title: [Azoospermia and a history of inguinal hernia repair in adult].
abstract: BACKGROUND
  Inguinal hernia repair is one of the most performed surgeries in the world. It is recognized that any surgery of the pelvic floor may represent a risk factor of male infertility.
  
  
  METHODS
  Retrospective study of patients with azoospermia and a history of adult inguinal hernia repair surgery and referred to our center between January 1990 and January 2011 for infertility.
  
  
  RESULTS
  Among 69 azoospermia patients with history of adult inguinal hernia repair surgery, 60 patients underwent surgical extraction of sperm that was successful in 75% (45/60). Positive extraction rate decreases in the subgroup of patients with risk factors for infertility (61.4%) as well as in the group with bilateral inguinal hernia (67.9%). There was no statistically significant difference in the positive rate of sperm retrieval according to surgical technique or according to the use of polypropylene mesh (P>0.05).
  
  
  CONCLUSIONS
  The obstruction of the vas deferens due to an inguinal hernia repair was a potential iatrogenic cause of male infertility that was rare and underestimated. The influence of using a polypropylene mesh was not clearly demonstrated. The management of these patients is based on prevention in order to identify patients with risk factors of infertility in order to propose a presurgery cryopreservation of sperm.
  
  
  METHODS
  5.
authors.affiliation: Service d'urologie, université de Lille, hôpital Claude-Huriez, CHRU de Lille, rue Michel-Polonovski, 59000 Lille, France. Electronic address: muhieddine.khodari@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Khodari
authors.affiliation: Service d'urologie, université de Lille, hôpital Claude-Huriez, CHRU de Lille, rue Michel-Polonovski, 59000 Lille, France.
authors.forename: A
authors.initials: A
authors.lastname: Ouzzane
authors.affiliation: Service d'urologie, université de Lille, hôpital Claude-Huriez, CHRU de Lille, rue Michel-Polonovski, 59000 Lille, France; Service d'andrologie, université de Lille, CHRU de Lille, 59000 Lille, France.
authors.forename: F
authors.initials: F
authors.lastname: Marcelli
authors.affiliation: Service d'urologie, université de Lille, hôpital Claude-Huriez, CHRU de Lille, rue Michel-Polonovski, 59000 Lille, France.
authors.forename: R
authors.initials: R
authors.lastname: Yakoubi
authors.affiliation: Laboratoire de biologie de la reproduction, université de Lille, CHRU de Lille, Lille, France.
authors.forename: V
authors.initials: V
authors.lastname: Mitchell
authors.affiliation: Service de chirurgie digestive et transplantation, université de Lille, CHRU de Lille, 59000 Lille, France.
authors.forename: P
authors.initials: P
authors.lastname: Zerbib
authors.affiliation: Service d'andrologie, université de Lille, CHRU de Lille, 59000 Lille, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Rigot
mesh_terms: D000328:Adult; D053713:Azoospermia / Q000209:etiology*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007248:Infertility, Male / Q000209:etiology; D008297:Male; D012189:Retrospective Studies; D013526:Surgical Mesh; D014649:Vas Deferens
keywords: Azoospermie obstructive; Hernie inguinale; Inguinal hernia repair; Obstructive azoospermia; Plaque polypropylène; Polypropylene mesh