To explore the effect on postoperative pain and reproductive function in male patients with inguinal hernia using laparoscopic inguinal hernioplasty.

One hundred and fifty male patients with inguinal hernia underwent laparoscopic surgery in the first affiliated hospital of Xinjiang medical university from January 2016 to October 2017 were randomly divided into the group A and the group E, with 75 cases in each group. The group A was treated with transabdominal preperitioneal (TAPP) repair, while the group E was treated with total extraperitoneal (TEP) repair. The surgical indicators, pain, semen quality, recurrence and complications were observed and compared between the two groups.

The differences of operation time, postoperative hospital time, bleeding volume, postoperative pain time and hospitalization expenses between the group E and group A were not significant (P>0.05). The levels of α-glucosidase (α-Glu), fructose (Fru) and acid phosphatase (ACP) in the group E were higher than those in group A one year after operation (P<0.05). There were no significant differences in the scores of numerical rating scale (NRS) and inguinal pain questionnaire (IPQ), rates of complication and recurrence one year after operation between the two groups (P>0.05).

TAPP and TEP have the same safety performance in the treatment of inguinal hernia. Although the effects of the two methods on the levels of α-Glu, fru and ACP in semen were different, there was no significant effect on the reproductive function of male patients between two procedures.