Inguinal Hernia
What Is an Inguinal Hernia?
An inguinal hernia occurs when tissue, often part of the intestine, pushes through a weak point in the abdominal wall in the groin area.
This type of groin hernia develops within the inguinal canal, a natural passage in the lower abdomen. In men, this canal also carries structures linked to the testicles, which is why the condition is more common in males.
The hernia bulge may appear in the groin or scrotum and often becomes more noticeable when standing, coughing, or during a bowel movement. Some people first notice it during exercise or other activities that increase pressure within the abdomen.
The causes of inguinal hernias can vary. Most, develop over time due to strain or weakening of the surrounding tissue. Certain diseases and connective tissue disorders can also contribute.
Common risk factors include:
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Heavy lifting or repeated strain
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Constipation causing straining during bowel movement
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Chronic coughing, including from cystic fibrosis
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Previous surgery in the groin area
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Weakness in the abdominal wall
Small hernias may remain stable for some time, but others gradually increase in size.
What are the Symptoms of an Inguinal Hernia?
Inguinal hernia symptoms can range from mild to more noticeable discomfort. The most common sign is a swelling or hernia bulge in the groin area that may reduce when lying down.
Other symptoms and causes associated with inguinal hernias can include:
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A feeling of heaviness or pressure in the lower abdomen
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Discomfort when lifting, bending, or exercising
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Occasional pulling sensation in the groin
In some cases, part of the intestine can become trapped, which may lead to possible complications such as bowel obstruction or strangulation.
This may cause severe pain, nausea and vomiting, and requires urgent medical attention.
Diagnosis and tests are usually straightforward.
A healthcare provider will often identify the hernia during a physical examination. In some situations, imaging such as an ultrasound scan may be used to confirm the diagnosis.
Treatment of Inguinal Hernia
Inguinal hernia treatment depends on the size of the hernia, symptoms experienced, and overall health. Very small hernias without symptoms may sometimes be monitored. However, many eventually require repair to prevent progression.
Treatment options generally involve inguinal hernia surgery to strengthen the weakened area of the abdominal wall and return the tissue to its correct position.
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Open hernia surgery: This approach involves making a small incision in the groin area so the surgeon can reposition the tissue and reinforce the weakened section of the abdominal wall.
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Laparoscopic surgery: This minimally invasive technique uses small instruments inserted through tiny incisions to repair the hernia from inside the abdomen.
Inguinal hernia repair is a common procedure within general surgery. Hernia repair surgery aims to reduce symptoms, prevent complications, and support long-term hernia recovery.
This type of surgery is often performed as a day case, allowing patients to recoup at home.
Your surgeon, Steve Hornby offers the full range of these treatments and, will advise on the most appropriate approach based on the hernia and your individual health. He can also explain what to expect from the operation and recovery.
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Initial consultation
Book an appointment with Steve Hornby, consultant general surgeon, to discuss your symptoms, concerns, and medical history. You will have time to ask questions and receive clear information about possible next steps.
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Personalised treatment plan
Care tailored to you. Following your consultation, a clear treatment plan is created based on your diagnosis, needs, and goals. This may include further investigations, treatment options, or preparation for surgery where appropriate.
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Treatment and recovery support
Care that continues beyond treatment. If surgery is required, it is delivered in modern clinical facilities, with recovery supported through onsite physiotherapy and follow-up care. Ongoing reviews ensure your recovery stays on track.
Ready to talk things through?
If you have questions or would like to discuss your symptoms, we’re here to help. You’re welcome to call 01242 386579, email admin@thehornbygroup.com, or use the contact form to get in touch.