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Hernia-repair pain or urological?
Sounds like you may have a small recurrence of your hernia repair. I would focus on ruling that out, since it seems that you are already being adequately evaluated urologically.
A hernia specialist general surgeon is the best. Peruse this site for recommendations near you (Search button below).
Nerve entrapment does not occur years after a hernia repair. It is a problem early after a hernia repair.
I usually get an MRI pelvis with valsalva to help in the evaluation.