An inguinal hernia can pass through the groin and increase or decrease in size.
They usually cause painless lumps which generally increase in size while standing and reduce in size when lying down, as the intestines moves back and forth as a result of gravity.
According to the Merck Manual, doctors will make a diagnosis based on a physical exam. While the person is standing, the doctor will examine the groin and ask the person to cough, as this action increases the pressure on the abdominal cavity. If the person has a hernia, their coughing will make it protrude outwards, making it easy to detect. In order to detect hernias in men, the physician will place a finger in the fold of the upper part of their scrotum and push upwards towards the abdominal cavity.
Sometimes the doctor will perform an ultrasound or a computed tomography (CT) scan to help evaluate the situation. This condition must be treated surgically. In men who have this hernia, but do not have any symptoms, surgery is not necessary.
Keep in mind
During the surgery to repair the hernia, the bulging tissue is reintroduced. The abdominal wall is strengthened and supported with stitches and, occasionally, with mesh. This process can be done through open or laparoscopic surgery. The surgeon will determine which surgery is most appropriate.
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