[DrBrown]

Dear Firth of Fifth.
Thank you for you story and support.
Regards.
Bill Brown MD

[DrBrown]

Dear Kiptor.

Pain that goes to the scrotum, inside of the thigh, and the pubic hair region is usually the ilioinguinal nerve.

Pain that goes to the testicle itself is usually the genital nerve.

The lateral femoral cutaneous nerve usually goes to the outside of the thigh.

Nerve blocks can be performed to help determine which nerve is giving you trouble.

For example if the ilioinguinal nerve is anesthetized with a local anesthestic and you feel better for a few hours that would be strong evidence that that nerve is the source of your trouble. Then a steroid injection may provide long term relief.

Nerve pain will often improve with time. So I would not advise any major procedures at this time.

Baby powder after your shower may help. Compression shorts may help. Capsaicin Cream may help.

Let me know if there is anything else that I can do for you.

Regards

Bill Brown MD

[DrBrown]

Dear Lee_2019
How are you doing?
Bill Brown MD

[DrBrown]

Dear Damien10.
The mesh usually will not directly affect erections. But the pain from the mesh can certainly make intercourse more difficult. Ultrasound and MRI can certainly image the mesh, but the images usually can not determine if the mesh is source of your trouble. If physical examination and imaging do not yield a diagnosis, then consider having the mesh injected with a local anesthetic. If after the injection you feel significantly better, then that would be strong evidence the the mesh is a component of your pain.
Regards.
Bill Brown MD

[DrBrown]

Dear Catbird.
I agree that increased pain from the hernia is an indication that you should have repair sooner than later.
Regards.
Bill Brown MD

[DrBrown]

Dear Dog.
I am glad that you are doing well.
Best wishes.
Bill Brown MD

[DrBrown]

Women have a structure called the round ligament that is in the same position as the spermatic cord.
It supports the uterus. The spermatic cord in men carries the blood supply, nerves, Vas deferens, and cremasteric muscle. The cremasteric muscle does not have to be cut during hernia repair. I agree that the shouldice clinic advises cutting the muscle, but I do not feel that cutting is necessary.
Regards
Bill Brown MD

[DrBrown]

Dear Lee.
It is unlikely that you did any damage with the workout that you described.
There is a good chance that your symptoms will resolve with time.
I agree with rest, NSAIDs, and local heat.
Ask your surgeon to check the area.
Your surgeon should work with you until you feel normal again.
Do not hesitate to ask your surgeon quesitons.
Regards
Bill Brown MD

[DrBrown]

Dear Hiway.
Since the hernia on the left is symptomatic, I would advise you to have it repaired when convenient for you.
I agree with Good Intentions that a pure tissue repair will give you a good result without having to worry about complications from the mesh.
Sometimes if the mesh is injected with steroids, then your pain will improve.
Best wishes
Bill Brown MD

[DrBrown]

Dear Damien.
The mesh should not directly affect erectile function. But the pain from the mesh can certainly affect erections.
Consider having the mesh injected with local anesthetic and see if you feel better.
If you do that would be strong evidence that the mesh is the source of your trouble.
regards.
Bill Brown MD

[DrBrown]

Dear Joshio.
The mesh is difficult to remove and the pain will often decrease with time. I would advise you to work with the pain doctor. If that does not work then consider having the mesh removed.
Regards.
Bill Brown MD

[DrBrown]

Dear Nuts.
The next step is to determine the etiology of the pain on the left.
Work with your doctor. Once a diagnosis is made, you can make an informed decision on how to proceed.
Regards
Bill Brown MD

[DrBrown]

Dear Bmu100
I agree with Dr Towfigh that if the mesh is balled up, that the best treatment is removal.
Ask your surgeon if it is possible not to put more mesh back in.
Regards.
Bill Brown MD

[DrBrown]

Dear Saro.
I agree with Dr Towfigh.
The nerves should be preserved and handled very gently.
Regards
Bill Brown MD

[DrBrown]

I like John Oliver.
Bill Brown MD

[DrBrown]

Dear rc009
it is important to try to determine the etiology of your pain. It may be related to a damaged nerve, the mesh, a recurrent hernia, damage to the spermatic cord. Once the etiology the pain has been determined then an appropriate treatment plan can be implemented.
Nerve pain usually causes burning of the skin, mesh pain is usually deep and gets worse with movements. Spermatic cord pain makes sexual activities difficult. a recurrent hernia should be identified on physical examination. Trigger point injections can be very helpful.
regards.
Bill Brown MD

[DrBrown]

Dear Jnomesh.
I agree with you
Bacteria can hide in the mesh taking antibiotics and your white blood cells useless. An infection means that the mesh needs to be removed.
regards
Bill Brown MD

[DrBrown]

Dear Sambuka.
Please email the information using your usual email service and I will ask my staff to check on your coverage.
My Email address is located in the middle of the page at:
https://www.sportshernia.com/contact/

regards.
Bill Brown MD
510 793 2404

[DrBrown]

Dear Sambuka.
You are welcome to Email me the information.
DrBrown@Hernia-Surgeon.com
Regards.
Bill Brown MD

[DrBrown]

the most important next step is to determine the etiology of your pain. Work with your local doctors to get a thorough examination, blood tests, and imaging.
Bill Brown MD