Inguinal Hernia Specialist near Detroit, MI
An inguinal hernia occurs when abdominal contents protrude through a weak spot in the lower abdominal wall near the groin.
This condition is classified as either indirect or direct. Indirect inguinal hernias occur from a natural defect in the abdominal wall, usually present from birth. Direct inguinal hernias usually develop in adult males whose abdominal wall weakens over time.
Symptoms of an Inguinal Hernia
Typically, someone with an inguinal hernia notices an unusual bulge near their groin area. It might disappear when lying down and could expand or shrink while coughing. Symptoms may include:
- Dull or sharp pain when exercising, coughing, standing, bending, or lifting objects
- Weakness in the groin area
- Burning in the groin area
- Swelling of the scrotum in men or boys
Inguinal Hernia Causes
Males are far more likely to develop an inguinal hernia: 25 percent of men develop this issue compared to just 2 percent of women. Indirect hernias usually appear from birth to age 30.
Direct inguinal hernias generally develop in men over 40 as the abdominal wall weakens. Studies show that a person with a family history of inguinal hernia is more likely to develop the condition, and smoking can also increase risk.
Diagnosing an Inguinal Hernia
Typically, a hernia specialist performs a physical exam, and the patient may be asked to stand and cough to make the hernia more prominent. In rare cases, an imaging test may be necessary to find the hernia.
Inguinal Hernia Treatment in Royal Oak, MI
Minor cases may not require treatment and can be monitored regularly by a physician. Cases that cause symptoms are usually treated with a surgery called a herniorrhaphy. This surgery is performed in one of two ways:
Open Hernia Repair: The surgeon makes an incision over the affected area and places the protruding tissue back behind the abdominal wall. The surgeon often reinforces the weakened abdominal wall tissue. Once the incision is closed, the procedure is complete. We offer both a mesh-based repair and a tissue-based repair, and your surgeon will recommend the best option for your hernia and overall health.
Robotic Hernia Repair: The surgeon makes several tiny incisions and performs the repair using robotic-assisted technology, controlling small instruments and a camera from a console for enhanced precision and a magnified view. This option may reduce recovery time, but it may not be available for those with large hernias or a history of pelvic surgery.
Schedule an Inguinal Hernia Consultation
Contact Michigan Hernia Surgery today to schedule an appointment with an experienced hernia specialist. Call us at (248) 551-9090 to get started, or request an appointment through our secure online form.
Frequently Asked Questions About Inguinal Hernias
Can an Inguinal Hernia Heal on Its Own?
No, an inguinal hernia does not heal on its own. The opening in the abdominal wall requires surgery to repair. However, some men with minimal or no symptoms may be candidates for watchful waiting, which involves monitoring the hernia with a healthcare provider.
How Do I Know If a Groin Bulge Is an Inguinal Hernia?
An inguinal hernia often causes a groin bulge that becomes more noticeable when standing, coughing, or straining and may shrink when lying down. You may also feel aching, burning, or pressure. A physical examination can help confirm the diagnosis, and imaging is sometimes needed if the cause is unclear.
Does Every Inguinal Hernia Need Surgery Right Away?
Not always. Watchful waiting may be appropriate for some men whose hernias cause little or no discomfort. Surgery is usually considered when symptoms worsen or interfere with daily activities. Your surgeon assesses your hernia and health to recommend whether monitoring or repair is appropriate.
What Are the Surgical Options for Inguinal Hernia Repair?
Inguinal hernias can be repaired through open surgery or robotic-assisted surgery. Open repair uses an incision near the hernia and can be performed with mesh or with your own tissue, while robotic hernia repair uses several small incisions and a robotic system with a camera. Your surgeon recommends an approach based on your individual needs.
Will I Need Mesh for an Inguinal Hernia Repair?
In most cases, yes. Most adult inguinal hernia repairs use surgical mesh to reinforce the weakened area and reduce recurrence risk. We also offer tissue-based repair, which uses sutures alone. Your surgeon explains the recommended technique and discusses the benefits and risks of mesh for your situation.
How Long Is Recovery After Inguinal Hernia Surgery?
Many patients go home the same day and return to light work within one to two weeks. Recovery depends on the repair, your health, and your job’s physical demands. Follow your surgeon’s instructions about lifting, exercise, and returning to strenuous activity.
When Is an Inguinal Hernia an Emergency?
Seek emergency care for sudden, severe groin or abdominal pain, especially with vomiting or a bulge that becomes firm, tender, or no longer goes back in. These symptoms may indicate trapped tissue or a loss of blood supply. Do not wait for a routine appointment.
