Doctor insights on:
Inguinal Hernia Nerve Entrapment
What are symptoms of nerve entrapment/injury after inguinal hernia surgery. And if exist how to detect that one is nerve entrapment?
Clinical: Sharp/burning/lancinating pain traveling from the incision to the pubic area, scrotum, or thigh, tingling sensation in these area, pain with stretching, coughing/sneezing, pain relief w/ local anesthetic injection are usually diagnostic. Imaging study (e.g. Mri, us) is rarely needed. Symptoms may occur soon after surgery, or months to years later. Neurectomy has a 90% cure rate. ...Read more
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
I had an inguinal hernia operation in 2010.I feel pain in incision when I ejaculate. A doctor told me this is nerve entrapment. How to deal with it?
The condition your described, if severe, it may lead to erectile dysfunction because of mental distraction. How to handle this? Diagnostic nerve block followed with surgical excision of "neuroma" and regional neurectomy can be very helpful, but you have to locate a competent, trustworthy urological surgeon to help you.
On the other hand, if the pain slowly and surely getting better, give time. ...Read more
Yes, right inguinal hernia done open in 2010 had burning numbness since operation and now feeling nerve and cord being pulled?
See a doctor:
Numbness after hernia surgery is kind of normal the burning part not as much. The pulling sensation could be considered normal right after surgery but not after four years
my advise go and see a doctor either follow with the surgeon that did your surgery or see your family physician
meanwhile take ibuprofen 600 mg three times a day with meals for a week and apply heat pad to the area
good luck ...Read more
I had an inguinal hernia surgery (open repair) in 2010.I want to know if nerves are trapped during hernia surgery how this problem can be resolved?
Ilioinguinal nerve: It is possible that a nerve in the area (ilioinguinal) is giving you trouble. Other nerves may be involved. Other options include hernia recurrence (sometimes can't feel on outside) or routine strain injuries to name a few. A surgeon can inject anesthetic at a certain area where the ilioinguinal nerve runs (near ASIS) to see if it is an issue. If it is, part of nerve may be removed to help. ...Read more
Yes: Nerve injuries are rare complications of open & laparoscopic hernia repair. In open surgery, the nerve that innervates the skin of the groin & thigh is prone to injury, leading to numbness or pain. In laparoscopic repair, a tack holding the mesh can irritate branches of the same nerve, or, more rarely, catch a nerve to the leg. Chronic pain responds to injecting the nerve, if necessary. ...Read more
Shooting pain down top of thigh 8 weeks post inguinal hernia op. Dr thinks from scar tissue pressing on nerve. Will scar tissue on nerve go away on own?
No, but evolve to...: Scar is forever and will not disappear completely, but evolve through its expected healing process, which is most noticeably over the first 6 months after surgery and maximize its maturation around 2 yrs. How to handle such post-surgical pain? Time & patience are the best medicines. So, it is ok to just watch and see as long as slowly but surely getting better day by day. There is no magic around. ...Read more
Going to Shouldice hospital for inguinal hernia repair. I have read they remove genitofemoral nerve in Shouldice technique. Will I miss this nerve?
No: If they do it could have an area of numbness which is of no significance!! ...Read more
Inguinal hernia surgery 10 weeks ago now nerve pain down center thigh for past 4 weeks. What is causing & how to fix it. Not just mask with gabapentin.?
You have this rare but frustrating symptom (s) followng hernia repair but further surgery or aggressive treatment is usually not successful in relieving your pain. TIME OFTEN results in gradual diminishing discomfort and the "masking" by Gabapentin in the MEANTIME is an excellent choice!
Hope this is helpful
Dr Z ...Read more
Post 8 weeks Inguinal hernia surgery having sharp nerve pain down left thigh for 2 weeks. Doctor thinks from Genitofemoral nerve. What can fix this?
Nerve irritation.: This should settle down with time. Good Luck! ...Read more
I am feeling pain in surgical side of inguinal hernia repair. I want know will nerve entrapment/ irritation and infection show on an MRI scan?
Clinical exam: You had an open hernia repair and are concerned for nerve entrapment. You want to know if MRI will help in diagnosis. Most surgeons will examnine you and take a history. They may refer you to a pain specialist to block the area and get rid of the pain. It can usually be controlled this way but does have a risk of causing over sensitivity. In this region. Follow with your surgeon. ...Read more
I had an inguinal hernia surgery in 2010.I feel pain in incision when I ejaculate, surgeon told me to sit in water water tub. Is this nerve entrapment?
