[William Bryant]

Hello Mtncamper
I am sort of doing watchful waiting as in UK the wait to see NHS consultant is about a year or more now due to covid. I do think about overseas but so far not decided between Dr Kang South Korea, Shouldice Canada, Dr Desarda India,USA Dr Yunis or Dr Thomas or surgery in Germany.

But…the itchiness is getting on my nerves and I worry about hernia going in to scrotum. No ones really explained why testicle itche so much.

Plus I’m not sure if it’s direct or indirect!

[William Bryant]

Dr Kang, in South Korea, by the way, will I believe perform tissue repair regardless of size.

But most surgeons who offer tissue repair do say mesh might still be used if they find it necessary during operation.

I think a poster here found that to their cost during operation in Germany.

It’d be an idea to check as it does seem possible to go in expecting tissue but to come round to find mesh.

It’s probably unavoidable in some cases though

[William Bryant]

Ah the shouldice categories are

Walnut
Hens Egg
Grapefruit

Hope that helps

[William Bryant]

Probably golf ball and or egg… I’m not sure all of those are listed on the shouldice questionaire.

[William Bryant]

Yes it’s not easy that one. Thanks for asking as I’d say mine was medium but Dr and consultant refer to it as small!??

Also is it the bulge or the hole they look at?

Shouldice asks and grades along lines, from memory, of

grape
Golf ball
Egg
Tennis ball
Grapefruit

They won’t operate if it’s too small with no bump or too big such as grapefruit size I guess

[William Bryant]

Good to hear it’s working out for Scarlettville. Can I ask which German surgeon were you going to go to? I think from memory it was the covid situation that stopped your German operation?

I’m asking as I’ve emailed a German surgeon, twice, and had no replies.

[William Bryant]

Thanks Good Intentions.

One other thing my testicle aches sometimes. Nothing major. 2 doctors and 1 consultant have examined that area. All have said both my tesicles look and feel normal.

I asked the consultant what happens if hernia goes into scrotum. He said “Not a lot”, verbatim.

I meant signs and symptoms? Are there any? How do you know if it is or has.

Agree some people will probably amend lifestyle and carry on seemingly normally. The body does do that, most likely subconsciously in many cases.

It does seem some people may be able to be as before after surgery but a minority. I know of 3 males, noty friends but they sde of my close associate, all had mesh. 1 is back to normal. But the other 2 have major problems/pain.

It was partly that failure rate, albeit anecdotal rather than scientific, that put me off mesh surgery.

Thank you for all your replies, you have helped me greatly and others too I expect.

It’s a shame some other people don’t post more. I did wonder if all my questions put them off. Hope not?

[William Bryant]

I’ve googled it and chronic pain and foreign body sensation are unlikely.

Problems can be
Cord oedema
Fever
Seroma
Surgical site infection
Recurrence

No idea what some of those are I expect the clever posters will be able to explain but at least it’s something to go on in meantime

[William Bryant]

Mine is kind of in between the two on that diagram.

I can see the hernia bulge when standing too.

My BMI is between 23 and 24 at present.

One weird thing is I read about a handful of people who cured hernia by rest, food, etc and one who wrote a blog said when sufferer defecates, the hernia bulge virtually goes. They were right! I’d not noticed until I read that.

I also read, in relation to direct v indirect that after lying down/reducing a direct hernia bulge appears quite quickly on standing, an indirect mite slowly.

At first, going on that I’d have said direct but as I wrote after carrying that 5kilo container the bulge got bigger, still reducible but initial bulge appeared then quite quick on standing but gradually got bigger, so I began to think indirect.

Now I’ve worn hernia pants it seems to have reverted to how it was initially.

Strange. I have gone 3 days without wearing them, and not carrying, and it’s stayed as it was. Not sure what’s happened

[William Bryant]

It’s funny you should mention the right testicle Good Intentions as I’m convinced mine isn’t the same as it was before I had a hernia.

But to get back to the indirect diagnosis, there was no ultrasound, instead the doctor (consultant) pressed in several areas, asked me to cough and that from memory was about it

I’m (a bit) ashamed to say I haven’t grasped what medially means!

[William Bryant]

So Dr Yunis I think is in Sarasota. FL

Dr Thomas Fort Myers for Desarda

[William Bryant]

I live in UK but Dr Yunis seems well regarded for tissue repair. I’m not sure where in US he is though?

You can get answers from secretary or have a chargeable phone appointment I believe.

There is also a Desarda option in the USA I believe… I’ll Google it.

But I’m sure the American posters will help but this is to be going on with.

[William Bryant]

…And perhaps more importantly, many thanks once again for this brilliant forum

[William Bryant]

Thank you Dr Towfigh.
And reciprocal greetings to you!

[William Bryant]

Dr Towfigh wrote $Just want to remind patients that non-mesh inguinal hernia repair is not a benign operation. There are risks with it as with any other operation. And also that there is risk of chronic pain after tissue repair, such as Bassini.”

Yes I’d almost forgot tissue repair is not a guaranteed success. Timely reminder. Even if I’ve only seen the post a year later.

[William Bryant]

That’s a brilliant reply good intentions. I’m sure sfirish will find it helpful.

Bit of a shame if Dr Towfigh is losing interest. Hope not. This is a great resource.

[William Bryant]

As far as I know, it isnt easy to do tissue repairs after having had mesh. It must be as simple as that as to why shouldice failed. On the other hand putting in mesh after a shoulduce shouldn’t be too much of a problem (other than the usual problems it may cause). Indeed one place I enquired about tissue repair said if it fails you can always have mesh after but you can’t have tissue after mesh.

I hope the mesh is better for you this time. It may be an idea if you knew which type of mesh you had initially and avoid that one. There are lots of different meshes. Good luck

[William Bryant]

Thanks Brian. We’re any nerves cut do you know? How long did you stay in Germany?

[William Bryant]

Thanks Good Intentions. When I first started looking into non mesh repair and see Lampard et al, I thought wow if it works for them, it’d be brilliant for me.

It was only later, I discovered sports hernia and hernia are not the same.

[William Bryant]

I’m not aware biohernia use porcine mesh Good Intentions and it isnt made clear if all those football players, including Lampard, had ‘conventional’ hernias as opposed to “sports hernia”.

In searching for mesh repairs I came across this article about Glen Murray footballer (Crystal Palace and also Brighton teams). He was seen twice in Germany by Dr Muschawek but whatever was done didn’t work so he went to Prof Lloyd in the UK. In the article Prof Lloyd states Glen Murray’s injury was sports hernia which in Prof Lloyds view shouldn’t be viewed as a hernia or called hernia… I suspect most of the other athletes had sports injuries not inguinal or femoral hernias either.

Heres the link, you’ll be able to decipher it better than me!!!

https://www.express.co.uk/life-style/health/265218/Glenn-Murray-My-fans-will-see-the-best-of-me-now