Recurrent hernia?

[drtowfigh]

UK has very few surgeons who see and treat chronic pain after hernia repair. There are a couple of my colleagues who I will reach out to to see if they will see you. Stay in touch.

[Damien10]

Doc

Thanks for your prompt and informative response. I don’t have any recurring pain etc. I had pain a couple months ago but that has largely subsided. I stopped all physical activity when it occurred. The tension feeling occurs during ejaculation(I did it today and observed no pain at all and barely noticeable tension) and feels like it is right below my surgical area but moving towards my hip bone. I don’t feel any pain whenever I push on the area with my hand, sneeze or cough.

I can’t remember the exact exercise but I was doing possible overhead shoulder press/ hammer curls when I got the pain. I may have exacerbated the pain the following day by doing abs and very light deadlifts with poor forms ( I should know better).

Recently, I haven’t even gotten the heavy feeling. I spent yesterday shoveling dirt etc and I don’t feel any pain or sensation etc.

Any idea the type of costs associated with this type of procedure. I am outside the USA so if I were to travel then I would have to pay out of pocket. London(United Kingdom) may be more realistic to me since I will have to go to further my studies there in the immediate future. Do you have any references for doctors or hospitals in London?

Regards
Damien

[pszotek]

Damien10,
Thanks for contacting us here at HerniaTalk. Will try to answer your questions in order but have to ask exactly where the pain is located and where the “tension feeling” is located (above the base of the penis, slightly more lateral toward the hip bone, halfway to the hip bone, or much more lateral) and does it hurt when you push on it with your hand?. Also what were you doing in the gym? (lunges, squats, etc with your lower body/core)

1. Your hernia could have recurred but impossible to know for sure without exam/imaging. You could have athletic pubalgia also.
2. Recurring hernia surgery can be challenging. I would recommend Dr. Towfigh, Dr. Orenstein, Dr. Chen, Dr. Jacob, myself or someone who specializes in it to get the best results.

3. Stretch scar tissue: Yes it is possible. IF you would like to consider an online rehab program for this we are currently beta testing one and I would be glad to work with you to arrange this and go over your issue more in depth via a telehealth visit. You can find us at http://www.indianahernia.com, fill out your information and we will get things set up.

4. Ultrasound, CT, MRI all can work to confirm. It can come through the mesh or most often an area that was not covered by the mesh completely. It could descend into the scrotum but unlikely at this point as that usually takes a bit of time.

5. Usually I would not recommend a second open repair unless you have chronic groin pain that I suspect the mesh is causing the problem and needs to come out. We would approach these Laparoscopic/Robotic.

Thanks!
Dr. Szotek
pszotek@indianahernia.com
http://www.indianahernia.com