title: Sexual function after Stoppa hernia repair in patients with bilateral inguinal hernia.
abstract: BACKGROUND
  This study was performed to evaluate the effect of Stoppa hernia repair on sexual function of the patients with bilateral inguinal hernia.
  
  
  METHODS
  In a prospective follow-up study, 50 patients with bilateral inguinal hernia were investigated to assess sexual function before and 1 and 6 months after standardized Stoppa hernioplasty using the International Index of Erectile Function (IIEF) questionnaire. The mean scores obtained on pre- and postoperative visits for all domains of sexual function were analyzed and compared with the Friedman and paired Wilcoxon tests.
  
  
  RESULTS
  The mean score of IIEF at the first month after surgery was significantly declined compared to that before surgery and 6 months after surgery (P< 0.001), while the difference between preoperative score and the score at 6 months after surgery was not significant
  
  
  CONCLUSIONS
  Bilateral inguinal mesh repair with Stoppa technique can decreased sexual activity of the patients at one month after surgery, nevertheless it returns to its initial condition at 6 months after surgery. This suggests that the Stoppa technique does not affect the sexual function of patients with bilateral inguinal hernia.
authors.affiliation: 1. MD, Associate Professor, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. jangjooa@mums.ac.ir.
authors.forename: Ali
authors.initials: A
authors.lastname: Jangjoo
authors.affiliation: 2. MD, Professor, Department of Urology, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. darabimmr@mums.ac.ir.
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Darabi Mahboub
authors.affiliation: 3. MD, Professor, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. mehrabim@mums.ac.ir.
authors.forename: Mostafa
authors.initials: M
authors.lastname: Mehrabi Bahar
authors.affiliation: 4. MD, Assistant Professor, Department of Biostatistics, Faculty of Health Sciences, Mashhad University of Medical Sciences, Mashhad, Iran. afzalaghaeem1@mums.ac.ir.
authors.forename: Monavvar
authors.initials: M
authors.lastname: Afzalaghaee
authors.affiliation: 5. MD, General Surgeon, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Najib Jalali
authors.affiliation: 6. MD, Assistant Professor, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. aliakbarianm@mums.ac.ir.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Aliakbarian
keywords: Hernia; Herniorrhaphy; Inguinal; Sexual Behavior