Different Types of Hernia in Men
Oct 20, †Ј Hernia causes Hernias are caused by a combination of muscle weakness and strain. Depending on its cause, a hernia can develop quickly or over a long period of time. May 10, †Ј Hernias generally result from weak areas in your abdominal muscles and ligaments, causing your intestines or blood vessels to pass through and bulge. Men commonly describe the sensation of a hernia as feeling like something has popped, or given way. The name of a hernia relates to its location on the body.
Medically reviewed by Drugs. Last updated on Oct 12, When part of an organ protrudes through an abnormal opening or in an abnormal way, this is called a hernia. A groin inguinal hernia occurs when part of the intestine bulges through a weak spot in the abdominal wall at the inguinal canal.
The inguinal canal is a passageway through the abdominal wall near the groin. Inguinal hernias are up to 10 times more common in men than in women. About one in four men develop a hernia at some point in life.
In adults, direct and indirect inguinal hernias look and feel about the same. They can occur on one or both sides of the groin. Your doctor may not know which type of hernia you have until surgery is performed. However, both types of hernias are treated in a similar manner. A type of hernia called a femoral hernia can appear similar to an inguinal hernia.
Femoral hernias are much more common in women than in men. They may cause a lump that appears just below the groin and extends into the upper portion of the thigh. In a femoral hernia, a portion of the intestine protrudes through the passage that is normally used by large blood vessels the femoral artery and vein when they pass between the abdomen and the leg. Femoral hernias are most common in older, overweight women. At first, an inguinal hernia either may not cause any symptoms or may cause only a feeling of heaviness or pressure in the groin.
Symptoms are most likely to appear after standing for long periods, or when you engage in activities that increase pressure inside the abdomen, such as heavy lifting, persistent coughing or what causes a hernia in men while urinating or moving the bowels. As the hernia grows, it eventually causes an abnormal bulge under the skin near the groin.
This bulge may become increasingly more uncomfortable or tender to the touch. As the hernia increases in size, a portion of herniated intestine may become trapped and unable to slide back into the abdomen. If this happens, there is a danger that the trapped intestine may twist and die because its blood supply is cut off.
This causes severe pain and requires immediate treatment. Your doctor will review your symptoms and medical history. He or she will ask you when you first noticed the lump in your groin, whether it has become larger, and whether it hurts. Doctors can diagnose what causes a hernia in men inguinal hernias by examining the area. Your doctor will look for an abnormal protrusion near your groin and will feel the area to check for a mass.
Often, the protruding hernia can be pushed back temporarily into the abdomen with careful pressure. Your doctor may ask you to cough or strain, which may make the hernia easier to feel or see. In some cases, your doctor may need to confirm the diagnosis with an ultrasound what is best buy refurbished products computed tomography CT scan. In these procedures, painless sound waves or X-rays can distinguish a hernia from other causes of a mass in the groin area, such as an enlarged lymph node swollen gland.
An inguinal hernia will not heal on its own. It is likely to become larger and cause increased discomfort until it is repaired. Hernias that are not repaired can cause bowel obstruction or strangulation, which is when part of the intestine dies because its blood supply is cut off. Indirect hernias in children cannot be prevented. To reduce the risk of inguinal hernia as an adult, you can:.
Not all hernias need to be treated. However, most hernias that cause symptoms or that become even a little larger should be repaired by a surgeon. While awaiting surgery, some people wear a device called a truss, which puts pressure on the hernia and may help relieve discomfort temporarily. Except in very rare cases, the truss should not be considered a long term solution. There are two basic types of hernia repair: open surgery or laparoscopic surgery.
Both usually are done on an outpatient basis and take about one hour to complete. Contact your doctor if you develop a lump, tenderness or a persistent feeling of heaviness in your groin area.
In babies and young children, call your doctor promptly if you notice a lump in the child's groin or scrotum. Hernia surgery is very safe and usually quite effective. After open surgery, the person can usually resume normal activities within one to two weeks. For laparoscopic surgery, full recovery generally takes one week or less. After any hernia surgery, the person should avoid heavy lifting for six to eight weeks or as long as the doctor directs to allow muscle and tissues to heal completely.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Inguinal Hernia Medically reviewed by Drugs. There are two types of inguinal hernias: Indirect inguinal hernia Ч This occurs when the internal opening of the inguinal canal, which usually closes around the time of birth, remains open.
