Inguinal hernia in men

What is inguinal hernia and how is it treated?

Inguinal hernia in men is very common much more common than in the fairer sex. It is one of the most frequent problems and can be corrected by a routine procedure. In medicine it is known as inguinal hernia and it commonly occurs when parts of the soft tissue or parts of the intestines springs - penetrates through one of the weak points in the abdominal zone, and we see this phenomenon as a small bulge in a certain place. Hernia (hernia) can be painful especially when you cough or lift a heavier load. Hernia in men may not always be dangerous, but may well undermine the quality of life if not treated and it can further impair the general condition. For these reasons, the most commonly recommended inguinal hernia repair, because it would otherwise be bigger and more painful. What kind of condition this is, what other kinds of hernia there are and which methods of treatment can be applied, find out below.

Bruch symptoms of inguinal hernia

Hernia or inguinal hernia is caused by congenital weakness, soft tissue or develops during the life of the weakened abdominal wall or place on the site of previous operations. Hernias can be congenital and acquired. The main symptoms of inguinal hernias are islands or protrusions on the site where hernia is, which does not follow the mandatory pain. Unfortunately patients usually see their doctor, only when they notice swollen areas that appear after a long walk or a hard work, but with the pressure on the area it retrieves in the skin. Pain can occasionally occur, problems with urination or a stool but it is a rather rare case. In time, the swollen area is increasing. Unfortunately inguinal hernia sometimes causes almost no visible symptoms, but people often are not aware that they have a hernia. They are revealed after the most commonly routine or systematic review, although almost always can be seen as a tiniest bulge when you are in an upright position, when you cough or strain your body.
Inguinal hernia is usually manifested by a swollen area around the pubic bone (on both sides), discomfort in the groin when lifting, bending over or coughing. There is an evident weakness in that area, as well as the pressure in the area and around the testicles also is accompanied by pain and discomfort.

What causes hernia in the groin?

Inguinal hernia in men
Inguinal hernia usually occurs when after physical activity, when there is a further increase in pressure in the abdominal cavity, which then pushes our peritoneum through natural openings and so they spread. Such situations usually occur with sudden lifting or large stress (stronger coughing, sneezing or bowel movements). In elderly patients an important factor for the development of hernia represents weakening and degeneration of muscle of the abdominal wall.

Every third man will be faced sooner or later with an inguinal hernia, while the percentage of the disease among women is considerably smaller. About the frequency of this phenomenon is the fact that the operation on hernia are one of the most common surgical intervention in the world.

The tendency of men to develop inguinal hernia is inherited in the male line, and the main cause is the weakness in the abdominal wall that is a genetically inherited defect in collagen tissue. This can be seen already in the new-borns, the first cry, as "popping" in the groin. If you see the inguinal hernia in babies immediately after birth, in men with congenital weakness of the abdominal wall hernia may occur in 20 years. If it does not occur then, it is likely to occur in the fifth or sixth decade of life, as a result of problems with urination (prostate) or stool (straining).

All men in the family where there is a hereditary component for the occurrence of inguinal hernia, until his 80th year will receive a hernia in the groin.

What other types hernia there are

Hernia, which is popularly known as bruch is the penetration of the peritoneum through a weakened part of the abdominal wall, usually through the navel, groin, or on the site of previous surgery. Here are some types of hernia:

Inguinal hernia
  • Makes 75 percent of all hernias of the abdominal wall and is about 25 times more common in men than in women. According to the precise localization, it is known as the so-called inguinal ( "reserved" for men) and femoral (mostly in women). These hernias are divided on direct and indirect. Both appear as a hernia in the groin, but have different starting points. Both types of hernias look alike, as a bulge in the groin, and sometimes it is difficult to distinguish between the forms of it.

Femoral hernia
  • Femoral canal is a part through which the femoral vein, artery and nerve goes through, when they leave the abdominal cavity and come to the upper leg. This is quite a narrow space, but can sometimes be big enough for hernia to occur. This hernia occurs as a bulge below the inguinal crease. It is more common in women and often causes complications.

Umbilical hernia
  • The incidence of hernia is between 10 and 30 percent. It is often evident at birth, similar to inguinal hernia which occurs in the form of protrusions or the area directly around the navel. This occurs when an opening in the abdominal wall does not close all the way completely. If umbilical hernia is small, it is usually closed by the second year of life. Those that are not closed, or are in beginning large, should be operated between the second and fourth year of life. The hernia can develop in adults, due to the weakness in this part of the anterior of abdominal wall, or in women after childbirth.

