What Is The Main Cause Of Inguinal Hernia
An inguinal hernia occurs when theres a weakness or opening in your lower abdominal wall that allows abdominal tissue to push through. Many things can contribute to this, including:
- An opening or weak spot thats present at birth.
- Congenital differences in the strength of your connective tissue .
- An opening or weak spot from previous abdominal surgery.
- Chronic coughing or sneezing.
- Chronic straining to pee or poop.
- Frequent strenuous exercise or manual labor.
- Years of pregnancy and carrying small children.
- Jobs that require standing for many hours at a time.
- Intrabdominal pressure from chronic obesity.
- Normal age-related tissue degeneration.
What Are The Most Common Stoma Complications
The more common complications Ostomates might face are listed below. In this post we go into more detail on the following topics:
- Skin Problems and Irritations
- Stoma Leaks and how to avoid them
- Bleeding when to get help
- Retracted or Prolapsed Stoma
- Parastomal Hernia
- Blockages or Bowel Obstruction
For each of these topics, we will also cover how to prevent these common stoma problems and importantly, what you should do if you experience them.
What Is The Treatment For A Spigelian Hernia
Surgery is the only way to treat a spigelian hernia, either by a regular surgical operation or through laparoscopic repair. Waiting isn’t a good idea because the hernia won’t get better on its own.
During regular surgery, your doctor will identify the gap in the spigelian fascia and will push the omentum or intestine back into the abdomen. After that, they’ll close the gap by sewing it up or placing a mesh over it.
With laparoscopic repair, your doctor will only need to make one or two small incisions to your body. Your hospital stay will likely be shorter and so will your recovery time.
You should plan for surgery as soon as your spigelian hernia is diagnosed. You may need emergency surgery if incarceration, obstruction, or strangulation happens. Spigelian hernia treatment is safest when done early as planned surgery.
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Key Points About Hernias In Children
A hernia is when a part of the intestine pushes through a weak spot in the belly muscles.
A hernia creates a soft lump or bulge under the skin.
A hernia that happens in the belly button area is called an umbilical hernia.
A hernia that happens in the groin area is called an inguinal hernia.
Surgery is needed to treat an inguinal hernia. An umbilical hernia my close on its own.
In some cases, hernias can get stuck. Blood supply may be blocked to part of the intestine. This is a medical emergency.
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How Are Inguinal Hernias Repaired In Surgery
The object of hernia repair surgery is to move the hernia contents back into your abdominal cavity and close the gap. This is also called herniorrhaphy. Sometimes, surgeons reinforce the weak spot with tissue from another part of your body, or with a fine synthetic mesh. This is called hernioplasty.
Hernia repair is one of the most common surgical procedures performed worldwide and can often be done on an outpatient basis. It can be performed under general, regional or local anesthesia. You can discuss the pros and cons of these different methods with your anesthesiologist.
- General anesthesia puts you to sleep for the procedure. You wont have any awareness or sensation.
- Regional anesthesia numbs your body from your waist down.
- Local anesthesia numbs only the part of your body being operated on, in this case, your groin.
Most hernia repairs can be managed by minimally invasive surgery methods, but hernias that are more complicated may require open surgery. Around 5% of hernia repair surgeries are emergencies. The type of surgery you have will depend on your condition, prior surgical history, and the experience and judgment of your surgeon.
If you have a pinched or strangulated bowel, your surgeon may have to remove the affected section . You might have to have a temporary ostomy while your bowel heals from surgery. Your bowel will be reconnected and your ostomy closed in a second surgery later on.
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What Should I Expect After Surgery
- Following the operation, you will be transferred to the recovery room where you will be monitored for 1-2 hours until you are fully awake.
- Once you are awake and able to walk, you will be sent home.
- With any hernia operation, you can expect some soreness mostly during the first 24 to 72 hours.
- Most often the postoperative pain, if done laparoscopically, is not at the previous hernia site but around the edges of the mesh where the sutures have been placed through the muscle to fix the mesh in place.
- You are encouraged to be up and about the day after surgery.
- You will probably be able to get back to your normal activities within a short amount of time. These activities include showering, driving, walking up stairs, light lifting, working and engaging in sexual intercourse.
In Your Hospital Room
Most people are in the hospital for 2 days after a laparoscopic surgery and 5 days after an open surgery. This will depend on the exact surgery you had.
In your hospital room, youll meet one of the nurses who will care for you during your stay. Soon after you get there, a nurse will help you out of bed and into your chair.
Your healthcare providers will teach you how to care for yourself while youre healing from your surgery. You can help yourself recover more quickly by:
- Starting to move around as soon as you can. The sooner you get out of bed and walk, the quicker you can get back to your normal activities. Walking every 2 hours is a good goal. This will help prevent blood clots in your legs.
- Using your incentive spirometer. This will help your lungs expand, which prevents pneumonia.
Managing your pain
Youll have some pain after your surgery. At first, youll get your pain medication through your epidural catheter or IV line. Youll be able to control your pain medication using a PCA device. Once youre able to eat, youll get oral pain medication .
