How to recognise it
An inguinal hernia is a weakness in the wall through which abdominal contents push into the groin. Many people notice it first as discomfort or swelling at the end of the day, not as severe pain.
At the visit, examination is usually enough. I ask you to cough or to strain. If the lump comes out and goes back, the diagnosis is clear. An ultrasound is for the cases where examination is not enough, not a routine step for everyone.
Why leaving it indefinitely is a poor plan
The defect does not heal with rest, a truss or exercise. Over time the lump usually becomes more obvious and the discomfort more frequent. A truss can hold the swelling for a while. It does not repair the wall.
Repair uses mesh, laparoscopic or open, depending on the case. At the consultation I tell you which approach I propose and why. If surgery is needed, I go into the operating room: the visit, the operation and the follow-up are done by the same surgeon.
When to schedule, and when to go to hospital
If the lump goes back in, book the consultation at office 501. Bring earlier studies if you have them and, if you are using insurance, the policy number. The quote is given in writing. There is no published figure.
Do not wait for an appointment if the lump becomes hard, hurts intensely, will not go back when you lie down, and you feel nauseated or vomit. The hernia may be stuck. That is seen in the emergency department at Hospital Galenia. Switchboard 998 891 5200.
This guide is for orientation. It does not replace a consultation.
Frequently asked questions
Can an inguinal hernia heal without surgery?
No. The opening does not close on its own. A truss does not repair it. Whether and when to operate is decided at the consultation, as long as the lump still reduces.
Does it always hurt?
No. Some hernias are only a lump with effort. Constant pain, especially if the lump no longer goes back, is a different picture and is assessed at the hospital.
Does everyone get mesh?
The usual repair uses mesh, laparoscopic or open. Which one fits your case is decided at the consultation, not before I have seen you.
