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Too small to be “real hernia” …. ultrasound vs MRI?
Robo,
Thanks for using the forum for your question. I think this is a difficult situation. Do you wear a belt at work? Unfortunately radiographically it seems like very little is turning up. Did the final report on the ultrasound say the same as the tech? Often techs tell patients what they see but may be misinterpreting the images which are then later confirmed or denied by the radiologist. Also did the tech notice this when you were bearing down?
One way to confirm or deny the pain is coming from a possible hernia is to have a nerve block and see if it relieves the pain. If it does then I would consider a hernia repair with possible neurectomy. Might be a bit aggressive but if any defect is causing pain then I think it needs to be fixed. Often what is found in these cases is a week floor with the nerves being bow stringed on the external ring and this often cases the pain. I don’t think any of the other work up studies would help very much after the two studies you had. One thing to consider is an appointment from a urologist to check the testicle if you are concerned. Hope that helps a bit. Take care and good luck. Dr. Szotek