Hernia?

Illustration of Hernia?
Illustration: Hernia? rollinghillsmedical.com

Hello, I want to ask. Yesterday I was after surgery but a lump appeared in the penis egg pouch when I pressed it, it hurt and the road also hurt. Have I had another hernia? Thank you

1 Answer:

Hello Febimuhamad,

Complaints of a lump in the testicular sac (scrotum) can be caused by various causes, usually divided into 2, namely those accompanied by pain and those that are not accompanied by pain. Lumps in the scrotum that give complaints of pain include:

Testicular torsion. It is a condition for the twisting of the testicles (testes). This condition is an emergency condition. Symptoms that arise are swelling of one of the scrotum, one of the testicles looks higher, severe pain that appears suddenly Trauma. Trauma to the testicle and its surroundings can form a hematoma (blood clot) which will cause the scrotum to appear larger. When the blood clot persists, it can gradually form an abscess which makes it even more painful and the scrotum appear reddish. Epididymo-orchitis is inflammation of the epididymis and testes which is usually caused by infection. The scrotum will appear red, painful to the touch, and swollen. Pinched scrotal hernia (strangulated) will cause complaints of swelling of the scrotum, severe pain accompanied by complaints of nausea and vomiting. This is because the part of the organ that comes out of the hernia sac is pinched by the part of the hernia ring so that it doesn't go back into the abdominal cavity. The part of the organ that is pinched if left untreated will die from lack of blood supply. In your case, if the swelling is small and the pain is mild, it could be due to the surgery scar that hasn't healed completely. Usually the swelling will decrease after a few days or more than a week in some people. We recommend that you re-consult with the surgeon who performed the operation, especially if the lump is getting bigger, fever appears, pus or blood comes out of the surgical wound, and the pain does not go away even though you have taken pain medication that has been prescribed by the doctor. Usually an evaluation will be carried out on the scrotal sac lump. The doctor will make a touch and perform an ultrasound examination to determine the contents of the lump. Someone who has had a hernia surgery does have the possibility of recurrence, but the numbers are very small and in the long term. Moreover, if the operation is done coupled with the installation of a mesh (netting to cover the hole where the hernia occurs), then the possibility of recurrence will be very small.

There are several things that must be considered in postoperative hernia care, including:

Keep the wound dry (not exposed to water) in the first week or until the time limit determined by the doctor who performed the surgery. Come for the control and wound care according to the time determined by the doctor. Avoid heavy lifting for a while. Eat foods with balanced nutrition, increase your protein consumption because protein is needed for the wound healing process. Also consume foods high in fiber to prevent constipation (hard bowel movements). Constipation will force the body to strain and the high pressure in the stomach is a risk factor for a hernia. Minimum water consumption of 1.5-2 L per day. Sexual intercourse can usually be done when the pain and swelling have subsided. Hopefully my explanation can be useful.

Dr. Saphira Evani

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