Inguinal Hernia

Inguinal/ Groin Hernia


An inguinal hernia is the most common type of hernia and occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can appear as a swelling in groin area  or lump in your groin, or as an enlarged scrotum. An inguinal hernia isn’t necessarily dangerous. However it doesn’t improve on its own and can lead to life-threatening complications.


Symptoms of Hernia in men 


Signs and Symptoms of Hernia in Men:


  • Hernias present as bulges in the groin area that can become more prominent when coughing, straining, or standing up.
  • Rare Groin pain in men , They are rarely painfull.
  • The bulge commonly disappears/ reduces on lying down.
  • Inability to reduce/ place the bulge back into the abdomen usually means the hernia is complicated and requires emergency surgery.



Complications of Inguinal Hernia:


  • Obstruction – where a section of the bowel becomes stuck in the hernia, causing nausea, vomiting and stomach pain, as well as a painful lump in the groin. This condition requires an emergency surgery.
  • Strangulation – where a section of bowel becomes trapped and its blood supply is cut off; this requires emergency surgery within hours to release the trapped tissue and restore its blood supply. If not operated upon on time, a section of the gut may become gangrenous.



Hernia Surgery


This involves reducing the hernia contents and placing a mesh.

There are two ways an inguinal hernia repair can be performed:

  • Laparoscopic (keyhole) surgery –small holes are made, allowing the surgeon to use various special instruments to repair thehernia. The advantages of laparoscopic hernia repair include lesser pain, faster return to work, better cosmetic effect and the ability of the surgeon to repair hernias on both sides with the same approach.
  • Open surgery – where one cut is made to allow the surgeon to push the lump back into the abdomen. Open surgery becomes necessary if the patient decides to opt for one or in case of complicated or large hernias.



Complications of Hernia Surgery:


  • Blood or fluid building up in the space left by the hernia-“seroma” (this usually gets better without treatment)
  • Swelling in groin area and bruising of the testicles or base of the penis (in men)
  • Groin Pain in Men – Pain and numbness in the groin area
  • Damage to the blood supply to the testicle (in men)
  • Recurrence of hernias have become exceedingly rare with the improvement in technology and quality of meshes