 A larger and more recent study which was a followup at 5 years of 1370 from a randomized study of TEP vs. open repair demonstrated lower pain rates in the laparoscopic group (10% vs. 20%).Inguinodynia symptoms decreased over time, even in those in the moderate to severe pain group.In addition, when an inguinal pain questionnaire was administered to these individuals at a median followup of 9.4 years, physical ability was affected more in the open repair group.