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Front. Surg. | doi: 10.3389/fsurg.2018.00015

The Relevance of Sexual Dysfunction Related to Groin Pain after Inguinal Hernia Repair – The SexIHQ Short Form Questionnaire

Nihad Gutlic1, 2, Peder Rogmark1, 2, Ulf Petersson1, 2 and  Agneta Montgomery1, 2*
  • 1Department of Surgery, Skåne University Hospital, Sweden
  • 2Institution of Clinical Sciences, Malmö, Faculty of Medicine, Lund University, Sweden

Chronic postoperative pain after inguinal hernia surgery can affect sexual function. A new short form questionnaire for inguinal hernia pain related sexual dysfunction (SexIHQ) was introduced and applied to a register based cohort of total extra-peritoneal hernioplasty (TEP) operated patients.
Sexually active men, 30–60 years old, recorded in the Swedish Hernia Register for a primary inguinal hernia TEP operation were included. Two initial questions of the SexIHQ identify patients with pain at sexual activity. Only these patients proceeded to answer the specific questions on pain-induced impairment of sexual activity, pain frequency and intensity, physical functions (erection and ejaculation), and symptoms of depression. SexIHQ, the Short Form-36 (SF-36), the Inguinal Pain Questionnaire (IPQ) were mailed to participants for long term follow up.
In 538 included patients, 44 (8.2%) reported pain during sexual activity at mean 33 months after surgery. Sexual dysfunction was seen in 33 of these patients. A postoperative complication was a risk factor for pain during sexual activity; OR 4.89 (95% CI 1.92–12.43; p<0.001). Quality-of-life was reduced in almost all SF-36 domains in patients with pain during sexual activity.
A short form questionnaire, suitable for large cohorts, was developed to assess sexual dysfunction due to groin pain after inguinal hernia repair in male patients. Sexual dysfunction due to groin pain after hernia surgery by TEP is surprisingly common. Patients should preoperatively be informed of the risk of having pain during sexual activity following groin hernia surgery.

Keywords: : Inguinal hernia, TEP, Sexual dysfunction, Quality of Life, Register, questionnaire

Received: 16 Jan 2018; Accepted: 08 Feb 2018.

Edited by:

Hakan Kulacoglu, Recep Tayyip Erdoğan University, Turkey

Reviewed by:

Marcello Picchio, Azienda Sanitaria Locale, Italy
Pamir E. Ersoy, Güven Hospital, Turkey  

Copyright: © 2018 Gutlic, Rogmark, Petersson and Montgomery. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: MD, PhD. Agneta Montgomery, Skåne University Hospital, Department of Surgery, Lund, SE-205 02, Sweden,