Possible recurrent hernia?

You are correct on all accounts.

First you should seek consultation with a surgeon that is familiar with revisional hernia surgery. Their ability to get an accurate history and exam is key in your diagnosis. They know what to ask and what to feel for.

A CT scan with valsalva or MRI pelvis with valsalva will help diagnose your recurrence, especially if there is no palpable bulge.

In LA, I am happy to see you. Also, Dr David Chen at UCLA. I also recommend Dr Namir Katkhouda at USC or Dr Edward Phillips at Cedars-Sinai. In the OC, I recommend Dr Mercedeh Baghai in Torrance.

Please let them know you were referred via HerniaTalk.