PREVENTING MALE INFERTILITY FOLLOWING TENSION-FREE HERNIOPLASTY. CELL TRANSPLANTATION TECHNOLOGY IN ANDROLOGY

In recent years, there has been a growing number of reports implementing that hernioplasty can lead to the development of male infertility and pathozoospermia. At the moment surgery is the only treatment for inguinal hernias, therefore prevention of complications, such as azoospermia, oligozoospermia and male infertility is very relevant. Our research has shown that the choice of mesh materials in tension-free inguinal hernioplasty significantly affects spermatogenesis. Standard polypropylene mesh is most frequently used in hernioplasty, nevertheless it affects spermatogenesis and reduces sperm count. Polyester mesh (Parietex™ ProGrip™) is an alternative option that does not affect spermatogenesis as much as polypropylene mesh does. Cell transplantation technology significantly reduces the number of abnormal forms and increases sperm motility in patients with pathozoospermia, normoastenoteratozoospermia, oligozoospermia gravis and azoospermia (I. D. Kirpatovskiy, Z. S. Kaitova, 1995-2000).