Your healthcare providers will ask you about your pain often and give you medication as needed. If your pain is not better, tell one of your healthcare providers. Its important to control your pain so you can use your incentive spirometer and move around. Controlling your pain will help you recover better.
Moving around and walking
Exercising your lungs
Eating and drinking
Caring for your tubes and drains
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Urinary Bladder Inguinal Hernia: An Uncommon Cause Of Scrotal
The urinary bladder. In 1951, Levin proposed
Inguinal Herniation of the Urinary Bladder Presenting as Recurrent
Computed tomography revealed a right inguinal urinary bladder repair have an
A Hernia of the Urinary Bladder | Radiology RSNA Publications Online
hernia: AN UNCOMMON FINDING. Adil Hasan Zaidi, MD*, Elmhurst Hospital Center/Icahn School of Medicine at Mount
What Should I Do If I Think My Child Or I Might Have An Inguinal Hernia
Seek medical attention for any signs of a hernia, or any kind of lump or fussiness in your child. An inguinal hernia in a child is usually treated as soon as possible. Even if your hernia isnt bothering you, its important to have it diagnosed and to rule out other possible causes of groin pain, lumps or scrotal swelling. Other possible causes include:
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What Can Be Expected Following Surgical Treatment For A Hernia
After surgery, you will be given instructions. These include what diet to follow, how to care for the incision site, and how to take care to avoid physical strain. Hernias may recur regardless of the repair operations. This is sometimes caused by inherent tissue weakness or protracted healing. Smoking and obesity are also major risk factors for hernia recurrence.
Inguinal Hernia And Urinary Retention
September 12, 2013 by Ken Theriot
The reason that I had to live with a catheter for so many months was initially to relieve the acute urinary retention meaning I could no longer go wee-wee being caused by a urethral stricture .
In the weeks leading up to that day I woke up with no ability to pee at all, my stream was very weak, and when I went to the bathroom, my bladder would try to push against the blockage. The caused painful contractions involuntary contractions that were difficult to prevent. Thankfully, once the catheter was placed, this was no longer an issue.
So after a few days of having the catheter, with its inflated balloon sitting inside my bladder, I noticed a little bulge at the bottom of my abdomen . I remember telling my wife that it must be the catheter balloon causing it. There was no pain from it, so I just forgot about it.
Flash forward 6 months, to a point several weeks after I had the catheter removed . I noticed that the bulge in my abdomen was still there. Odd. Clearly it was not being caused by a balloon in my bladder. It hadnt been causing any pain. What was it then?
At my appointment for the uroflowmetry test, I asked my urologist to take a look. He pushed and palpated the bulge and said, yeah, you have a hernia. What? Isnt that bad?
So thats something I didnt know. So if you notice a bulge down just below your pubic bone, it might be worth having checked out to see if it is an inguinal hernia.
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What Are The Surgical Options For Hernia
There are two types of surgical repairs if you have a hernia. These include the following:
- Laparoscopic hernia repair. In such cases, several tiny incisions are made in the abdomen, through which a camera, light, and tools for surgery are allowed to pass in order to fix the hernia. This type of surgery may be done with or without a type of mesh to reinforce the surgical site.
- Open Hernia Repair. In such cases, the surgeon opens the inguinal area near the site of the hernia and repairs the weakened muscles. This can be done with or without mesh to reinforce the herniated area. The surgeon uses this method to fix inguinal hernias if they are small, infected hernias, strangulated hernias, or in infants.
If you have a hernia that results in pain or other uncomfortable symptoms, surgery is needed.
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Will Hernia Mesh Removal Resolve The Pain
Many patients who experience hernia mesh problems years later opt to have the pieces of mesh removed. However, hernia mesh removal surgery may be more tricky than implantation surgery. As the mesh may have moved, shrunk, broken, twisted, or adhered to organs, it may be difficult or impossible to completely remove the implanted mesh from the body. Even when it is possible to remove the mesh, it may take multiple follow up surgeries to remove every piece.
Mesh removal may still leave the patient with chronic pain due to nerve damage. According to patient reports, the side effects of damaged or degraded hernia mesh may leave some people permanently injured or disabled. In addition to long-term or permanent physical side effects including chronic pelvic or groin pain, urinary incontinence, and pain during intercourse, many patients also claim that the mesh left them with emotional disorders including depression or anxiety.
The FDA notes that many of the reports of hernia problems that theyve received involve hernia mesh that has been recalled. These products are associated with all of the adverse effects laid out above as well as perforation. The FDA has found that these recalled devices cause hernia mesh problems years later.
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How Are Abdominal Pain And Painful Urination Treated
Your doctor may prescribe antibiotics if a bacterial infection causes your symptoms. Kidney infections, which are serious, may require intravenous antibiotics.
A medication called pyridium relieves burning in the urinary tract, but it can turn your urine bright orange or red.
Antibiotics or antiviral medications are prescribed to treat sexually transmitted infections.
Drinking plenty of fluids may help you overcome painful urination. This can dilute the amount of bacteria in your urinary tract and encourage urination.
You also may wish to take an over-the-counter pain reliever such as ibuprofen to relieve your pain.
