Connection between Hernia and Erectile Dysfunction: Investigating the Possibility
Inguinal hernias, a common health issue that primarily affects older men with lower testosterone levels, are usually treated with surgery. The location of these hernias in the groin makes them the most likely type to have some effect on erectile function [1][3].
Typically, the recovery time for resuming sexual activity after inguinal hernia repair surgery is about 1 to 4 weeks, with most men advised to wait at least one week, and up to four weeks for larger or more complex repairs [1][3]. Most men report significant improvement in sexual function within a few months after surgery, and any postoperative pain during intercourse is usually temporary [1].
Regarding erectile dysfunction (ED), inguinal hernia repair surgery rarely causes lasting ED. Temporary pain, numbness, or discomfort related to nerve injury after surgery can affect sexual function briefly but usually resolves over time [1]. There is no strong evidence linking standard inguinal hernia repair to prolonged ED.
For comparison, more extensive pelvic surgeries like robotic prostatectomy show a more significant risk of ED and a longer recovery time (6 months to over a year) for regaining erectile function, especially if nerve-sparing techniques are not used [2][4]. In these cases, penile rehabilitation (medications, devices, exercises) is often recommended to support recovery [4].
In summary, sexual activity after inguinal hernia repair is typically resumed safely after about 1 week, with most men seeing improved sexual function postoperatively. The impact on erectile function is usually minimal and temporary. ED is more prevalent in pelvic surgeries like prostatectomy, with longer recovery and possible need for rehabilitation.
It is essential to note that a hernia is unlikely to cause ED directly. However, around 9% of males may experience pain during sexual activity after inguinal hernia repair, and around 5% may experience sexual dysfunction [1]. Therefore, it is crucial for individuals to discuss with their doctor when it is safe to engage in sexual activity after the surgery.
The outlook for a person who undergoes surgery to repair an inguinal hernia is generally good. Surgery to repair a hernia can have a positive effect on sexual function, as it can alleviate pain and the bulging of tissue in the groin. In addition, doctors may recommend treatments and tips for managing ED, such as stopping smoking, limiting alcohol consumption, changing certain medications, receiving counseling, taking medications to treat ED, having ED surgery, or rebuilding arteries.
Contrary to popular belief, there is no evidence that hernias directly cause low testosterone in human males.
References:
[1] Mayo Clinic. (2021). Hernia repair: Recovery. Retrieved from https://www.mayoclinic.org/tests-procedures/hernia-repair/about/pac-20395412
[2] National Institute of Diabetes and Digestive and Kidney Diseases. (2021). Robotic Prostatectomy. Retrieved from https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-cancer/treatment/robotic-prostatectomy
[3] National Health Service (NHS). (2021). Hernia repair: Recovery. Retrieved from https://www.nhs.uk/conditions/hernia/treatment/hernia-repair-surgery/
[4] American Urological Association. (2021). Penile Rehabilitation After Radical Prostatectomy. Retrieved from https://www.auanet.org/guidelines/penile-rehabilitation-after-radical-prostatectomy-(2020-update)
- The recovery time for resuming sexual activity after inguinal hernia repair, while it varies between individuals, usually falls within the range of 1 to 4 weeks.
- Most men reporting significant improvement in their sexual function within a few months post inguinal hernia repair surgery, with any temporary pain during intercourse being a common occurrence.
- In contrast to inguinal hernia repair, surgeries like robotic prostatectomy show a more significant risk of erectile dysfunction and a longer recovery period for regaining erectile function.
- Although hernias are unlikely to cause ED directly, it's important for individuals to discuss with their doctors about the timeline for resuming sexual activity after the surgery to ensure proper postoperative care and minimize the risk of sexual dysfunction.
