Hernia repair surgery is the only treatment and cure for inguinal hernia and is one of the most common surgeries done in the world every year. Men with inguinal hernia should consider the risk of complication which results from hernia repair. The inguinal obstruction which may follow groin hernia surgery leads to fertility problems in the future. If the surgery is done on both sides, left and right obstruction of spermatic cord could cause azoospermia (condition, when there is no sperm in ejaculate). Smaller probability of azoospermia is associated with only one sided surgery. The most common consequences are Spermatic granuloma formation (lump of extravasated sperm being present as a result of the pressure-induced changes) and testicular atrophy, unilateral or bilateral (pathological condition in which there is abnormal shrinkage of the testicles, either in one or in both).
Men should consider sperm cryopresevation (technique designed to preserve sperm for future use by freezing them) before they undergo the groin surgery. Cryopreservation allows to do in vitro fertilization (IVF) and intracytoplasmatic sperm injection (ICSI), if any fertility problems will appear after the surgery.
Inguinal hernias occur in less than 5% of women. Even though infrequent, when present, hernias must be evaluated and treated urgently due to possible incarceration (trapped organs) or strangulation (disruption of blood flow) of organs, including, on rare occasion, the ovary and fallopian tube. As with any type of laparoscopic surgery, risks are associated with hernia repair. Bleeding from vessels in the inguinal area, permanent damage to nerves, infection, adhesions, and continued pain are all potential risks.