This allows a portion of the intestine to slip through the inguinal canal. These hernias often are diagnosed within the first year of life, but may not show up until adulthood.
Direct inguinal hernia Ч This occurs when a portion of the intestine protrudes through a weakness in the abdominal muscles along the wall of the inguinal canal. These are common in adults, but rarely occur in children. Symptoms At first, an inguinal hernia either may not cause any symptoms or may cause only a feeling of heaviness or pressure in the groin. Diagnosis Your doctor will review your symptoms and medical history. Expected Duration An inguinal hernia will not heal on its own.
Prevention Indirect hernias in children cannot be prevented. To reduce the risk of inguinal hernia as an adult, you can: Maintain a normal body weight. Exercise regularly to strengthen abdominal muscles. Avoid straining while defecating or urinating. Avoid lifting heavy objects. Treatment Not all hernias need to be treated. Open surgery Ч Most inguinal hernias are repaired by open surgery with the patient under general or local anesthesia.
After the surgeon makes an incision in the groin, he or she pushes the herniated tissue back into place and repairs the hernia opening with stitches. In many cases, a small piece of synthetic mesh material is used to reinforce the area to prevent another hernia.
Laparoscopic surgery Ч In laparoscopic hernia repair, a surgeon makes three small incisions in the abdominal wall and then inflates the abdomen with a harmless gas. The surgeon then inserts what to do at the grand canyon north rim laparoscope through the incisions.
A laparoscope is a tube-like instrument with a small video camera and surgical instruments. While viewing the internal scene on a monitor, the surgeon pushes the herniated intestine back into place and repairs the hernia opening with surgical staples. Although this surgery seems attractive to many people, the long-term success rate is lower compared to open surgery. Laparoscopic surgery often causes less discomfort, and lets the person return to activities more quickly. If you are interested in laparoscopic surgery, discuss the advantages and disadvantages with your doctor.
When To Call a Professional Contact your doctor if you develop a lump, tenderness or a persistent feeling of heaviness in your groin area.
Prognosis Hernia surgery is very safe and usually quite effective. Care Notes 1 related article. Mayo Clinic 1 related article. Subscribe to our newsletters. FDA Safety Alerts.
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What causes a hernia? Inguinal and femoral hernias are due to weakened muscles that may have been present since birth, or are associated with aging and repeated strains on .
A hernia occurs when an internal organ or other body part protrudes through the wall of muscle or tissue that normally contains it. Most hernias occur within the abdominal cavity, between the chest and the hips. Inguinal and femoral hernias are due to weakened muscles that may have been present since birth, or are associated with aging and repeated strains on the abdominal and groin areas. Such strain may come from physical exertion, obesity, pregnancy, frequent coughing, or straining on the toilet due to constipation.
Adults may get an umbilical hernia by straining the abdominal area, being overweight, having a long-lasting heavy cough or after giving birth. The cause of hiatal hernias is not fully understood, but a weakening of the diaphragm with age or pressure on the abdomen could play a part. A hernia in the abdomen or groin can produce a noticeable lump or bulge that can be pushed back in, or that can disappear when lying down.
Laughing, crying, coughing, straining during a bowel movement, or physical activity may make the lump reappear after it has been pushed in. More symptoms of a hernia include:. In the case of hiatal hernias there are no bulges on the outside of the body. Instead, symptoms may include heartburn , indigestion, difficulty swallowing, frequent regurgitation bringing food back up and chest pain.
It is usually possible to see or feel a bulge in the area where a hernia has occurred by physical exam. In some cases, soft-tissue imaging like a CT scan will accurately diagnose the condition. When you have a hernia, treatment will start with your primary care provider. In fact, ventral hernia repairs are one of the most common operations U. A neglected hernia can grow larger and more painful Ч this can lead to complications and possibly emergency surgery.
Early repair is more successful, less risky and offers a better recovery and outcome. Hernias usually do not get better on their own, and surgery may be the only way to repair them.
However, your doctor will recommend the best therapy to address your hernia, and may refer you to a surgeon. If the surgeon thinks it is necessary to repair your hernia, then the surgeon will tailor the method of repair that best meets your needs.
