Does the prolene hernia system affect testicular function?

Over a period of 16 months, 20 male patients with unilateral primary inguinal hernias were operated upon in the Kasr Al Aini Hospital, Cairo University using the Prolene Hernia System. All patients underwent pre and post-operative semen analysis and scrotal scintigraphy to assess testicular perfusion. All, but one, patients showed no change in the semen analysis and sintigraphy from the preoperative value. This patient had signs of testicular ischemia as evidenced by decreased uptake of the radiotracer 3 months postoperatively. This case was attributed to injury of the vessels during dissection rather than due to the mesh itself

Stapled hemorrhoidectomy; general guidelines and early results

In this study, stapled hemorrhoidectomy was performed on 16 patients with 2nd, 3rd and 4th degree hemorrhoids with an operative time of 26.5 minutes, hospital stay of 2.7 days and sick leave of 7.69 days. A marked reduction in the postoperative pain was noticed with a faster return to work and an absence of painful perianal wounds. This device is expensive, hence the procedure is costly and cannot be applied to all patients