INCARCERATED hernia: Any hernia may incarcerate and cause bowel obstruction. Incarceration is when the contents of a hernia 'gets stuck' and the blood flow to the area ceases causing the tissue to be at risk for dying (ischemia-infarct). Immediate surgery is indicated. The signs of bowel obstruction are: nausea, vomiting, abdominal pain, lack of gas passage.. ...Read more
You need to see: The doctor, initial stages only the physician can detect, later appear as a painless bulge that goes away by lying down, If untreated other complications will set in. Make sure to see your doctor ...Read more
Yes it can: It can, but the overall chance is low. Even though the chance is low, it is unpredictable if it will happen to you or not. Additionally, unit happens, it can be life threatening. Also, planned repair is generally associated with less risk than emergency repair, and you can pick your surgeon for planned repair. Check the Americas hernia Society website to find the surgeon interested in hernia repair. ...Read more
Generally no: Rarely an inguinal hernia can become trapped or incarcerated, resulting in severe pain. The trapped hernia can contain intestine that can result in intestinal blockage and risk of injury to the trapped bowel requiring emergency surgery. This is generally a rare occurrence. See a doctor to examine the hernia. ...Read more
Location: A hiatal hernia occurs in the diaphragm, so that abdominal organs end up in the chest (usually just part of the stomach). An inguinal hernia occurs in the groin. The treatments are different, although both can be approached without a long traditional incision (laparoscopic surgery). ...Read more
Pain, vomiting: An incarcerated or strangulated hernia is often very painful, and there would be a painful hard lump at the hernia site that does not go back inside. Vomiting and sometimes low fever. Often unable to eat. It is usually a distinctive and significantly new change of marked painful swelling at the hernia, and can be a surgical emergency. ...Read more
Laparoscopic hernia: I perform both open and laparoscopic hernias, but would have it done laparoscopically if I had a hernia. The lap hernia has a smaller scar, less pain, quicker recovery time, allows you to look at the opposite side for a hernia (and repair it if found) and the same recurrence rate as open inguinal hernia repairs. ...Read more
Hernia: Generally speaking, no. The usual predisposing factors for epididymitis are frequent urinary tract infections, sexually transmitted diseases, urinary flow problems from prostatic hypertrophy. In addition, recent surgery, especially in the urogenital region can cause it as well, so theoretically, a recent varicoselectomy could cause it. Best to see a urologist. ...Read more
Inguinal Hernia: A reducible inguinal hernia means that with pressure, it reduces or returns back into the abdominal cavity. With standing, coughing, sneezing...it often returns to the outside and is visible and/or palpable again. One common point of view is that Inguinal hernias typically need surgery to prevent them from getting larger and more symptomatic. See a surgeon to see if yours needs surgery. ...Read more
Support will not: External support, or uses of truss will not prevent formation of inguinal hernia, may just hold the hernia not to pop out as the hernia is due to congenital or acquired weakness in the inguinal floor. Body building is a severe sternaous exercise, if you have weak inguinal floor it gives away and form the hernia. Don't worry get it fixed and continue. ...Read more
Better to say...: Constipation can be a sign of a complicated hernia especially if that hernia is hard and you cannot push it in anymore. A hernia is a piece of bowel coming out through an opening in your abdominal wall in this case the groin area. If you cannot have a bowel movement, the hernia is painful and hard it then is time to see a doctor for emergency check now. ...Read more
Incarceration: It is possible for a hernia in the inguinal location to intermittently incarcerate. If the hernia is large enough, contents from your peritoneal space, like a loop of bowel, can go in and out of the hernia. This is called incarceration. When a bowel loop is partially pinched, or out, in the hernia, it is possible to experience gassiness. You might benefit from elective hernia repair. ...Read more
It depends if: You are the patient or the surgeon. But seriously it depends on the size of hernia, its location, your pain tolerance, and all kinds of things. And major and minor are relative terms. I tell my patients that every operation is important and for me it is the most major thing that I am doing at the time. ...Read more
Nerve irritation: A common symptom associated with inguinal (groin) hernias is a burning sensation overlying the groin and/or the thigh. This is due to the hernia pushing up against the nerves that innervate these areas. While rarely disabling, this symptom will go away after hernia repair. ...Read more
"incarcerated"hernia: The omentum is a large apron of fat that covers the abdominal organs. An inguinal hernia is a hole in the abdominal wall thru which abdominal organs can get stuck, or incarcerated. In your case, the omentum has gotten stuck--while this is less worrisome than bowel, it still can cause a lot of pain and should prompt hernia repair. I recommend that you see a hernia surgeon. ...Read more