postoperative chronic pain condition is, however, limited. Pain affecting sexual function after hernia surgery is believed to be caused by nerve injury, and inflammation around the mesh or its fixation. It can lead to impaired sexual function and quality-of-life.

A prospective observational study was conducted involving patients who underwent either TEP or open mesh hernioplasty. Participants were evaluated at baseline and followed up postoperatively at day 7th,30th and 180th day and 1year. Validated questionnaires incuding the SexIHQ, Inguinal pain questionnaire and SF36 scale to evaluate the sexual and overall quality of life in these patients.

A total of 90 operations consisting of 45 TEP and 45 LH repairs were evaluated. While both groups showed improvements in HRQoL, the TEP group had significant improvements in early postoperative recovery, lower incidence of chronic pain. In terms of SRQoL, TEP patients reported earlier resumption of sexual activity and lower incidence of sexual complications.

TEP repair yields better results than the LH repair in the postoperative course at the 7th and 30th day evaluation, concerning sexual function and quality of life, but this benefit is no longer apparent at the 90th day. These findings support the preferential use of the laparoscopic approach in suitable candidates, not only for physical recovery but also for preserving sexual function and overall well-being.