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When Is Sex Ok After An Inguinal Hernia Repair

On this folio:

  • What is an inguinal hernia?
  • How mutual are inguinal hernias?
  • Who is more likely to have an inguinal hernia?
  • What are the complications of inguinal hernias?
  • What are the symptoms of an inguinal hernia?
  • What causes inguinal hernias?
  • How exercise doctors diagnose inguinal hernias?
  • What tests exercise doctors use to diagnose inguinal hernias?
  • How practice doctors care for inguinal hernias?
  • How exercise doctors treat the complications of inguinal hernias?
  • What tin can I await subsequently surgery to treat an inguinal hernia?
  • What are the risks of hernia surgery?
  • Clinical Trials for Inguinal Hernia

What is an inguinal hernia?

An inguinal hernia is a bulging of the contents of the abdomen through a weak surface area in the lower intestinal wall. Inguinal hernias tin can occur at either of two passages through the lower abdominal wall, one on each side of the groin. These passages are chosen inguinal canals. Inguinal hernias can as well occur through 2 deeper passages in the groin called the femoral canals. Hernias through these passages are as well known as femoral hernias.

Inguinal hernias most oft contain fat or part of the small intestine. In girls or women, inguinal hernias may contain role of the female reproductive system, such equally an ovary. When an inguinal hernia occurs, part of the peritoneum—the lining of the intestinal crenel—bulges through the abdominal wall and forms a sac around the hernia.

Inguinal hernias may slide in and out of the abdominal wall. A doctor can often motility an inguinal hernia back within the abdominal wall with gentle massage.

Inguinal hernias typically develop on one side of the groin and form on the right side more than often than on the left. Some people who have an inguinal hernia on one side volition have or will develop a hernia on the other side.

A human torso, with an inset image showing an inguinal hernia.
An inguinal hernia happens when contents of the abdomen bulge through a weak area in the lower intestinal wall.

How common are inguinal hernias?

Inguinal hernias are relatively mutual. Researchers approximate that nearly 27 percent of men and 3 percentage of women will develop an inguinal hernia at some bespeak in their lives.one

Who is more than probable to have an inguinal hernia?

Inguinal hernias are more mutual in certain age groups.

  • Among adults, the chance of having an inguinal hernia increases with historic period, and inguinal hernias are most common in people ages of 75 to 80.2
  • Among children, inguinal hernias are well-nigh common in those between the ages of 0 and 5 years.2
  • Among infants, inguinal hernias are more common in premature infants.3

Inguinal hernias are also more common in4

  • males, who are 8 to x times more than likely than women to develop inguinal hernias
  • males who have had prostatectomy
  • people with a family history of inguinal hernias
  • people who have a lower trunk mass index (BMI)
  • people who accept connective tissue disorders

What are the complications of inguinal hernias?

Inguinal hernias may become stuck, or incarcerated, pregnant the contents of the hernia that bulge through the abdominal wall cannot be massaged dorsum within the abdominal wall.

If a hernia becomes stuck exterior the abdominal wall, it may become strangulated, pregnant the blood flow to the hernia is cutting off. Lack of blood period can crusade the decease of tissues inside the hernia.

If a hernia that contains part of the small intestine becomes stuck and strangulated, this tin can lead to intestinal obstruction and decease of the strangulated part of the intestine.

What are the symptoms of an inguinal hernia?

Symptoms of an inguinal hernia may include

  • a bulge in the groin—the area between the lower abdomen and thighs
  • a bulge in the scrotum in a male
  • feelings of discomfort, pain, heaviness, or burning in the groin

Your symptoms may get worse when you strain, elevator, cough, or stand for a long fourth dimension and may go amend when y'all rest or lie down.

Seek medical help right away

If you have symptoms of a stuck or strangulated hernia, seek medical help correct away. A strangulated hernia is a life-threatening condition.

Symptoms of stuck or strangulated hernias may include

  • a hernia bulge that is all of a sudden larger than before
  • a hernia bulge that used to become back within the belly simply no longer does
  • fever
  • redness in the area of the hernia
  • sudden or astringent pain or tenderness in the area of the hernia
  • symptoms of intestinal obstruction, such as abdominal pain, bloating, nausea, and vomiting

What causes inguinal hernias?

A weak area in the muscles and connective tissue of the lower intestinal wall at the inguinal canal allows an inguinal hernia to develop. A hernia can form in different ways, causing two types of hernias.

  • Indirect inguinal hernias are related to a defect in the lower intestinal wall that is present at birth. In a developing fetus, the inguinal canals have openings inside the abdomen that typically close before nascence. In some cases, one or both openings remain open. Contents of the abdomen may bulge through this opening, causing a hernia. While the defect is present at birth, an indirect inguinal hernia may not occur until many years later.
  • Direct inguinal hernias are related to a weak area in the inguinal canal wall that develops later in life. Contents of the abdomen may bulge out through this weak expanse, causing a hernia. This type of hernia primarily occurs in men. Women and children rarely develop this type of hernia.

Researchers are studying other factors that might play a role in causing inguinal hernias. These factors include

  • connective tissue that is weaker than normal or connective tissue disorders
  • genes that increase the take a chance of inguinal hernias
  • health conditions that cause increased pressure inside the abdomen, such as chronic cough or chronic constipation
  • regular or repeated activities that cause increased pressure level inside the belly, such every bit heavy lifting and standing or walking for many hours each day at work

How do doctors diagnose inguinal hernias?

