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An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down.
Buboes are also symptoms of other diseases, such as chancroid and lymphogranuloma venereum. [6] [7] In these conditions, a two-week course of antibiotics is the recommended treatment, and incision and drainage or excision of the swollen lymph nodes is best avoided. [8] [9] However, aspiration may sometimes be performed to prevent buboes from ...
Groin hernias account for almost 75% of all abdominal wall hernias with the lifetime risk of an inguinal hernia in men and women being 27% and 3% respectively. Men account for nearly 90% of all repairs performed and have a bimodal incidence of inguinal hernias peaking at 1 year of age and again in those over the age of 40. Although women ...
The diagnosis of hiatus hernias is often done by endoscopy. [3] Groin hernias that do not cause symptoms in males do not need immediate surgical repair, a practice referred to as "watchful waiting". [1] However most men tend to eventually undergo groin hernia surgery due to the development of pain. [1]
The diagnosis is largely a clinical one, generally done by physical examination of the groin. However, in obese patients, imaging in the form of ultrasound , CT , or MRI may aid in the diagnosis. For example, an abdominal X-ray showing small bowel obstruction in a female patient with a painful groin lump needs no further investigation.
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The signs and symptoms listed below are relating to hematoceles and associated conditions that can be due to other causes such as testicular cancer or testicular torsion: [7] Unusual lump; Sudden pain; Dull aching pain or feeling heavy in the scrotum; Pain radiating throughout the groin, abdomen, or lower back; Tender, swollen, or hardened testicle
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
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