Cremaster muscle excision and ischemic orchitis in inguinal hernia repair

ABSTRACT

Cremster muscle excision in repair of inguinal hernias is controversial. Its excision intrrupts an important collateral to the testicle naemly the cremaster artery. If the cremasteric artery is a major contributer to the testicular blood supply, its ligation may result in ischemic orchitis. In this study we compared incidence of ischemnic orchitis with cremasteric artery preservation in 66 patients underwent. Marcy repair for groin hernia and the incidence of this complication when the artery is sacrified with the cremater muscle. We found a lower incidence of ischemic architis when the lower lateral flap of the cremster muscle was preserved. It was also found that the incidence of groin pain is less in this group of patients