Medical Specialty >> Surgery

Doctors Lounge - Surgery Answers

Back to Surgery Answers List

If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge ( does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.

DISCLAIMER: The information provided on is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.

Date of last update: 8/19/2017.

Forum Name: Surgery Topics

Question: Loss of ejaculate after laparoscopic bilateral inguinal surg

 aliou.smith - Sat Jul 24, 2010 5:35 am


I am a healthy 26 year old concerned about the diminished force and amount of ejaculate that has occurred since my hernia operation 5 weeks ago. I have zero pain and am back to normal in terms of daily activities. Could this lower level of ejaculate return to normal at some time, or even worsen?

 Dr.M.Aroon kamath - Sun Jul 25, 2010 2:33 am

User avatar Hi,

Several types of sexual dysfunctions have been reported infrequently following inguinal hernia repairs(both the traditional "open" as well as the laparoscopic repairs).

One study indicated erectile dysfunction in just over 1%, pain related erections in 2% and shooting pains during ejaculation (dysejaculation) in 1.5% of cases. Overall sexual activity was allegedly affected in 4% of patients. As many hernia patients are younger men this is a particularly problematic situation following hernia surgery. ... 846/?page=

The cause of the painful ejaculation is not clear. Also, reduced quantity of the ejaculate is difficult to explain- even in bilateral repairs( by an injury or entrapment of the vasa deferentia), as the major part of the total seminal volume is made up of the seminal vesicular and prostatic secretions which are not transported via the vasa [approximately, seminal vesicles (65% by volume) and prostate (35% by volume) and 5% via the vasa].

Apart from the aforesaid complications, ischemic orchitis can arise if the blood vessels which travel within the spermatic cord are injured. This results in a painful testicle on the side of the hernia repair. Eventually the testicle may shrink in size and become nonfunctional. Fertility is generally not affected in unilateral involvement, as the remaining testicle compensates for the loss of the other.

As the other causes for male sexual dysfunctions among men in the general population are very much more common than post-hernia repair related ones, to attribute the surgical procedure as the definite cause becomes immensely difficult.

As you have no pain associated with ejaculation, this could well be a temporary setback and should recover soon.
Best wishes!

| Check a doctor's response to similar questions

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us