Inguinal hernias are the most common types of male hernias, that are located in the lower abdomen and thigh, move towards the scrotum, as a bulge in the groin. They are more common in men than women. Inguinal hernias usually occur when fatty tissue or part of a bowel, bulge out through a part of the lower abdominal wall known as the inguinal canal.
There are two types of inguinal hernias:
Direct inguinal hernia: They occur as a result of weakness in the floor of the inguinal canal. They are usually bilateral and seen in elderly with chronic conditions which increase intra abdominal pressure such as a chronic cough, chronic constipation etc.
Indirect inguinal hernias: They occur when the inguinal canal fails to close before birth. A hernia may appear in a male’s scrotum or in the fold of skin at the opening of a female’s vagina. This is the most common type of an inguinal hernia. And it may occur at birth or later in life. Indirect hernias are more common in males.
Usually painless swelling in the groin area which comes on standing or activity causing raised internal abdominal pressure. Swelling reduces completely or partially on lying down, so the patient will feel increased swelling in evening after work, & reduced size in the early morning, stretching type of pain on work is a common symptom.
There may be severe pain, vomiting, abdominal distension, constipation when a hernia got obstructed ( this is the reason for that hernia suppose to be operated.)
Treatment of inguinal hernias