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Testicular Pain after Inguinal Hernia Repairs

By Shannon Strauch, PTA, STMT-1 on 6/19/2024

An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over, or lift a heavy object.

Causes

• Congenital defects

• Increased pressure within the abdomen

• Pre-existing weak spot in the abdominal wall

• Straining during bowel movements or urination

• Heavy lifting

• Fluid in the abdomen (ascites)

• Pregnancy

• Chronic coughing or sneezing

Symptoms

• A bulge in the area on either side of the pubic bone

• A burning or aching sensation at the bulge

• Pain or discomfort in the groin, especially when bending over, coughing, or lifting

• Weakness or pressure in the groin

• Occasionally, pain and swelling around the testicles when the protruding intestine descends into the scrotum

Diagnosis

• Physical exam

• Imaging tests

  : Ultrasound, CT scan, or MRI

Treatment

• Watchful waiting

  : For small, asymptomatic hernias

• Surgery

  : Recommended for larger or painful hernias

  • Open hernia repair

    : A surgeon makes an incision in the groin and pushes the protruding tissue back into the abdomen, then repairs the weakened area.

  • Laparoscopic hernia repair

    : A minimally invasive procedure using small incisions, a camera, and surgical tools to repair the hernia.

    

Prevention

• Maintain a healthy weight

• Eat a high-fiber diet

• Avoid heavy lifting

• Stop smoking (to reduce chronic cough)

• Strengthen abdominal muscles

Inguinal hernias can often be managed effectively with surgery, and taking preventive measures can help reduce the risk of developing one.

Understanding Post-Surgical Testicular Pain

Testicular pain after inguinal hernia repair

is a relatively common complication. This can be due to:

1. Nerve Irritation

   : The ilioinguinal, iliohypogastric, or genitofemoral nerves may be irritated during surgery.

2. Inflammation

   : Post-surgical inflammation can cause pain.

3. Scar Tissue

   : The formation of scar tissue can sometimes entrap nerves.

4. Blood Flow Issues

   : Changes in blood flow to the testicles after surgery can cause pain.

Role of Pelvic Floor Therapy

Pelvic floor physical therapy

can be beneficial in managing testicular pain post-hernia repair by addressing the underlying causes and improving overall pelvic health.

How Pelvic Floor Therapy Can Help

1. Nerve Desensitization

   :

   • Techniques such as nerve gliding exercises can help reduce nerve irritation and sensitivity.

2. Muscle Relaxation

   :

   • Manual therapy to release tension in the pelvic floor muscles and surrounding tissues.

   • Trigger point therapy to address specific areas of muscle spasm that may contribute to pain.

3. Scar Tissue Management

   :

   • Scar tissue mobilization techniques can help prevent or break down adhesions that might be contributing to pain.

4. Improving Blood Flow

   :

   • Specific exercises and manual techniques to enhance circulation in the pelvic region, promoting healing and reducing inflammation.

5. Pain Management Techniques

   :

   • Biofeedback

     to help patients understand and control muscle tension.

   • Education

     on pain management strategies and ergonomics.

6. Postural Adjustments

   :

   • Addressing posture and movement patterns to reduce stress on the pelvic region.

Specific Pelvic Floor Therapy Techniques

1. Myofascial Release

   : Gentle pressure and stretching of the pelvic floor muscles to reduce tension.

2. Stretching and Strengthening Exercises

   : To improve flexibility and strength of the pelvic floor and surrounding muscles.

3. Relaxation Techniques

   : Breathing exercises and relaxation techniques to reduce overall muscle tension.

When to Seek Help

If you experience persistent testicular pain after an inguinal hernia repair, it is important to consult with your healthcare provider. They may recommend pelvic floor therapy as part of a comprehensive treatment plan.

Pelvic floor therapy can provide significant relief from testicular pain post-hernia repair by addressing the root causes and promoting overall pelvic health. Reach out to us at Pelvic Health Center in Madison, NJ to set up an evaluation and treatment! Feel free to call us at 908-443-9880 or email us at receptionmadison@pelvichealthnj.com.

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