Opinions on mesh removal & managing chronic pain
In 2007 I had laparoscopic bilateral inguinal hernia repair done with Polypropylene 3D Max Mesh.â€¦I recovered fully… until injuring myself two years later lifting a table in 2009. The injury was a recurrent left inguinal hernia. About a year after the recurrence, I continued to have issues, some of which appeared to be of a urologic nature. I then had the recurrence repaired again (this time open surgery by same surgeon with a Pariotex Pro Grip Mesh… The surgeon called it a mesh sandwich…
So, two surgeries all together. Ever since the second surgery, I have had constant sensation of foreign material and often discomfort in my left groin. Parts of the area are numb and have been for a few years. Though at times, it feels like tiny batches of flesh suddenly awaken and regenerate sensation… Sometimes I have an itching sensation “beneath the surface” at the very top of inner thigh where it meets my scrotum… no rash or anything, just a deep itch at the top portion of that tendon.
From time to time, I experience a “pressure” feeling in the area beneath my incision as if things are very crowded in there. Irritation of this area can also be triggered by the seatbelt in my car. Wearing elastic pants reduces irritation that might be triggerred by regular pants/belt. I have a difficult time with several forms of exercise and I’m a little overweight but managing the best I can. I’m about 5′ 9″ 185â€¦ After my most recent flare up, I was re-evaluated by my surgeon who does not think I have a recurrent hernia. He believes I have some nerve damage as well as scar tissue and we are looking into several forms of non-operative methods to seek relief. I’m planning to start with some light swimming soon and I am scheduled to start physical therapy this week with a pelvic floor/groin specialist. I’m told myofascial scar tissue release may help some of my symptoms. Anyone have experience with that? I have a friend who has had three inguinal hernia surgeries and he is experiencing some relief with his physical therapy.
I have not yet experienced any testicular pain or swelling. Just a tightness/soreness in the area just beneath my incision from the open surgery. A few times while moving my bowels, I feel that same soreness as the stool passes beneath that area of my incision/mesh. Any thoughts on this and whether or not it could be nerve related? For example, maybe the stool is putting a tiny bit of outward pressure on the abdominal wall and/or mesh and triggering the soreness in the same way that pressure from the outside (seatbelt in car) creates the same sensation?
As much as I hate having layers of mesh in my left groin, mesh removal is an absolute last resort for me as I’ve been told more surgeries (even those to remove scar tissue) can lead to more scar tissue, more chronic pain, as well as the inevitable use of mesh again if there is not enough tissue to fix the defect without mesh. No to mention the possibility of losing a testicle in the process. I also want to find the perfect surgeon for removal if it ever becomes necessary. Thanks for listening.
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