Inguinal Hernia: Surgery, Recovery, and Fitness Concerns

Testicular hernia issues?

Hello Doctor, I am 28 years old.
When I was in kindergarten, I had a hernia and underwent surgery.
After that, I somewhat forgot when it happened again, but I had another hernia (I am sure it is on the opposite side and not a recurrence).
I have left this hernia untreated, and in fact, it has not caused me any issues in my daily life and has never been painful.
However, recently I have been considering going to the gym and am concerned about how weight training or aerobic exercise might affect the hernia.
I would like to know if I need surgery.
This hernia has been with me for at least ten years, and I am unsure if not having surgery might worsen the condition after I start going to the gym.
I would also like to ask the doctor: (1) How many days do I need to stay in the hospital for hernia surgery, as I have work commitments? (2) Is hernia surgery performed under local anesthesia, and what is the approximate cost? Also, where is the anesthesia injection administered? (3) Can hernia surgery be performed simultaneously with a circumcision? Additionally, where is the anesthesia injection administered? Thank you, Doctor!

Niming, 20~29 year old female. Ask Date: 2020/05/28

Dr. Li Xinyi reply Urology

Due to concerns about the risk of intestinal incarceration, the urologist will still recommend surgery.
Additionally, weight training can indeed exacerbate the condition of a hernia and may even lead to dangerous complications such as intestinal incarceration and bowel necrosis.
As for the length of hospital stay after surgery, generally, patients can be discharged the day after the procedure.
The overall out-of-pocket expenses for hospitalization are typically about one-tenth of the total cost.
Whether there is a need for self-paid materials or if a circumcision is required should be discussed with the surgeon.

Reply Date: 2020/05/28

More Info

Inguinal hernias are a common condition, particularly in younger individuals, and can often be managed effectively with surgical intervention. Given your history of hernias and your current interest in engaging in weight training and aerobic exercise, it’s important to understand the implications of your hernia on your fitness activities and whether surgical repair is advisable.

Understanding Inguinal Hernia
An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can lead to a bulge in the groin area, which may not always cause pain or discomfort. In your case, since you have not experienced any pain or significant lifestyle limitations, it may seem manageable. However, engaging in weight training or high-impact activities could potentially exacerbate the hernia, leading to complications such as incarceration or strangulation, where the blood supply to the herniated tissue is compromised.

Surgical Considerations
1. Need for Surgery: While many individuals live with inguinal hernias without immediate issues, surgery is often recommended if you plan to engage in activities that increase intra-abdominal pressure, such as weightlifting. Surgery can prevent potential complications and provide peace of mind, allowing you to pursue your fitness goals without concern.

2. Hospital Stay: Typically, inguinal hernia repair is performed as an outpatient procedure, meaning you would not need to stay in the hospital overnight. Most patients can go home the same day after surgery, depending on their overall health and the specifics of the procedure.

3. Anesthesia: Inguinal hernia repairs are usually performed under local anesthesia, regional anesthesia, or general anesthesia, depending on the surgeon’s preference and the complexity of the hernia. Local anesthesia involves injecting anesthetic into the area around the hernia, numbing it for the procedure. The injection is typically administered in the groin area.

4. Cost: The cost of hernia surgery can vary widely based on factors such as your location, the healthcare facility, and whether you have insurance. It’s advisable to consult with your healthcare provider or insurance company for specific pricing information.

5. Combined Procedures: It is possible to perform a circumcision (removal of the foreskin) alongside hernia repair, but this depends on the surgeon’s assessment and your specific circumstances. Discussing this with your surgeon will provide clarity on the feasibility and any implications of combining these procedures.

Recovery and Fitness
Post-surgery, recovery typically involves a few weeks of rest and gradual return to normal activities. Light activities can usually be resumed within a few days, but heavy lifting and strenuous exercise should be avoided for at least 4-6 weeks to allow for proper healing. Your surgeon will provide specific guidelines tailored to your situation.

Conclusion
In summary, while your inguinal hernia may not currently cause issues, considering your desire to engage in weight training, surgical repair is advisable to prevent future complications. The procedure is generally outpatient, can be performed under local anesthesia, and may be combined with other surgeries if necessary. Always consult with a qualified surgeon to discuss your specific case, potential risks, and the best course of action for your health and fitness goals.

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