I need double hernia surgery. i have brown spots on my scrotum that look like warts but are growing hair out of most of them. can my hernias cause angiokeratomas on my scrotum? also can angiokeratomas grow hair and look like a wart?

Inguinal hernia does increase the risk of angiokeratomas. However, you should see a dermatologist for ruling out warts.

Hernias are weakness in the abdominal wall thru which abdominal contents can protrude. Angiokeratoma is a very rare glycogen storage disease which gives bluish round growths anywhere in the body. The two are not related. You should see a dermatologist or Urologist as your speculation of having angiokeratoma is wrong.