INGUINAL HERNIAS AND HERNIOTOMY AS A CAUSE OF REPRODUCTIVE FUNCTION DISORDERS IN MALE PATIENTS
The aim of the review is to describe tension and tension-free hernioplasty and its impact over the reproductive function in young men. Recently Russian and foreign authors have confirmed the need in advancing the traditional and new hernioplasty methods for more speedy social rehabilitation. Advances in surgery, development of new medical tools and improvements in new surgery methods haven't reduced the percentage of reproductive complications. Use of modern implants in herniology and their impact on the reproductive system makes the problem a relevant one for fertile men. It is known that in almost half of cases, infertility in a marriage is due to a male factor, described in the medical literature as “male sterility”. A huge number of modern scientific publications demonstrate that a lot of researchers admit the effect of tension hernioplasty on the reproductive function in males. A positive impact of the tension hernioplasty on the reproductive function is shown. Literature sources contain more and more evidences of negative effects in the spermatic duct where it contacts prosthesis and of misperfusion causing venous hypertension. Contemporary literature analysis reveals a lot of problems associated with hernioplasty and confirms the need in comprehensive randomized studies in order to clarify all pathogenic mechanisms of the reproductive disorders in men. It is worth mentioning that the problem of inguinal hernia surgery in fertile men is far from drastic resolution.