Central hernia
  • Operational procedures on the front abdominal wall may later cause a hernia at the site. According to statistics, the likelihood of hernia after surgery is 2 to 10 per cent.

Spigelian hernia
  • Quite rare hernia. It is located on the outer edge of the right abdominal muscle, a few centimetres in side of the middle abdominal line.

Obturator hernia
  • This is an extremely rare condition and occurs mainly in women. In this case, the content of hernia obturator passes through the channel, which is located in front of the aperture of the pelvic bone. Because in this case there is no classic bulging, the first signs of its existence can be intestinal obstruction (nausea and vomiting).

Epigastric hernia
  • They appear as bulging of the abdominal middle line between the navel and the lower rib cage. They are formed in the area of ​​relative weakness of the abdominal wall and are often painful.

Internal hernia
  • They occur when the body through a weak spot in the abdominal passes from one area to another, and it prevents the normal discharge of that organ. Internal hernia is not as inguinal hernia, but it is visible from the outside with the naked eye, it is usually accompanied by intense pain, discomfort and embarrassment, frequent need to change the position of the body, nausea, frequent vomiting, and lack of stool. The most common is a hiatus hernia - stomach hernia.

Surgery of Inguinal hernia; experiences

If your inguinal hernia is small and does not cause pain and does not create additional problems, doctors can then recommend you just to rest and wait. With the increase in the hernia in the groin with the occurrence of pain, the most common approach is surgery, to prevent more serious health complications.

The only long-term form of treatment is surgery of inguinal hernia, which today is performed under local anaesthesia, and patients remain in the hospital for one day. It is a simple intervention operation and after it the recovery is rapid. Liechtenstein operations of hernia is considered a standard in surgery for inguinal hernia all. This simple method of hernia opening in the diaphragm covers the mesh (incorporate the prosthetic implant) which strengthens the weakened place. Lichtenstein technique virtually has no relapses or are they at the level of around one percent, because it is considered a very successful technique.
What is Laparoscopic hernia surgery?

Despite the fact that more and more people talks about the benefits of laparoscopy surgery, surgeons often opt for open surgery hernia when it comes to inguinal hernia. Laparoscopy is mainly practiced in the case of repeated hernia and bilateral hernia - if the hernia is on both sides of the diaphragm.

Inguinal hernia surgery recovery

After Liechtenstein surgery recovery is much faster than with laparoscopy. The patient goes home the same day or perhaps spends a night in hospital under the supervision of doctors and professional staff. The pain is of medium intensity, lasting two to three days, and then disappear and vanishes. Sutures are removed seven days after surgery. To daily activities the patient returns after seven days, and go to work after two or three weeks. Playing sports is allowed only after three weeks of inactivity. After four weeks, the patient can behave as if there was no operation at all and completely forget about the problems caused by inguinal hernia.

According to world statistics, after the laparoscopic surgery re-emergence of a hernia is possible at around seven percent. Today this is a rarely applied method. It is based on attracting a portion of muscle to the other one and the opening is closed by sutures. Inguinal hernia occurs with this method in the percentage of 7 to 10 per cent. However, in these patients a much longer period of standstill is required, minimum three months without any physical activity and effort - even riding a bike is not allowed in this period.

What complications can untreated inguinal hernia cause? 

In modern medical practice inguinal hernia and other forms of hernia can be solved while the problems are relativity small, with less aggressive treatment. Because, if it comes to hernia through which food goes through, untreated condition can lead the patient to a great danger. In fact, it may happen that food enters the body, but does not go from it. This situation - nip hernia - results in blocking of blood flow and can be life threatening to patients, because if there is no blood flow it leads to tissue death, infection and sepsis.

Also, if you fail to operate hernia, coalescence or the formation of large inguinoscrotal hernia can occur, the contents of which goes all the way to the scrotum.

What is the best prevention of hernia?

Inguinal hernia in men can be prevented by a healthy lifestyle. Reducing obesity and daily physical activity slowing down the degeneration and weakening of the muscles of the abdominal wall. Healthy eating foods rich in fibre will enable regular digestion, smoking cessation eliminates the risk of persistent cough, regular visits to a urologist, to control the prostate, this is especially recommended for men who are older than 45, they will remove all problems with urination.

Doctors advise playing sports in youth to avoid severe physical effort in middle age to avoid inguinal hernia.