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need answer for safety of inguinal hernia repair and impact ...


Sent to Health Experts June 15, 2006 6:24 p.m.

need answer for safety of inguinal hernia repair and impact
on chronic pelvic pain syndrome.

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Male

Customer (name blocked for privacy)
Status: Closed   Value: $9   
Info Request
June 15, 2006 7:04 p.m. (40 minutes and 25 seconds later)

If you have CPPS, having a hernia repair of a diagnosed/confirmed hernia may help improve the pain relief. Is this about you or someone else? Do you have other questions? There is a great and very thorough article in the following link:

http://66.102.7.104/search?q=cache:nf9kvPhcKIYJ:www.pelvicpain.org/resources/Antolak_Summary.pdf+chronic+pelvic+pain+syndrome+man+hernia&hl=en&gl=us&ct=clnk&cd=7

Hope this helps!

__________________
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PictureMia  -- Nurse (RN) -- 100% Positive Feedback on 76 Health Accepts
Registered Nurse with experience in Neonatal Nursing, Certified Lactation Counselor
Answer
June 15, 2006 10:04 p.m. (2 hours and 59 minutes later)
REPLIED Check Mark

Sorry! Didn't address the inguinal hernia surgery safety. As long as you investigate the credentials of your doctor and the number and success of such surgeries performed by him/her, and you feel confident with their numbers and competence, you have a very good chance of success.   Depending on if you have a direct or indirect hernia, they may or may not use mesh material to reinforce the pelvic floor muscles. Recovery is self-limiting, meaning if you feel like you can do it, you can especially if you have mesh used because you have little to no chance of recurrence in the same place, even right after surgery. And if the hernia is contributing to chronic pain, relief is just a surgery away! Go for it! It has risks just like any other surgery but half the battle is getting a competent doctor to perform it. Hope this helps! Take care!

__________________
Please let me know if you have any other questions or need clarification. If you are satisfied with my answer, don't forget to hit the green ACCEPT button! Bonuses greatly appreciated! Thank you for your confidence!
PictureMia  -- Nurse (RN) -- 100% Positive Feedback on 76 Health Accepts
Registered Nurse with experience in Neonatal Nursing, Certified Lactation Counselor
Reply to Mia
Sent June 16, 2006 10:28 a.m. (12 hours and 23 minutes later)

I don't know if you got my last message. It concerned possible damage to already chronically
tightened and spasmodic muscles ,tendons and possibly nerve damage using laprascopic repair.
Possibly making situation worse.I KNOW THESE ARE
DIFFICULT QUESTIONS.
Also how do you find a qualified surgeon concerning this condition(CPPS)?

Thanks
Customer (name blocked for privacy)
Answer
June 16, 2006 10:53 a.m. (25 minutes and 3 seconds later)
ACCEPTED Check Mark

I didn't get your last message, sorry...

They may possibly do a surgical "release" of tightened tendons and possibly muscles but I doubt the muscles. There is always nerve damage risk with any surgery but most nerves re-route themselves within several months. You will just be numb until then. I would discuss finding a surgeon with whomever diagnosed or is following you for CPPS. If not, you can always open the phone book, look in yellow pages under physicians/surgeons and talk with a nurse of urologists or neurosurgeons and briefly tell them your concerns and that you need to find a surgeon that has dealt with that before. They may have to talk with the doc and call you back, but that's how I would start.

Have you tried accupuncture or accupressure for your CPPS? How about electonic nerve stimulation? Anti-spasm medication? Even physical therapy...if you could stretch and strengthen the muscles it would help a lot, theoretically. Just a few feeble suggestions. I'm sure you've probably tried everything.

The problem with a hernia comes when it bothers you, of course but mostly if it incarcerates and you can't reduce it back into the "hole" it came out of. You will get red, hot spot where it is stuck, fever, chills, nausea and vomiting. It then becomes a medical emergency to fix it before the bowel dies. Then you will end up with a resection and there's more complications with that! I opt to suggest to have it done before something like that happens while you can do it in a controlled manner.

Hope this helps!

__________________
Please let me know if you have any other questions or need clarification. If you are satisfied with my answer, don't forget to hit the green ACCEPT button! Bonuses greatly appreciated! Thank you for your confidence!
PictureMia  -- Nurse (RN) -- 100% Positive Feedback on 76 Health Accepts
Registered Nurse with experience in Neonatal Nursing, Certified Lactation Counselor

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