The loss of the cremasteric reflex after hernia repair is usually considered as a sign of the ipsilateral testis non-functioning. Are there any data of the correlation of the former and the latter?
In our clinic most of the surgeons divide the cremasteric muscle fibers from the funiculus. No cremasteric reflex is a normal finding in our population.
I see, but did you check the spermatogenic function of the testes after bilateral herniae repair?
No we did not. Most of our patients are 60+ and dont ask for spermatogenic check.
I think about cremasteric reflex what it's not possible avoid, what isolate the funiculus if you break off cremasteric fibers? in the first phase of hernioplasty, the dissection, you find long cremasteric fibers the genitofemoral nerve, then it's very important isolate this nerve and you can do only with the dissection of the cremasteric fibers
I think the cremasteric reflex is limited to childhood, perhaps correlated to differencial diagnosis of retractil testis till the age of about 2yrs.
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