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Doctor insights on: Spermatic Cord Hernia

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Dr. Herman Hammerstead Dr. Hammerstead
Surgery - Trauma
46 years in practice
University of Louisville School of Medicine
1
Dr. David Earle
1,437 Doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more


Dr. Ayisha Gani Dr. Gani
Internal Medicine
years in practice
Madurai University, Tirunelveli Medical College
2

2
I've just been diagnoised with inagual hernia on right side and lipoma of spermatic cord on left, doc says not to worry but it is painful,?

I've just been diagnoised with inagual hernia on right side and lipoma of spermatic cord on left, doc says not to worry but it is painful,?

Painful hernia.: Usually they both could be monitored as long as remains asymptomatic, If gets painful, it may need an intervention and correction.

Dr. David Earle Dr. Earle
Surgery
27 years in practice
University of Arizona College of Medicine
3

3
Had hernia op 6 weeks ago. Now my testicle and spermatic cord is paining. When I touch them the pain increases and even feel vomiting type.

Had hernia op 6 weeks ago. Now my testicle and spermatic cord is paining. When I touch them the pain increases and even feel vomiting type.

Not typical: Your symptoms are not typical, and you should return to your surgeon for an exam. There are many factors involved such as the amount of pain preop, type of repair, and whether or not there were any problems with the repair such as bleeding, also called a hematoma. In the mean time, try myoflex cream or aspercreme for pain relief. Good luck!

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Dr. Tariq Niazi Dr. Niazi
Orthopedic Surgery
39 years in practice
University of Peshawar, Khyber Medical College
4

4
1 year after inguinal lap. Bilat. Hernia repair, I still have "pulling" pain sensation on right spermatic cord and "lifted" testicle. What to do?

1 year after inguinal lap. Bilat. Hernia repair, I still have "pulling" pain sensation on right spermatic cord and "lifted" testicle. What to do?

Check with your sur-: Geon. If the symptoms are not getting worse in any way, then probably give it another 3-6 months, to see if they settle down. If getting worse then if your surgeon is unable to explain it or reassure you, then have a 2nd opinion from another surgeon.

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Dr. Karen Butler Dr. Butler
Family Medicine
17 years in practice
Central University of the East School of Medicine (UCE)
5
Dr. Karen Dantin Dr. Dantin
Family Medicine
33 years in practice
Louisiana State University School of Medicine in Shreveport
6
Dr. Edgar Mendizabal Dr. Mendizabal
Internal Medicine
51 years in practice
Greater Bolivian University of San Andres
7
Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
8
Dr. Robert Uyeda Dr. Uyeda
Surgery
41 years in practice
Boston University School of Medicine
9

9
I want to know during an inguinal hernia surgery (open repair with mesh) what does a doctor do to hernia sac and spermatic cord?

Hernia sac: Is either ligated high and excised, or left open or imbricated if it is small. Spermatic cord is always preserved.

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Dr. James Goodyear Dr. Goodyear
General Practice
42 years in practice
Temple University School of Medicine
10

10
I had an inguinal hernia surgery in 2010, feel pain at surgical side when I ejaculate. How can I find out if scar tissue is compressing spermatic cord?

I had an inguinal hernia surgery in 2010, feel pain at surgical side when I ejaculate. How can I find out if scar tissue is compressing spermatic cord?

PAIN post hernia: Called inquinodynia occurs in~6-8% of patients ; is more common in young male; those with significant pain prior to repair. It is often related to nerve irritation by surgical scar tissue. Certain physical activities can increase pain. Determining the cause of post herniorrhaphy pain should begin with a comprehensive evaluation and examination by a surgeon or hernia specialist.

Dr. George Klauber Dr. Klauber
Pediatrics - Urology
years in practice
University of London, Royal Free Hospital School of Medicine
11

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I had a left inguinal hernia surgery (open repair) with mesh. I wanna know if spermatic cord is scarred into the mesh will it appear in MRI scan?

