Sunday, April 14, 2024

Erectile Dysfunction After Hernia Surgery

When Can I Have Sex

Hernias and Hip Pain: A Cause of Pelvic Floor Dysfunction in both Men & Women

No matter what type of hernia you have or what type of surgery is used to correct it, you can expect some soreness and swelling for at least a few days following the procedure.

The anesthesia may also leave you easily fatigued for a week or two. It wouldnt be too surprising if you didnt feel up to having sex for a while.

Your doctor may recommend that you avoid sex for a few days to a few weeks, depending on:

  • the location of your hernia
  • type of repair surgery
  • your age and general health
  • whether there were any complications during the procedure

There usually arent any restrictions on sexual activity after a laparoscopic surgery for inguinal hernia. Youll probably have some discomfort around the incision site for a week or two.

For men, the scrotum may be discolored, tender, or significantly swollen after surgery. The swelling should subside within a week. You may be able to resume normal activity, including sexual intercourse, in as little as a week, but it can take longer.

Generally speaking, if you want to and it doesnt hurt, its OK to have sex after any hernia repair surgery. But if its painful or uncomfortable, stop and give your body more time to recover.

  • the upper stomach/diaphragm

The location of your hernia may play a role in your recovery time.

If your hernia was repaired in open surgery, your doctor likely made a large incision near the hernia to repair the weak area.

Either type can be done with or without the use of surgical mesh.

How Long After Hernia Surgery Can You Have Sex

After the hernia surgery, especially inguinal one, there can be some discomfort when you have sex for the first time. In such cases, let pain be the guide. Although there is no restriction after the hernia surgery regarding when can you resume sexual activity, it is wise to discuss with your doctor first regarding the same.

How Can Hernias Affect Your Sex Life

Hernias are mainly asymptomatic. The majority of people dont have pain from their hernia. Instead, they might have discomfort, a dull ache, or no noticeable symptoms except for the bulging from the hernia itself. But people who do experience pain are more likely to experience sexual problems, says Towfigh.

A study published in the International Journal of Urology, which included 210 men and 14 women, revealed that 23.2 percent of patients complained about preoperative sexual dysfunction, and 16 percent of patients complained about postoperative sexual dysfunctions.

Inguinal hernia operations are the most common surgery for hernias. Surgery by an experienced and dedicated hernia surgeon is the safest way to repair a hernia, and using a flat mesh implant, minimally invasively or open by Lichtenstein technique, is still the most accepted way to perform this procedure, says Brian P. Jacob, MD, an expert hernia surgeon at Hernia Repair in New York City.

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Questionnaire On Pain During Sexual Activity

The questionnaire was developed by a consensus group of hernia specialists. The purpose was to design a questionnaire specifically addressing pain during sexual activity associated with inguinal hernia surgery, along with sexual dysfunction associated with pain, based on the work by Aasvang et al. . The intention was to address modalities of pain as in the original publication, making the questions short, easy and user-friendly. Two initial questions were added to minimize the number of patients having to complete the whole questionnaire. The first question identified sexually active patients. The second identified patients having No pain during sexual activity or Pain during sexual activity . There were no further definition given on these questions in the questionnaire. Only patients with Pain during sexual activity proceeded to the following questions assessing pain-induced sexual activity impairment, pain frequency and intensity, physical functions and symptoms of depression. Out-clinic patients provided feedback on content of the questionnaire, which was adapted to include eight questions forming the SexIHQ .

Figure 2. SexIHQ Questionnaire on pain during sexual activity.

What About Surgery To Address Pain Following A Hernia Repair

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Pain in most patients with a hernia repair resolves with time and recovery. Once that pain subsides, the effects it has on sexual performance tend to fade as well.

But if you are reading this, odds are you or someone you know is still having pain after a hernia repair! It is important to know that this does not necessarily mean the surgeon did something wrong.

However, if it has been 6 months or more after a surgery and pain persists, there is the potential that a nerve has been negatively affected as part of the procedure. It is possible that a nerve was cut, scar tissue has developed around a nerve, or that a nerve has become caught within the mesh insert that was used to repair the hernia itself.

In such situations, Dr. Williams is often consulted to address the issue, and we perform a thorough evaluation to determine whether a nerve is being affected andif sowhere it is. This often involves the use of a nerve blockan injection of anesthetic in the area of a nerveto determine whether particular nerves are currently irritated or damaged.

In a few cases, a nerve may need to be released from scar tissue. In many others, however, a nerve or nerves may need to be removed to provide relief to the area. When this is done, numbness will occur in the area, although the size of this area of numbness shrinks over time in the majority of situations.

In many cases, the same incision used for the initial repair can also be used again, reducing the risks of cutting into new nerves.

