Well, you can’t know; still, it’s worth looking at your circumstances. The vast majority of inguinal hernias are diagnosed in elderly men (women’s anatomy is not subject to inguinal hernias, although women may experience other types of hernias). If you are a man middle aged or older, have never experienced problems in this area before, and your lifestyle has not changed drastically in recent years, there is a likelihood that your problem is caused by a loss of muscle tissue.
People lose muscle tissue as they age due to insufficient physical activity. But let me tell you, even if you do exercise regularly, it is still possible that you don’t exercise enough the relevant abdominal muscles, causing them to ‘wither’ and lose tissue.
Can surgery resolve inguinal hernias in all cases? Is it a scary procedure?
Surgery can resolve all types of inguinal hernias, including those caused by a loss of muscle tissue. Surgery is always an option, and it’s not scary surgery; in most cases, it is an outpatient procedure – patients go home after a few hours. Nevertheless, since the incision (even the small incision made in robotic surgery) is in an area with heavy muscles, healing may be slow, and pain can persist. Depending on the skill of the surgeon, up to 15% or more of patients experience long-term pain after surgery. Furthermore, the hernia can reform: up to 15% or more of patients experience failure of the surgical repair within a few years. Re-repair of a hernia after failure may be more complicated, because of the scar tissue created by the initial surgery. Therefore, if surgery can be avoided, it’s worthwhile trying to avoid it.
If your abdominal bulge is caused by a loss of muscle tissue, it may be possible to ‘repair’ it by strengthening and bulking-up your abdominal muscles – the so-called ‘core muscles’ – through appropriate exercise. If you would like to try this approach, you can proceed as follows.