If a UTI is the cause, symptoms will typically resolve soon after you begin taking antibiotics. However, be sure to take your full course of antibiotics to ensure that the infection is cured.
What Are The Common Signs Of Hernia Mesh Failure
Failure means that the device used in your hernia repair surgery failed to perform as it should have. Sometimes this is due to a defective mesh product, either from bad design or improper material. Other times this is due to the surgeons errors.
Hernia mesh failure symptoms can arise within two weeks of surgery to several years after hernia mesh surgery. Complications can impact your quality of life and even be life-threatening if untreated.1
Seven common complications and signs of mesh device failure are discussed below:
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Bladder Neoplasm Arising Within A Urinary Bladder Hernia: A Rare Cause Of Hematuria
Carolina Terra Rodrigues1, Helder Deveza Moreira1, Vitor Sousa1,2,3, Maria Antónia Portilha1, Paulo Donato1
1. Radiology Department at Coimbras Hospital and Universitary Center
2. Pathology Department at Coimbras Hospital and Universitary Center
3. Institute of Anatomical and Molecular Pathology of Faculty of Medicine of the University of Coimbra
4. CIMAGO Research Center for Environment, Genetics and Oncobiology, Faculty of Medicine of the University of Coimbra
Connected authorsArea of InterestImaging Technique No Procedure Special Focus
An 89-years-old man presented to the emergency department with left groin swelling with years of evolution, irreducible in the past two days. He also referred hematuria for two weeks. The physical examination revealed a large mass in the left groin with tenderness on palpation and the abdomen soft and depressible.
Video 1: Due to persistent hematuria requiring transfusion support, an abdominal and pelvic computed tomography was performed showing a left groin hernia containing part of the bladder that had irregular parietal thickening with enhancement after intravenous contrast administration.
Outcome: The surgical management consists of removing the tumour with a safety margin and repairing the hernia. If there is muscle invasion and the patient is fit for surgery, radical cystectomy is the best option. If there is no invasion of the detrusor muscle, the submucosal cystectomy is curative.
What Is An Inguinal Hernia
An inguinal hernia is the most common type of hernia.
It can appear as a swelling or lump in your groin, or as an enlarged scrotum . The swelling may be painful.
The lump often appears when you’re lifting something and disappears when you lie down.
For information on other types of hernia, see:
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Q: How Can You Tell If You Have An Inguinal Hernia
A: First, its important to understand that both men and women can develop inguinal hernias. People often believe that only men get them, and for anatomical reasons, they do have a higher risk. But women can certainly have inguinal hernias, too.
Many experts agree that women are likely underdiagnosed for this condition because they tend to have different symptoms than men. Women may not have a noticeable bulge. If symptoms indicate a possible hernia but your doctor cannot confirm it by an exam, an MRI can provide definitive evidence.
Is A Spigelian Hernia Dangerous
Spigelian hernias usually have the omentum, or intestines, passing through a narrow opening. Because the slit through which the spigelian hernia passes has rigid borders, the omentum or intestines may get stuck. If that happens, any of the following complications can arise:
- Incarceration. This happens when part of the intestine or abdominal tissue gets trapped in the hernia’s sac. Incarceration occurs in 27% of spigelian hernia cases.
- Obstruction. When a loop of the intestines gets stuck in a narrow opening, the contents cannot move ahead. Undigested food collects above the incarcerated point.
- It becomes a strangulated hernia. This happens when the intestine gets stuck through a narrow opening and the blood supply is blocked. Without a proper blood supply, the tissues will die.
All these complications are life-threatening and require immediate treatment. Seeking medical attention as soon as possible if you think you have them.
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What Causes An Umbilical Hernia
The wall of the abdomen has natural areas of potential weakness. Hernias can develop at these or other areas due to heavy strain on the abdominal wall, aging, injury, an old incision or a weakness present from birth. Anyone can develop an umbilical hernia at any age. Most umbilical hernias in children are congenital and close spontaneously by the age of two. In adults, a natural weakness or strain from heavy lifting, persistent coughing, difficulty with bowel movements or urination can cause the abdominal wall to weaken or separate. In the umbilical region, there is a natural weakness at the site that the umbilical cord was attached as a fetus.
What Causes A Hernia In A Child
A baby can develop a hernia in the first few months of life. This happens because of a weakness in the belly muscles. Inguinal and umbilical hernias happen for slightly different reasons.
During pregnancy, all babies have an area called the inguinal canal. This goes from the abdomen to the genitals. In boys, this canal lets the testicles move from the belly to the scrotum, the sac that holds the testicles. Normally, a babys inguinal canal closes shortly before or after birth. But in some cases the canal doesnt fully close. Then a loop of intestine can move into the inguinal canal through the weak spot in the belly wall. This causes an inguinal hernia. Most inguinal hernias happen in boys.
As an unborn baby develops during pregnancy, there is a small opening in the abdominal muscles. After birth, this opening closes. But sometimes, these muscles dont fully close. A small opening is left. A loop of intestine can then move into the opening between the belly muscles. This causes an umbilical hernia.