Hernia Recurrence: Symptoms, Risks, and Post-Surgery Care

Postoperative care after hernia surgery?

If a hernia recurs, does it gradually cause the mesh and the peritoneal sutures to tear, or does it tear suddenly and large enough for the intestines to protrude immediately? After masturbation, if there is no bulging in the groin area, does that indicate that the mesh and peritoneal sutures have not torn? After two weeks post-hernia surgery, I masturbated and ejaculated.
The discomfort in the wound (including internally) was worse for three days compared to before masturbation.
Could the force of ejaculation have injured the nerves? Is it likely that there is no serious issue? Previously, it was mentioned that having a ring could affect blood circulation and potentially cause nerve damage.
If I currently feel fine, is there still a need to have a doctor check for possible nerve damage internally? Two years ago, I had contact with an online friend and used his semen for masturbation.
Is there a risk of contracting STDs or other non-STD diseases (such as hepatitis)? If testing is needed, will the follow-up visit to the urologist after hernia surgery remain anonymous?

Danxin, 20~29 year old female. Ask Date: 2020/03/27

Dr. Li Xinyi reply Urology

Regarding the inguinal ring and hernia, your description seems fine.
However, if you have concerns, it's best to consult a urologist for an in-person examination.
Just like if you have engaged in risky sexual behavior and are worried about sexually transmitted infections, you should see a urologist for testing to confirm.
A doctor cannot provide guarantees without proper evaluation.

Reply Date: 2020/03/27

More Info

Understanding hernia recurrence involves recognizing the symptoms, risks, and appropriate post-surgery care. A hernia occurs when an organ or tissue protrudes through a weak spot in the abdominal wall. After surgical repair, there is always a risk of recurrence, which can manifest in various ways.

1. Symptoms of Hernia Recurrence: If a hernia recurs, patients may experience a bulge in the groin area, discomfort, or pain, especially during activities that increase abdominal pressure, such as lifting heavy objects or straining. The sensation may vary from a dull ache to sharp pain. In some cases, the bulge may not be visible, particularly if it is small or if the surrounding tissues are swollen.

2. Mechanism of Recurrence: Recurrence can occur due to several factors. The mesh used in hernia repair can become detached or fail to integrate properly with the surrounding tissue. This can happen gradually, leading to a slow widening of the defect, or it can occur suddenly if there is significant strain on the area. In some cases, the abdominal wall may not heal properly, leading to a larger defect where the intestine can protrude.

3. Post-Surgery Care: After hernia surgery, it is crucial to follow your surgeon's post-operative instructions. This typically includes avoiding heavy lifting and strenuous activities for a specified period, usually around 4 to 6 weeks. Engaging in activities such as sexual intercourse or heavy lifting too soon can increase the risk of complications, including recurrence. If you experience increased discomfort or pain after such activities, it may indicate that the surgical site is not healing properly or that you may have strained the area.

4. Nerve Damage Concerns: If you experience discomfort or pain after sexual activity, it could be due to nerve irritation or damage, especially if the activity involved significant physical exertion. While it is common to experience some discomfort post-surgery, persistent or worsening pain should be evaluated by a healthcare professional. If you have concerns about nerve damage, it is advisable to consult your surgeon for an assessment.

5. Infection Risks: Regarding your question about potential infections from contact with another person's bodily fluids, it is important to note that sexually transmitted infections (STIs) can be transmitted through sexual contact. If you have concerns about possible exposure to STIs or other infections, it is prudent to get tested. Most healthcare providers offer confidential testing, and you can discuss your concerns with your urologist during your follow-up appointment.

6. When to Seek Medical Attention: If you notice any new symptoms, such as a bulge in the groin, increased pain, or changes in bowel habits, it is essential to seek medical attention promptly. Early intervention can help manage complications effectively.

In summary, understanding the signs of hernia recurrence and adhering to post-operative care guidelines is crucial for recovery. If you have any concerns about your symptoms or the healing process, do not hesitate to reach out to your healthcare provider for guidance and support.

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