Hernia issues
Hello, I occasionally notice a round bulge in my groin that resembles a tumor; it is not painful.
I went for a consultation, but when the bulge was supposed to appear, it did not.
I explained my condition to the doctor, who said it "should" be a hernia.
The doctor recommended surgery, but due to the pandemic, I cannot confirm a specific date and am waiting for notification.
However, I have recently noticed that the bulge is appearing less frequently.
This month, it has only appeared twice on its own.
If this is a hernia, does that mean it is gradually improving? If it is a hernia and is not painful, can I avoid surgery?
Hu Tu Chong, 30~39 year old female. Ask Date: 2021/08/03
Dr. Du Shixi reply Urology
Hello: This response is for reference only and cannot replace a physician's examination.
If it is indeed a hernia, it often protrudes when straining in the abdomen or standing for a long time.
You can stand and cough forcefully; if there is no protrusion or it is very subtle, further confirmation is needed.
In the case of a hernia, initially, because the defect is small, it may only appear occasionally and may not be painful, so it is not an acute situation requiring immediate surgery.
However, if the defect gradually enlarges, it may protrude for extended periods and can become painful or uncomfortable, indicating some time pressure.
If left untreated, there is a risk of subsequent complications, although there are cases in clinical practice where individuals have delayed treatment for several years.
Nevertheless, if it is indeed a hernia, the defect will not heal on its own.
Wishing you good health.
Reply Date: 2021/08/03
More Info
Understanding hernias and the necessity for surgery can be quite complex, especially when symptoms vary in intensity and frequency. A hernia occurs when an internal organ or tissue bulges through a weak spot in the surrounding muscle or connective tissue. In your case, the bulge in your groin area that resembles a tumor is likely an inguinal hernia, which is common and can occur in both men and women.
The fact that your hernia is not causing pain is a positive sign, but it does not necessarily mean that it is healing or that surgery can be avoided. Hernias do not typically resolve on their own; rather, they can remain stable or gradually worsen over time. The bulge you observe may become less prominent at times due to changes in intra-abdominal pressure, body position, or muscle tension, but this does not indicate that the hernia is healing.
Inguinal hernias can be classified as either reducible or irreducible. A reducible hernia can be pushed back into the abdomen, while an irreducible hernia cannot be returned to its original position. If your hernia is reducible and not causing pain or discomfort, some doctors may recommend a watchful waiting approach, especially if you are not experiencing any complications. However, this does not eliminate the risk of potential complications, such as incarceration (where the herniated tissue becomes trapped) or strangulation (where blood supply to the tissue is cut off), which can lead to serious health issues.
Surgery is generally recommended for hernias that are symptomatic or at risk of complications, even if they are not currently causing pain. The decision to proceed with surgery often depends on several factors, including the size of the hernia, the presence of symptoms, your overall health, and your lifestyle. If your hernia is small, asymptomatic, and reducible, your doctor may suggest monitoring it rather than immediate surgery. However, if you notice any changes, such as increased size, pain, or discomfort, it is crucial to seek medical advice promptly.
Regarding your concern about the timing of surgery due to the pandemic, it is understandable that delays can be frustrating. However, it is essential to keep in touch with your healthcare provider to discuss your symptoms and any changes you experience. If your hernia becomes more prominent or begins to cause discomfort, it may necessitate a reevaluation of your surgical options.
In summary, while the absence of pain is a good sign, it does not mean that surgery can be avoided if a hernia is present. Regular monitoring and communication with your healthcare provider are vital. If surgery is ultimately recommended, it is typically a safe and effective procedure to prevent complications and improve your quality of life. Always prioritize your health and seek medical advice if you have concerns about your condition.
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