The Herniabible Blog

advice from people who have had an inguinal hernia

Loss of Orgasm After Groin Hernia Surgery

This report comes from one of our survey respondents

It’s now 365 days since my right inguinal hernia repair, open using mesh. From the morning after surgery there has been complete loss of orgasm and all erogenous/erotic feeling. The doctors are in total denial. This happens more often than they care to admit. Apparently we need all the sensory nerves in order for the brain to produce the sexual high and orgasm. Pudendal and perineal nerves often yanked in removing hernia sac… pull a nerve 15% and it never comes back, except as pain. Iliohypogastric and ilioinguinal also contribute to sex feelings, especially if you are circumcised. If only I had known.

More details

During open inguinal hernia repair, the pubic tubercle is the bone landmark which surgeons use to tell how far to cut. Two centimeters in from this point is where the spermatic cord changes course and a finger is used to separate it from the floor. The hernia sac is a part of the interior lining enclosing the bowel that is forced out through the inguinal canal. Typically it adheres to the cord and must be cut free. The surgeon can only go those two centimeters before encountering the suspensory ligament of the penis.

This is a wide band that circles and encloses the penis very much like a ‘marital aid’ or constriction band. It is firmly attached to the pubic bone and is what makes an erection point up and supports it for sex. It also helps the veins close off to maintain the erection.

The penile dorsal nerves lie under this sheath and are also exposed in the area inside before the penis enters the encircling ligament. If the surgeon pokes through this area in any of the three steps (exposing the cord, dissecting the sac, or suturing the mesh to the pubic tubercle) you can end up neutered like I was. If the suture ties into the ligament you can get the often-described-but-never-explained loss of firm erections, or often described ejaculatory or erection pain.

In my State medical malpractice claims have been legislated out of existance in the name of tort reform. I cannot be fixed, there is no way to protect yourself from incompetent surgery, and no way to make the doctor pay. Lack of informed consent likewise does not exist as a legal barrier.
I CAN’T URGE TOO STRONGLY TO ANYONE CONSIDERING THIS “ROUTINE MINOR SURGERY” TO THINK AGAIN!

If you had inguinal hernia surgery more than a year ago, please consider filling in our anonymous online survey.

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June 16, 2009 Posted by | Case reports, Surgery issues | , , , , , , , | 11 Comments