Why might a groin hernia cause testicle pain and/or spermatic cord pain?

[drtowfigh]

Why might a groin hernia cause testicle pain and/or spermatic cord pain?

Why is that some groin hernias might cause pain in the testicle and/or cord pain?
– We don’t know exactly, and we cannot predict which hernias in which patients will cause pain. There is a very broad range]Does the hernia itself sometimes internally compress against the ilioinguinal or genitofemoral groin nerves? [/i]
– Yes

Or is it inflammation from the hernia that irritates the nerves indirectly?
– I think it is the direct pressure. The inflammation is also due to the incarceration or pressure.

Is a surgeon typically able to actually visualize the cause of pain during a surgical procedure?
– Depending on the type of pain, the surgeon can surmise why there was pain.