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Hernia Surgery Repairs Sexual Dysfunction

Open hernia repair

Even though hernia does not bring direct sexual problems or does directly involve sexual intercourse, there is an effective impact on the hernia disorder during sexual intercourse. One cannot enjoy sex with a problem in the body. The mind concentrates more on the pain than the pleasure exhibited through sexual intercourse.

Pain is a feeling that the body has to bear. The body stimulates a lot of energy in order to bear the pain. At the same time, sexual activity or erectile function does need enough energy which is not provided by the body due to its existence with the pain presented by hernia.

The protrude elevated at a certain point in the body does not allow the body to flip comfortably which is the most mandatory during sexual intercourse.

Thus the removal of the hernia or repairing abdominal muscles is an immediate need to enjoy sexual intercourse. The repair is only possible with surgery. Thus, the surgery would only work positively to the sexual function of the body.

Open hernia repair is the surgery concentrated on an incision, or cut, to be made in the groin. The first of its aim is to identify the hernia bug containing the bulging intestine. The surgeon then pushes the hernia back into the abdomen and strengthens the abdominal wall with stitches or synthetic mesh. This repair would only benefit the action of sexual organs in the future.

Inguinal hernia surgery

Can A Umbilical Hernia Cause Erectile Dysfunction

A hernia itself is unlikely to impair a mans sexual function, as it generally does not affect sexual organs or the nerves associated with them. However, some men experience sexual problems, at least temporarily, after surgery for hernia repair.

Can a hernia cause a man to have erectile dysfunction?

Can inguinal hernia cause erectile dysfunction? A hernia is unlikely to affect a mans sexual function since the hernia typically does not interfere with sexual organs or the nerves associated. However, a small percentage of men may experience problems with completion of intercourse after hernia repair surgery.

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Will It Hurt If I Have Sex

Pain is a common side-effect that is felt by patients after a hernia repair. This is nothing major to worry about as this can be due to the incisions made and the bodys response to the mesh placed near the hernia.

Discuss with your doctor. Follow the recommendations for an easy and fast recovery. When you feel you are ready, choose a position that doesnt put enough pressure on or irritate the incision.

Stop it immediately if you experience any pain or a pulling sensation near the incision site. During sex, if you feel even the slightest tingling, it means the wound hasnt fully healed and requires more time to heal completely. Hence, it is best to refrain from having sex.

Is Erectile Dysfunction Common After Hernia Surgery

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Overall, 5.3% of men developed sexual dysfunction after surgeries to repair inguinal hernias and 9% of men developed pain during sexual activity. At least temporary sexual dysfunction and pain with sexual activity are not very common but also not very rare as outcomes of inguinal hernia repair in men, said Dr.

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How Active Am I Allowed To Be During Sex Following Hernia Surgery

For a while, its likely that it will be recommended to refrain from strenuous activities, which would include vigorous intercourse. In this case, follow your doctors recommendations.

When your doctor has said its ok to try having sexual intercourse, talk openly with your spouse or partner about your worries, what you feel comfortable doing, and what you dont when the moment is appropriate.

Here are a few other suggestions:

  • Consider the incisions location and any potential swelling. Select a position that wont put pressure on, chafe against, or strain it.
  • Have your partner take the lead.
  • Start out by making very small gentle movements, then as your confidence grows, progressively step up your activity.
  • To support your abdomen during sex, hold a pillow close.
  • To get the appropriate angle without strain, use a wedge pillow.
  • Choose oral sex instead of other types of sex since it is less painful.
  • Maintain open lines of communication and be prepared to pause or change course if needed.
  • Pay attention to your body most of all, and listen to its signals. If youre not ready, your body will let you know, and you dont want to risk an injury.

Additionally, keep in mind that swelling and soreness following surgery are only temporary youll probably be fully healed and back to your normal routine sooner than you expect.

Hernia And Ed Cause #2 The Solution Is The Problem

Remember that study we mentioned early on?

It stated that 23% of men who underwent hernia surgery complained of pre-operative sexual problems.

Well, the same study found that about 16% complained about post-operative erectile dysfunction as well.

The symptoms?

And theres more: a study into whether or not the surgery is to blame found some rather interesting results.

Of course, just as we mentioned above, its worth remembering that any pain or discomfort in that region can be enough to throw a man off his game.

Still, there have been instances of post-surgical effects that have obvious erectile-inhibition potential.

For instance, most doctors will use a special surgical mesh to repair your abdominal lining after a hernial breach.

In some reports, nerve endings have been caught in this mesh, reducing sensation or otherwise inhibiting erectile response.

This same mesh can cause long-term tissues induration, which has been shown to impact sexual function in some patients.