To diagnose an inguinal hernia, your doctor volition ask well-nigh your medical history and symptoms and perform a concrete exam. In some cases, doctors also order imaging tests.

During a physical exam, the md will examine your abdomen. The medico may ask you to stand, cough, or strain while he or she checks for a bulge acquired by the hernia. The doctor may attempt to gently massage the contents of the hernia back into the belly.

Doctor talking with a patient.
To diagnose an inguinal hernia, your doctor volition ask about your medical history and symptoms and perform a concrete exam.

What tests exercise doctors use to diagnose inguinal hernias?

If the diagnosis is not clear after a concrete test, your doctor may order imaging tests to bank check for an inguinal hernia. Doctors may besides employ imaging tests to bank check for complications.

Imaging tests may include

  • ultrasound, which uses sound waves to create an image of your organs
  • computed tomography (CT), which uses a combination of x-rays and computer applied science to create images
  • magnetic resonance imaging (MRI), which takes pictures of your body's internal organs and soft tissues without using 10-rays

How practice doctors treat inguinal hernias?

Well-nigh people with inguinal hernias will need surgery to repair the hernia. Several different types of open and laparoscopic hernia surgery are available. The type of surgery your doctor recommends may depend on factors such as the size of the hernia and your age, wellness, and medical history.

Open hernia surgery

In open hernia surgery, a surgeon makes a cut in your groin to view and repair the hernia. Afterward repairing the hernia, surgeons typically use stitches and a piece of mesh to shut the abdominal wall. The mesh strengthens the weak area where the hernia occurred. In some cases, surgeons may use stitches alone to close and strengthen the weak expanse in the abdominal wall.

Patients most ofttimes receive local anesthesia and a sedative for open hernia surgery. In some cases, doctors may requite patients general anesthesia or a spinal block to make the body numb from the waist down.

Laparoscopic hernia surgery

In laparoscopic hernia surgery, a surgeon makes several pocket-sized cuts in your lower abdomen and inserts special tools to view and repair the hernia. The surgeon uses a piece of mesh to close and strengthen the intestinal wall.

Patients nigh oft receive general anesthesia for laparoscopic hernia surgery. Recovery time later laparoscopic surgery may be shorter than later open hernia surgery.

A surgeon using forceps to hold a piece of surgical mesh.
During hernia surgery, surgeons may utilise a piece of mesh to close and strengthen the intestinal wall.

Watchful waiting

Research suggests that men with inguinal hernias that cause few or no symptoms may be able to safely delay surgery, an approach called watchful waiting.4,5 Men who delay surgery should scout for symptoms and see a doctor regularly. About lxx percent of men who delay surgery will develop new or worsening symptoms and will demand surgery inside 5 years.iv

How do doctors care for the complications of inguinal hernias?

If an inguinal hernia causes complications, such as condign stuck or strangulated, you lot will need emergency surgery to repair the hernia and treat the complications.

What tin I expect later surgery to treat an inguinal hernia?

You may take some pain or discomfort after hernia surgery. The pain is typically mild and goes away within 2 weeks after surgery.4 Your doctor volition recommend medicines to relieve hurting.

Talk with your doctor about when you can safely return to your usual activities later hernia surgery. Many people can go dorsum to piece of work and resume daily activities within 3 to 5 days after hernia surgery.4

What are the risks of hernia surgery?

Surgery to repair an inguinal hernia is quite safe. However, possible complications of hernia surgery include

  • urinary retentivity
  • infection
  • swelling in the area you had surgery due to a buildup of blood, chosen a hematoma, or a buildup of blood plasma, called a seroma
  • chronic or severe pain
  • render of the hernia, which may require another surgery

Serious complications, such as impairment to blood vessels or organs, are rare.

Talk with your doctor about the risks of hernia surgery and symptoms you should scout for later on surgery. For example, you should call your doc correct abroad if you take

  • bleeding, drainage, or redness in the expanse where you had surgery
  • fever or chills
  • nausea or vomiting
  • pain or swelling in your abdomen
  • pain or swelling in your groin that gets worse
  • pain that is severe or doesn't get improve when you lot take pain medicines
  • bug breathing
  • problems urinating

Clinical Trials for Inguinal Hernia

The NIDDK conducts and supports clinical trials in many diseases and conditions, including digestive diseases. The trials look to observe new ways to prevent, discover, or treat disease and improve quality of life.

What are clinical trials for inguinal hernia?

Clinical trials—and other types of clinical studies—are part of medical research and involve people like you. When you volunteer to accept role in a clinical study, you lot assist doctors and researchers learn more about disease and improve health care for people in the hereafter.

Researchers are studying many aspects of inguinal hernias, such as

  • the safest fourth dimension to perform surgery in premature infants born with inguinal hernias
  • the likelihood that infants born with an abdominal wall defect will develop an inguinal hernia during babyhood
  • means to manage pain without opioids after hernia surgery
  • strategies to reduce hernia surgery complications, such equally urinary retention

Find out if clinical studies are right for you.

Watch a video of NIDDK Director Dr. Griffin P. Rodgers explaining the importance of participating in clinical trials.

What clinical studies for inguinal hernias are looking for participants?

Yous can notice clinical studies on inguinal hernias at www.ClinicalTrials.gov. In add-on to searching for federally funded studies, you tin can aggrandize or narrow your search to include clinical studies from industry, universities, and individuals; however, the NIH does not review these studies and cannot ensure they are prophylactic. Always talk with your health intendance provider before yous participate in a clinical study.

References

Source: https://www.niddk.nih.gov/health-information/digestive-diseases/inguinal-hernia

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