In the case of an umbilical hernia in a child, surgery may be recommended if the hernia is large or if it has not healed by the age of 4 to 5 years old. By this age, a child can usually avoid surgical complications. If an adult has an umbilical hernia, surgery is usually recommended because the condition will not likely improve on its own and the risk of complications is higher. Each type of surgery has its advantages and disadvantages.
Other than umbilical hernias in babies, hernias will not disappear on their own. Over time, a hernia can grow larger and more painful or can develop complications. After surgery, you will be given instructions. These include what diet to follow, how to care for the incision site, and how to take care to avoid physical strain. Hernias may recur regardless of the repair operations. This is sometimes caused by inherent tissue weakness or protracted healing.
Smoking and obesity are also major risk factors for hernia recurrence. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Hernia A hernia happens when an internal organ pushes through a weak spot in your muscle or tissue. There are several types of hernia that you can experience including, inguinal hernias, femoral hernias, umbilical hernias and hiatal hernias.
Appointments The most common forms of hernia are: Inguinal hernia : In men, the inguinal canal is a passageway for the spermatic cord and blood vessels leading to the testicles. In women, the inguinal canal contains the round ligament that gives support for the womb.
In an inguinal hernia, fatty tissue or a part of the intestine pokes into the groin at the top of the inner thigh. This is the most common type of hernia, and affects men more often than women. Femoral hernia : Fatty tissue or part of the intestine protrudes into the groin at the top of the inner thigh. Femoral hernias are much less common than inguinal hernias and mainly affect older women. Umbilical hernia : Fatty tissue or part of the intestine pushes through the abdomen near the navel belly button.
Hiatal hiatus hernia : Part of the stomach pushes up into the chest cavity through an opening in the diaphragm the horizontal sheet of muscle that separates the chest from the abdomen. Other types of hernias include: Incisional hernia : Tissue protrudes through the site of an abdominal scar from a remote abdominal or pelvic operation. Epigastric hernia : Fatty tissue protrudes through the abdominal area between the navel and lower part of the sternum breastbone.
Spigelian hernia : The intestine pushes through the abdomen at the side of the abdominal muscle, below the navel. Diaphragmatic hernia : Organs in the abdomen move into the chest through an opening in the diaphragm. How common are hernias? Symptoms and Causes What causes a hernia? What are the symptoms of a hernia? More symptoms of a hernia include: Swelling or bulge in the groin or scrotum the pouch that contains the testicles. Increased pain at the site of the bulge. Pain while lifting. Increase in the bulge size over time.
A dull aching sensation. A sense of feeling full or signs of bowel obstruction. Diagnosis and Tests How is a hernia diagnosed? Management and Treatment What kind of doctor do you see for a hernia?
How is a hernia treated? One of three types of hernia surgery can be performed: Open surgery , in which a cut is made into the body at the location of the hernia. The protruding tissue is set back in place and the weakened muscle wall is stitched back together. Sometimes a type of mesh is implanted in the area to provide extra support.
Laparoscopic surgery involves the same type of repairs. However, instead of a cut to the outside of the abdomen or groin, tiny incisions are made to allow for the insertion of surgical tools to complete the procedure.
Robotic hernia repair , like laparoscopic surgery, uses a laparoscope, and is performed with small incisions. With robotic surgery, the surgeon is seated at a console in the operating room, and handles the surgical instruments from the console.
While robotic surgery can be used for some smaller hernias, or weak areas, it can now also be used to reconstruct the abdominal wall. What can happen if a hernia is not treated? Complications of an untreated inguinal or femoral hernia may include: Obstruction incarceration : Part of the intestine becomes stuck in the inguinal canal, causing nausea, vomiting, stomach pain, and a painful lump in the groin.
Strangulation : Part of the intestine is trapped in a way that cuts off its blood supply. In such cases, emergency surgery within hours of occurring is necessary to prevent tissue death.
Prevention How can a hernia be prevented? Maintain ideal body weight by eating a healthy diet and exercising. Eat enough fruits, vegetables and whole grains to avoid constipation. Use correct form when lifting weights or heavy objects. Avoid lifting anything that is beyond your ability. See a doctor when you are ill with persistent coughs or sneezing.
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