Femoral hernia, still searching?

For sure allllll your symptoms are suggestive of hernia.

Imaging with valsalva is advised. Read my article and prior posts here about imaging and hernias. They can be inaccurate and misread. So if your exam is diagnostic, don’t give up.

Laparoscopy can be performed with extraperitoneal evaluation in order to confirm there is no hernia. Simple laparoscopy looks inside the abdominal cavity. It does not specifically look at the muscle level which is behind some fat and the peritoneum. So it’s important that the peritoneum and fat is removed to confirm the muscle is intact or there is a hernia.