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Actually a very good question and I get asked it regularly.

No, they cannot puncture the hernia. In few cases where you have a very large hernia and there is colon within the hernia, the hernia should be reduced prior to colonoscopy.

No, colonoscopy would not in any way affect the hernia.

Thanks to everyone who participated. This was a HerniatTalk sesssion packed with so much information.

The first half of the hour was devoted to the treatment of groin injuries seen among professional athletes. This includes sports hernias and athletic pubalgia.

The second half of the hour was devoted to the treatment of small hernias, women’s…[Read more]

There are multiple different ways to treat hernias. Mesh-based is one of them. And there are a multitude of mesh options and mesh repair options.

It is best to have your hernia repair tailored to your needs. A true hernia specialist should be able to offer you the risks and benefits of a range of repair options. Some hernias cannot be…[Read more]

That may be difficult to find. I don’t know of any surgeons who specialize in tissue-based repair. Perhaps seek a consultation with a hernia specialist first and then consider traveling outside Texas if you wish for a second opinion.

You can search this site for keyword, Texas, to see if any show up. Dr. Kent Van Sickle practices in San Antonio.

In my experience, most neurosurgeons don’t handle peripheral nerve issues related to hernia surgery. And only some pain management specialists know what to do.

I encourage you to watch the HerniaTalk session I had with Dr Payam Vahedifar, Pain Management specialist who treats many of my patients. The link is here: h…[Read more]

Size is not a determinant of need for inguinal hernia surgery. If you have symptoms, the benefit to your quality of life favors hernia repair. If you have no symptoms, you can safely watch it with 0.18% per year risk of complication, such as incarceration. So, it’s low. I encourage watchful waiting for most of my patients.

Great!
What did they find and what operation did you have done?

Thanks to everyone who participated in this session of HerniaTalk LIVE. It was fun and quite educational. We discussed a wide range of sexual dysfunction problems that can arise from hernias or hernia repairs. Topics included pain with orgasm, erectile dysfunction, retraction of the testicle with orgasm or erection, painful intercourse, pelvic…[Read more]

Happy to help if you want to send me your records to initiate a consultation. Drs Orenstein is also a good resource at OHSU.

Happy to help. Sometimes an inguinal hernia can cause these symptoms. And it would show on imaging. Just because the report doesn’t say it doesn’t mean it’s not there.

I’d need more information. But inguinal hernia is certainly in the differential.

What a cool HerniaTalk session we had! We discussed the details of a Silverback gorilla’s emergency hernia operation, in addition to human hernia-related problems, with Dr. Andrew Wright. Plus, a very heartwarming Special Christmas announcement.

If you missed it, you can watch the full hour on YouTube channel here: https://youtu.be/RCTD1nnimBo

That’s dr Alexander of the Shouldice clinic.

Thanks to everyone who joined me tonight on HerniaTalk **LIVE**. Your questions were awesome! As usual, insightful and wide ranging questions. We discussed groin pain, mesh removal, robotic surgery, tissue repairs, mesh complications, athletic pubalgia / sports hernias, and more.

If you missed it, you can watch it on my YouTube channel here:…[Read more]

That was a pretty informative session with Dr Vahedifar. We discussed mostly how to manage nerve pain, including discussions about nerve blocks, ablation options, and spinal stimulants. I shared data from our most recent research on outcomes after neurectomy—-hopefully soon to be published. We also discussed the use of PRP and athletic p…[Read more]