[Ontarioanswers]

Thank you for your followup, Dr. Brown.

Ultrasound identified “direct inguinal hernia measuring 2.3×1.3×1.7cm with anterior wall defect of 6mm. The hernia is not reducible, and contains primarily omentum. No issues noted with the testies, epididymis. No evidence of hydrocele or varicocele.”

I am rather skinny, 6’1″, 180 pds. My general prac, urologist, have not been able to feel the hernia clinically, though examinations have been relatively brief ~10 secs. On my own thorough self-examination, I feel small lump underneath the spermatic cord right where it enters the inguinal canal, thats quite tender to palpation and feels like the central source of my daily discomfort when sitting.

[Ontarioanswers]

Thanks for the insight, Dr. Brown.

In your clinical experience, do you see instances where abdominal tissue pushes through a hernial opening and compresses on a spermatic cord resulting in the cord being tender or irritated? In these cases, has hernial repair resolved the pain?

Should a 2.3cm × 1.3cm x 1.7cm hernia noted on an ultrasound be easy to identify clinically? If the hernia can’t be detected clinically, should what was seen on the ultrasound be re-evaluated?

Thanks for your time,
OA