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[USER=”1193″]msp651[/USER] the answers to your questions are highly dependent on details of your symptoms, what the imaging actually shows, etc. I highly recommend you see a hernia specialist to at least help to narrow down what’s going on. Perhaps you can provide some details here?

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[USER=”2329″]Jeremy B[/USER] most young people have indirect inguinal hernias. The same is true among older patients. However, direct inguinal hernias increase in incidence as you age, or if there is a strong genetic predisposition toward hernias, as it is basically a weakness of the fascia.

Many can have releof from symptoms of an inguinal Hernia with a core-based exercise regimen. It will not cure the hernia.

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The typical inguinal Hernia can radiate pain to the testicle. Sports hernias are less likely to so do as the tear is unrelated to the inguinal canal itself.

That distinction may help you figure out inguinal vs sports hernia.

Also, sports hernia is many times used as a diagnosis of exclusion when inguinal Hernia cannot be palpated. True diagnosis is much more difficult.

Core strengthening exercises can help with many people to reduce their inguinal hernia symptoms.

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[USER=”2491″]SomeGreyBIoke[/USER] yes it’s theoretically possible to have both inguinal and sports hernias. It’s very uncommon and unlikely.

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Thanks for sharing. You had an excellent recovery so far. This is pretty much what a standard recovery should be expected to be. It is the norm, not the exception, especially if you pick the experienced surgeon.

I hope your post helps shed some positive light, as it can be very scary for patients to read only complications and horror stories posted online.

And keep the constipation in check for the rest of your life.

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If there is an inguinal or groin hernia, some patients do get worse Hernia pain before the bowel movement. This is because of the extra bulk of volume in the pelvis.

If there is straining or constipation that can also contribute to Hernia pain.

Pain to the scrotum or base of penis may be related to hernias. Actual penile pain is a different anatomy than the groin

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There is discussion to have Hernia fellowships, ie, extra training focusing on complex hernia repairs, Hernia-related complications. It would include tissue repair training. Some of us are involved and look forward to offering these fellowships. It may help deal with the drought of experts in this field.

[USER=”2491″]SomeGreyBIoke[/USER] – no data to support standard use of dissolvable meshes yet.

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Sometimes these are undiagnosed hip injuries. Other orthopedic injuries may also be true.

Inguinal ligament doesn’t typically strain.

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[USER=”2029″]Good intentions[/USER] the tags work great!

[USER=”2482″]katiebarns[/USER] scar tissue can be pulled and it can hurt. That type of “injury” cannot be seen on MRI or other imaging. Sometimes, if it’s severe, inflammation can be seen on MRI. Usually not. Sometimes what is going on is a shearing effect of thebmesh off the repair. If the pain is not better after 3 months then imaging can rule out recurrence and sometimes injections can help. I have had good results in mybpatients with PRP injections to help heal any straining.

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[USER=”2051″]ajm222[/USER] Agree with you. 😉

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For bilateral inguinal hernias, consider also laparoscopic option. Better outcomes and lower recurrence rates.

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After initial laparoscopic inguinal Hernia surgery, there should be no ridge. If you feel a bump, there may be a lipoma in the canal.

After ipen repair, a “healing ridge” does occur. It can last months but goes away usually. It represents the scar tissue and multiple levels of suturing that goes on.

[USER=”2514″]inguinalpete[/USER] Bassini repair is not performed for sports hernias. You probably had a typical hernia. Also, triple neurectomy is not commonly performed for sports hernias, as the genitofemoral Branch is never involved in such problems. Anyway, the Bassini involves completely opening the inguinal floor and resewing it. If it fell apart, it’s possible the entire inguinal floor is disrupted. So, perhaps patching laparoscopically is not adequate. The floor needs to be reinforced as a scaffold to support the patch. It’s a thought.

A valsalva imaging can perhaps help with this evaluation. And then perhaps an open tissue repair to help support the mesh patch.

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Some thoughts:

[USER=”2505″]newagehernia[/USER] – your questions are very unique to your concerns. There are a lot of repair options for inguinal hernias. Best, as you said, to see a Hernia specialist that can tailor the available options and their ports and cons to your needs.

If it helps you, since you travel, I do offer online consultation for those who cannot initially come to see me in person. That often helps answer questions and give direction. Can contact my office for more information. Info@beverlyhillsherniacenter.com

[USER=”2491″]SomeGreyBIoke[/USER] – the orchiectomy and how it was done may be related to your symptoms. Was it done for undescended testicle? If so, the inguinal canal may have had a hernia that was not addressed at the orchiectomy. Was it done for cancer? If so, the genital nerve branch is at risk for injury.

Those are two different diagnoses that have different treatment plans. Need to see an expert that understands these to help you best.

Ice and anti inflammatories work best. The narcotics don’t help and the associated Constipation may make it worse.

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It’s hard to different clinically between most direct and indirect hernias unless that are large.

Sports hernias and direct hernias are different entitities. One does not evolve into another.

Sports hernias are tears. If the tear is large enough, things can bulge through and hence the hernia. Luckily, most do not get that big.

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In my experience bloating is more often seen with the typical Hernia. Sports hernias are tears that are painful but often don’t have content in them so bloating does not occur

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Completely different examination findings and symptoms. A surgeon specialist can help differentiate.

Most St people don’t have sports hernias. You have to a true athlete with huge muscles to get them, typically.

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Other surgeons for sports hernia:

Michael Brunt: St Louis, MO

Aali Sheen: Manchester, UK

Giampiero Campanelli: Milan, Italy

I also repair them.

Note that most groin pain that is labeled as “sports hernia” is not a true muscle tear rather a run of the mill inguinal Hernia. Their treatment is different.

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Agreed. It’s one of the reasons I started this discussion forum.

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You are absolutely correct. If you have a surgeon with thebexpertise to remove mesh laparoscopically, then that is the preferred method: less recovery, less scar, less pain, better outcome.

I have nothing to say about the mesh melting comment. It has no basis in fact or truth.

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UT Southwestern has good surgeons but there is no one that stands out to me as a Hernia expert there. Try flipping through America’s Hernia Society website under Find A surgeon to see who is nearby.