Hernia in the groin in men: causes, symptoms and treatment of disease
Inguinal hernia manifests itself as an emergence of the abdominal cavity through the abdominal wall in the inguinal canal. According to statistics, this pathology occurs most often in men – about 90% of all cases. This feature is due to the fact that they have connective tissue in the peritoneum weak, and the inguinal canal is wide.
Inguinal hernia in men is of several types, but the treatment of the disease the most common surgical. Because the prevention of hernia is very important, as it allows you to avoid the surgeon's knife.
But before talking about prevention, you should consider what kind of disease is such and than it threatens the man.
The types of the disease
Classification of inguinal hernias account for the origin, location and mobility of the protrusions. This information is important because species of hernia depends on tactics of treatment.
|Origin||Congenital||Appear in young men because of violations during fetal development. Unfortunately, prevention can help to prevent the development only acquired hernia, congenital is much more complicated.|
|Purchased||Acquired hernias manifest themselves after a significant increase pressure in the abdominal cavity. The reason for this may be weight lifting.|
|Mobility of the hernia SAC||Disadvantaged||This term is understood as the process by which there is a sharp compression of the internal organs with the abdominal muscles. Is characterized by pronounced painful symptoms. If this pathology is not eliminated within a few hours, develops a necrosis of the part of prejudiced authority.|
|Newselena||Infringement is not, and the unpleasant symptoms. In some cases, the types of pathology possible to fix without resorting to surgical treatment.|
|Place of passing||Direct||Are formed outside of the spermatic cord and as they are associated with weakness of the abdominal muscles, they are only purchased. Have a rounded shape.|
|Slant||This files most often out of the peritoneum, pass through the inguinal canal in an oblique direction and have an elongated shape. Pathology is mainly observed in congenital protrusion of, this occurs during the development of the inguinal canal descend of the testis and of the spermatic cord. It was in this period arise the anatomical conditions of the formation of the disease. But the appearance of pathology in adult men.|
As the disease manifests itself
Different manifests itself inguinal hernia in men symptomsand the main features depend on the condition of the hernia is located. That is, the symptoms and newselena strangulated hernia will be different, only having a few common traits. These include:
- The occurrence of protrusions in the form of a tumor in the lower part of the abdomen, near the testicle or scrotum.
- Pain in groin, testicle, scrotum or the lower abdomen of varying intensity.
- The protrusion can appear and disappear when changing body position.
- Burning sensation in the scrotum or groin, worse after any exercise, or after heavy lifting.
- Feeling of fullness in the pelvic area.
Diagnosis of inguinal hernia in men is easy and often enough the above-described symptoms. Even the slightest suspicion of the disease is a compelling reason for going to a specialist.
Because the risk of complications or injury is quite high, and the consequences can be fatal. Immediately you need to contact the doctor if you are concerned about these signs:
- Sharp and severe pain in the scrotum, lower abdomen or testicle.
- Nausea, hiccups and vomiting.
- The protrusion, which disappears in the supine position.
- Pain when you touch it.
- Constipation or blood in the stool.
But even if these characteristics and no sharp pain, then seek medical attention still should be, at least for the sake of prevention. After all, you may experience other complications, in addition to prejudice. Inflammation of a hernia, the testicle or the development of intestinal obstruction ‒ all these effects can threaten not only health, but also the lives of men.
Where this illness is taken
As previously mentioned, the reasons for the formation of an inguinal hernia can be congenital or acquired. Congenital inguinal hernias exclusively slant, and the reason for their appearance becomes hypoplasia of the abdominal wall. Diagnose this pathology in children under 6 months of age, but it is possible that a congenital hernia may be identified in an adult male.
Acquired inguinal hernia is able to be formed throughout the man's life. Especially the probability of its occurrence, if a man doesn't prevention. The reasons for the formation of hernias in the groin can be both General and local character. The causes predisposing to disease include predisposing and producing. Predisposing:
- Genetic predisposition.
