Cremasteric Muscle and Hernia Repair Surgery

What Happens to the Cremasteric Muscle During Non-Mesh Hernia Repair Surgery?

Perhaps your surgeon mentioned the cremasteric muscle when discussing your hernia repair surgery. The cremaster muscle surrounds the spermatic cord and runs from the internal inguinal ring to the testicle.  The cremasteric muscle has two important jobs:

  1. It pulls the testicles closer to the body when they are exposed to cold.
  2. It brings the testicles closer to the body during sexual intercourse.

However, since it is a muscle, it has the potential to add volume around the spermatic cord and thereby make it more difficult to get a tight hernia repair. 

Options for Addressing the Cremasteric Muscle

Removing it: There are surgeons who routinely remove the cremasteric muscle during hernia repair surgery, which results in a tighter repair. However, removing this muscle means it can no longer do its job of pulling the testicles closer to the body in cold conditions or during sex. Another consideration is that removing the cremasteric muscle may also cut some of the blood supply and nerves to the testicle.

Leave it intact: Some surgeons routinely leave the cremasteric intact.  This can make getting a tight hernia repair more difficult. But it must be done wherever there is any concern about the blood supply to the testicle.

What Dr. William Brown does: Dr. Brown evaluates the anatomy and the situation and proceeds accordingly. If cremasteric muscle will interfere with the hernia repair, then as little of the muscle is removed as possible to get a good repair.  Care is taken to preserve the blood vessels and nerves. In most situations Dr. Brown prefers to leave the cremasteric muscle intact.

Have a question about handling the cremasteric muscle during non-mesh hernia repair surgery or want to learn more about Dr. Brown’s approach to hernia repair without mesh? Contact him today.

William Brown, MD
Hernia Specialist

Dr. Brown has been repairing inguinal hernias for over 30 years, taking care of Athletes with Sports Hernia injuries since 1999.  Dr. Brown has been taking care of patients with complications from mesh for so long that his hair is gray. Luckily he still has some hair.

His patients include players from the San Jose Sharks and the San Jose Earthquakes as well as athletes from the NFL, AFL, NBA, and the local college teams. As well as Athletes from 15 foreign countries.

Fremont Office
William H. Brown, M.D.
39470 Paseo Padre Pkwy
Fremont, CA 94538
(510) 793-2404
Fax: (510) 793-1320

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