[Joseph]

May I ask is it painful what you are experiencing or is an awareness of the mesh as a foreign object but not truly painful

[Joseph]

Thank you for posting. I have had repairs with pain as a complication. Could you share a little bit more about how to avoid increasing abdominal pressure while weight lifting? I am interested if I can apply it to myself. Thank you?

[Joseph]

This is a very interesting case and I am sorry if you are experiencing discomfort. it would be interesting to hear Dr Towfigh respond to these additional comments and I hope she well. Thank you for posting.

[Joseph]

Is hernia talk live canceled for tonight?

[Joseph]

Thank you

[Joseph]

Thank you Dr Brown for the courtesy of your reply. I would say my pain is above my inguinal ligaments, never actually in the thigh. I would also say that it is about halfway up my pubic bone bilaterally, slightly below hairline and tends to radiate upward to the top of the pubic bone and hairline. Although when at its worse it can effect the midline, it tends to be more lateral. The MRI is interpreted as pubic plate disruption and thinning/attenuation of the distal rectal muscles.

I sincerely appreciate all your help.

[Joseph]

Dear Dr Brown,

As always thank you for your prompt response

The 5 options included second opinions and what I saw on the internet. The options include:

1. simple suture reattachment of fibrocartilageneous aponeurotic pre pubic plate to pubic tubercle and body periosteum with non absorbable 3-0 ethic, 3 on each side and adductor longus relaxation but not cutting or tenotomy.

2. Meyers pelvic floor repair with rectal compartment release and securing rectus muscle to fibrocartilageneous pre pubic aponeurtoc plate and probable extension to inguinal ligament, sparing periosteum and adductor longus relaxation but not cutting or tenotom

3. laparoscopically placed retro rectus muscle pre peritoneal mesh

4 . simple cutting of adductor longus

5. bilayer UltraPro mesh inlayed and placed behind rectus muscle

If you have time your further comments would be greatly appreciated.

[Joseph]

Sorry I meant surgical tacs in the title

[Joseph]

Is the pain where mesh is located in the groin or is it in leg or both?