I need to determine if my bilateral inguinal hernia is indirect or direct. I understand a dynamic ultrasound is my best chances. Problem is I’ve read clear warning from Dr Towfigh and others that these results are severily compromised due to improper administration and/or interpretation. So how to I find a reputable place where I can get an accurate diagnosis? This is critical as I want to have a repair done at the shouldice hospital but only if I have a direct hernia and am willing to do anything to get an accurate diagnosis to confirm direct vs. indirect as it changes who I will pick for my surgeon.
The ultrasound should be done while you are standing with a Valsalva maneuver.
Both sides should be examined.
Most medical schools will have well-trained technicians and radiologists.
Bill Brown MD
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