INFLUENCE OF EXPLANTATION ON THE HEMOCIRCULATION OF THE TESTICLE IN MEN OF FERTILITY AGE: LONG-TERM RESULTS, PRELIMINARY FINDINGS

Abstract

Abstract. The introduction of explantation techniques into clinical practice allowed to reduce the percentage of recurrence of inguinal hernias to the level of less than 1%. But there are data indicating a negative effect on the reproductive function of men. On the other hand, a number of researchers deny the negative consequences of explantation. The purpose of this study is to evaluate the effect of a polypropylene prosthesis on testicular hemocirculation in men of childbearing age. Materials and methods. The peak systolic velocity, end-diastolic velocity and resistive index (RI) in the testicular, capsular, and intratesticular arteries were studied using the Doppler ultrasound method in 30 men aged 20-45 who underwent surgical intervention — herniotomy, Lichtenstein hernioplasty for a unilateral inguinal hernia. The obtained results were compared according to the data of the contralateral side. The study was conducted 6 and 12 months after surgery. Results and discussion. None of the applied parameters of testicular hemocirculation in the arteries that were studied during the observation period was statistically significantly different from the control. Conclusions. Within 6-12 months after hernioplasty, the synthetic explant does not have a negative effect on the state of testicular hemodynamics.