- Age-related changes.
- Severe weight loss.
- Paralysis and paresis of the abdominal muscles.
Manufacturing causes arise as a consequence of increased intra-abdominal pressure. It can provoke: heavy physical work, frequent constipation and diseases that cause suddenthe tension of the abdominal muscles (BPH, chronic bronchitis, etc.). Hernias that occur due to these reasons, it is easy to prevent. Prevention of constipation, the sensible approach to heavy physical labor and early treatment of diseases will allow to avoid the formation of the pathological process.
How to treat
Before starting treatment, the physician must make a correct diagnosis, since diseases such as femoral hernia or a hydrocele (dropsy of the shell of the egg), have similar symptoms. If inspection, symptoms and complaints is not sufficient, the surgeon will prescribe ultrasound examination of the pelvic, testicle, or the entire scrotum, depending on the localization of protrusion.
To treat a hernia in the lower abdomen you need with the help of a surgeon. No wonder gadgets or physical exercises will not work if symptoms of a hernia there.
The consequences of neglect of the hernia can be devastating. Therefore, the right approach ‒ or prevention, while the problems yet, or surgery. Now the treatment of inguinal hernia involves two methods: open and laparoscopic.
To treat abnormal protrusion will be under General anesthesia. This operation is not considered to be the most simple, and its success speaks about the professionalism of the surgeon. The treatment is carried out according to this scheme:
- With a scalpel to form access to the inguinal canal. This manipulation is carried out with extreme caution, as there is a risk of dissection of the walls of the intestines.
- Using access to produce a hernia.
- Pathological the hole is sutured or fixed to a special mesh.
- Access is sutured.
The period of rehabilitation after this kind of treatment is long. Persist for a long time the painful symptoms. Being in the hospital can be delayed up to a week. The skin will remain 10-12-inch scar.
The laparoscopic method
Treatment by laparoscopy is applied more widely, although prices in different clinics on it higher in comparison with the operation of open access. Experts explain it by the fact that at surgery, using laparoscopic tools, the treatment is less traumatic and the patient requires less time for rehabilitation.
The treatment is carried out in such stages:
- The patient is injected with special drugs to artificial sleep (General anesthesia).
- With the trocar is performed puncture of the abdominal wall. For surgery require 3 such access.
- Through one trocar is introduced laparoscope with a video camera and light source. The other two provide access for the introduction of special tools.
- Removes the hernia SAC and suturing orthe elimination of the special pathological mesh holes.
- At the end of the operation the tools are removed and the punctures are sutured.
This treatment compares favorably with open-ended short term rehabilitation. Painful symptoms after surgery goes fast, and after 48 hours the patient can leave the clinic. But this method is not all, because if the surgeon insists on a public method, this means that there are prerequisites, because at stake is the health of men.
The choice of treatment depends on the man, but to take into account the opinion of the surgeon should in the first place. After treatment there may be relapses, but the laparoscopic method compares favorably with the open lower level of recurrence of inguinal hernia. Although it is easier and cheaper to prevent the disease than to treat it.
How to prevent
If prevention of congenital abnormalities is quite complex and more detailed information about this expectant mothers will be told by the obstetrician-gynecologist, or acquired hernia can be prevented. First and foremost, you should avoid excessive physical activity and exercise, especially weight lifting. Compulsory to review your diet and avoid foods that cause constipation.
In the first place are exercise. Physical exercise is the first one for abdominal men. Therefore we should not forget about physical exercises like Bicycle, crunches, and others. These physical exercises will strengthen the abdominal wall and pelvic floor muscles and prevent the occurrence of inguinal hernia.
Inguinal hernia is a severe pathology, and to neglect its treatment is not necessary. The sooner a problem is identified, the easier it is to deal with it. Therefore, you should not hesitate and it is better to rise from a comfortable chair or sofa, and to engage in prevention. Be healthy!