I had a left inguinal hernia surgery (open repair) with mesh. I wanna know if spermatic cord is scarred into the mesh will it appear in MRI scan?

No it won't: You are concerned about patency of your vas deferens. Lumen of vas is normally closed all the time except for passage of sperm. This lumen can not be seen on mri. Best first step to find out if one or both vas is/are patent is by semenalysis. I personally share your concern about wisdom of hernia inguinal repairs with mesh in young men. Of course there will be cases where it is the best technique.

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Dr. Lane Childs Dr. Childs
Urology
30 years in practice
University of Texas Medical School at San Antonio
12

12
2 months after bilateral laparoscopic inguinal hernia surgery, my right testicle hangs higher than left, and spermatic cord is still sore, normal?

Yes: What you describe is not unusual. It is normal for one testis to hang a bit lower than its mate. You are likely the same as you were prior to surgery, but now you are focused and more aware of your anatomy. The cord tenderness will be resolving soon.

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Dr. D J Dr. J
Surgery
34 years in practice
Wayne State University School of Medicine
13

13
I had an inguinal hernia surgery in 2010 (open repair)if I have scar tissue around spermatic cord. Will I feel pain all the time or just when ejaculate?

You may: Pain after any hernia operation is common though it usually resolves in a few months. Scarring of the cord or cremaster muscles is probably causing this. Repeating surgery usually doesn't solve this. Steroid injection treatments may help. Applying heat or a hot bath may help. With time, this usually becomes less of an issue. If you feel a mass or bulge that comes and goes, see the surgeon.

Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
14

14
I had an inguinal hernia surgery in 2010.Feel pain & weakness in incision. What to do if vas deferens or spermatic cord is scarred into the mesh?

I had an inguinal hernia surgery in 2010.Feel pain & weakness in incision. What to do if vas deferens or spermatic cord is scarred into the mesh?

Find out: There are known complications, and your surgeon can go over those with you. Recurrent hernia, scarring and infection of mesh are all possibles. I hope you are fine, but be checked.

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Dr. Mark Hoepfner Dr. Hoepfner
Surgery
35 years in practice
University of Washington School of Medicine
16

16
How common are hernias?

Very common: Hernias are more common in males, one of the most frequent reasons for surgery in the us.

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Dr. Tracy Berg Dr. Berg
Surgery
28 years in practice
University of Maryland School of Medicine
17

17
Does hernia heal itself?

Does hernia heal itself?

Repair hernia: Hernias of the abdominal wall can remain stable or progress. They are unable to heal spontaneously, or by itself. These hernias can develop complications like incarceration or strangulation, (organs trapped by the hernia defect). Okay to get in to your doc for an eval and surgical referral. A hernia repair is safe and effective.

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Dr. Leonard Metildi Dr. Metildi
Surgery
41 years in practice
University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences
18

18
How safe is hernia mesh?

Very: The different meshes available for hernia repair are safe. What type used, synthetic or biological, depends on the type of hernia and comorbidities. You should discuss this with your surgeon.

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Dr. J. Roth Dr. Roth
Surgery
24 years in practice
Virginia Commonwealth University School of Medicine
19

19
Press ups ok with hernia?

Press ups ok with hernia?

Hernia activity: I'm not exactly sure what a press up is. However, as a general rule, activity with a hernia is limited by discomfort. As long as you do not experience pain, it should be safe to proceed with activities. A binder may help to keep a hernia reduced while exercising. But, if you are active, and the hernia protrudes frequently, it may be worth discussing this with your doctor and considering repair.

Dr. J. Roth Dr. Roth
Surgery
24 years in practice
Virginia Commonwealth University School of Medicine
20

20
What to do about a hernia?

What to do about a hernia?

See a surgeon: There are many types of hernias. Groin and umbilical are the most common. Hernias will not resolve without intervention. If you are a symptomatic, it may be safe to observe a hernia. Symptomatic hernias require intervention. Rarely hernias will strangulate and require emergency surgical repair.