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So Youre Going In For A Hernia Operation And Youre Afraid Itll Ruin Your Performance In Bed

We cant promise you that nothing will go wrong, but we can tell you its not likely. Hernia repairs arent supposed to involve any of your sexual equipment and the possible complications that could indirectly affect your lovemaking tend not to last. Hernias and hernia repairs vary a lot, and so do the guys who have them, so actual data is hard to crunch about this. However, a very thorough study in Europe broke down the risk for common hernia repair recently, and youll be glad to know its pretty good news: overall, theres only about a 5% chance of anything going wrong in your surgery, and going wrong doesnt usually mean anything very lasting. The truth is, hernias are not considered extremely serious these days, and theres no real reason you shouldnt recover after your repair and be the same guy you always were. In fact you might even perform better than youre doing now in the bedroom, if your hernias been bad enough to get in the way.

To explain more, lets talk through what a hernia is , what the options are for fixing them , and where trouble brews, if it brews .

Pain And Dysfunction With Sexual Activity After Inguinal Hernia Repair

Frontiers
Journal of the American College of Surgeons

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    How Can I Reverse Erectile Dysfunction Naturally

    9 Natural Sex Tips to Reverse Erectile Dysfunction Perk up without pills. Erectile dysfunction, also known as impotence, is a condition where a man cant achieve or maintain an erection during intercourse. Kegel Exercises. Everyday Exercise. Limiting Alcohol. Quitting Smoking. Ginseng. L-arginine. Watermelon.

    Why Does My Erection Go Away So Fast

    There are multiple reasons why erections suddenly go away, including physical problems, psychological problems, and issues with medication or lifestyle. Erection problems arent uncommon, but if they are happening frequently over a period of time, it can affect a mans self-image, self-esteem, and relationships.

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    Pain During Sexual Activity

    Operative and postoperative data are shown in Table 2. There were no differences between the NPS and PS groups regarding mesh-weight, fixation, uni- or bilateral operation, intraoperative complications, operation time, and hospital stay. Heavy-weight meshes were used in 66% of patients without difference between the NPS and the PS groups . Immediate severe postoperative pain was seen in 0.6% , all in the NPS group. Postoperative complications were reported in a total of 6.5%. Within the NPS 6% reported any complication, and in in the PS group 18% . Postoperative infection was reported in 0.6% , all in the NPS group. No reoperation within 30 days was reported.

    Table 2. Operative and postoperative data.

    Results on SexIHQ are reported in Table 3. The option Always having pain during sexual activity was reported by 1.5% of the patients, severe pain by 0.7%, severe erectile dysfunction by 0.7%, severe ejaculatory dysfunction by 1.5% and depression due to sexual dysfunction by 3.5%. The proportion of patients having Pain at sexual activity did not change over time, Figure 3.

    Figure 3. Proportion of patients with sexual dysfunction due to pain in relation to the length of follow-up. Error bars represents 95% confidence intervals.

    Table 3. SexIHQ results .

    Common Ways Hernias Develop

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    Even those with just a passing knowledge of hernias often associate them with attempting to lift large or heavy objects.

    This is true, as straining without stabilizing your abdominal muscles can cause breaches in the wall that keeps your intestines and other bits where they should be.

    However, attempting to macho man your way through a project that requires a dolly isnt the only way you can put yourself in danger.

    There is also

    Intestinal and Bowel Issues Like it or not, your stomach muscles play a big part in our daily bowel evacuation. Overuse them, and you could end up weakening the abdominal wall enough to cause a hernia. And were not just talking about straining due to constipation or diarrhea either. Our modern toilet design can cause loads of problems, as it actually pinches our bowels by keeping us assuming our natural squatting position.

    Respiratory Problems A sneeze is just a sneeze, right? Well, yes and no. You see, sneezes and coughs are extremely forceful, and we often engage a lot of muscles throughout the process. So if you happen to go through a particularly tough allergy season, you could end up sneezing or coughing your way to a painful hernia.

    How Often Do Hernias Cause Sexual Problems?

    Again, its rare that a hernia gets to the point where it could compromise the blood supply to the testicles or obstruct the physical operation of your genitals.

    That said, its certainly not impossible.

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    Can A Hernia Stop A Man From Ejaculating

    Can hernia cause infertility?

    Infertility caused by inguinal hernia surgery is a recognized complication. The cause of the infertility can be related to either the vas deferens or the testicle. The incidence of injury to the vas deferens during inguinal herniorrhaphy has been estimated at 0.3% for adults and between 0.8% and 2.0% for children.

    Sex After Hernia Surgery

    An essential element of a spousal relationship is physical closeness and sex, but medical issues and surgery can disrupt this close bond. People frequently inquire as to when they may resume their jobs or their athletic endeavors following hernia surgery, but they avoid discussing the subject of when they can resume an intimate relationship or sexual intercourse with their partner.

    We address several questions concerning sex after hernia surgery below. The Iskandar Complex Hernia Center offers complex hernia surgery and advanced abdominal procedures with unparalleled empathy and expertise so that you can enjoy a dramatically improved quality of life in all areas. Call our office for more information about hernia repair surgery and to schedule your appointment with Dr. Iskandar.

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