Why Your Groin Bulge Might Be a Hernia (and What You Should Do Next)
Noticing a lump in the groin is a common reason for medical consultation, and in many cases it corresponds to an inguinal hernia. This occurs when a portion of the intestine or abdominal fat pushes through a weak spot in the groin muscles, creating a visible or palpable bulge.
It is especially common in men, and anything that increases abdominal pressure —lifting heavy objects, intense physical effort, chronic coughing— can contribute to its appearance.
How can I tell if it’s an inguinal hernia?
Typical signs include:
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A bulge in the groin or scrotum that increases when coughing, lifting, or standing
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The bulge may disappear when lying down
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Discomfort or pain, especially during physical activity
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A feeling of heaviness or tightness in the area
Not all hernias are painful, but they tend to increase in size over time.
How is it diagnosed?
Diagnosis is usually made through a physical examination.
In cases where the lump is subtle or the patient has a higher BMI, an inguinal ultrasound may be requested to confirm the size and characteristics of the hernia.
What are the risks if it is not treated?
Hernias do not heal on their own.
The main risk is strangulation, where a section of intestine becomes trapped and loses its blood supply. This causes severe pain and requires emergency surgery.
For this reason, even if symptoms are mild, surgical repair is recommended before complications arise.
Treatment: how is an inguinal hernia repaired?
Treatment is surgical, aiming to:
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Return the abdominal contents to their correct position
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Reinforce the weak area of the groin wall (usually with a mesh)
There are two main surgical approaches:
1. Laparoscopic TAPP repair (Transabdominal Preperitoneal)
A minimally invasive technique performed through small incisions. A camera is used to guide the placement of a mesh behind the abdominal wall.
Advantages of TAPP
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Faster recovery
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Less postoperative pain
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Lower risk of infection
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Lower recurrence rates in many cases
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Better cosmetic results
2. Open repair
Performed through an incision in the groin. A mesh is also used, but recovery may be slower and postoperative discomfort slightly greater.
The best technique depends on:
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Hernia size
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Whether it is bilateral
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Whether it is a recurrent hernia
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Patient health and lifestyle
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Surgeon’s expertise
If you notice a groin lump or discomfort that worsens with effort, seek a medical evaluation to confirm whether it is a hernia and discuss the most suitable treatment.