Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
166 Doctors are Online

What should be done for recurrent inguinal hernia in critical stage?

User rating for this question
Very Good
Answered by

Practicing since : 1991
Answered : 1415 Questions
Hi....I'm looking into having an inguinal hernia (bi-lat) repaired. I'm 54 & would also like to have testicles removed as non-causal/preventive...same procedure? Is it possible to have scrotal sack reduced also? Mine has increased in size along with the stress of hernia protrusion for a few years now. None of it causes me any day to day discomfort...I am able to perform ant & all tasks anyone else half my age could, its just beginning to be difficult to "deal" with every day.....not to mention self-image complications. Thanks
Posted Sat, 15 Dec 2012 in Men's Health
Answered by Dr. G.Srinivasan 36 minutes later
Welcome to XXXXXXX and thanks for your query.

I understand your concern on recurrence of the hernia after the repair, though it takes many years.
It is WISE to preserve at least one testes to have the benefits of testosterone (the male hormone), which is quite useful in preserving the male skeletal framework and bone strength (there-by avoiding fractures after a trivial fall), libido and maintenance of hemoglobin to mention a few.
Though the scrotum has expanded, it has done so, to accommodate the hernia. It is a very expandable and elastic part of the body and normally shrinks after the procedure in about three months.
So it is not worthwhile to do the scrotoplasty at the time of hernia repair. The same may be done later, if the size does not get reduced after waiting for the time.
Hope this helps; kindly do not hesitate to write back for further doubts, if any.
Wishing you good health,

Above answer was peer-reviewed by
Follow-up: What should be done for recurrent inguinal hernia in critical stage? 2 hours later
what if....I feel very strongly about doing away with both...I do not want the possibility of testicular cancer to even enter into the picture as I age......I could never go thru what it can possibly "bring to the table with it". What would the long term effects of it be?....what would be necessary to maintain a somewhat normal lifestyle? I must say, at the onset for your consideration in answering, I am pretty much sexually ambivalent (i think thats the word for none/zip/nada) so I pretty much "entertain myself" as necessary ( that may have been too much information, sorry, but true to the point of discussion). The loss of testosterone production would really be the least of my worries, as I'm not sure my libido even suggests an overabundance of it anyway. I've always been somewhat of a "softer male" if you will, it's been recognized and verbally pointed out to me alot. Thank you, in advance, for your thoughtful consideration of my situation.
Answered by Dr. G.Srinivasan 1 hour later
Welcome back. Thanks for your understanding.

It is reasonable and valid to discuss on testicular cancer at this point. Having said that, testicular cancer is a disease of young adults, the peak age being between 20 to 30 years and you have already passed it. So the concern about it can be negated, even though rare cancers do happen in old age but the incidence is too low to be considered as a serious issue.

Testosterone is so important for bones, especially, in an advanced country like yours, where life expectancy is high. Muscle mass and bone health are extremely important as you age. Sexual health is an additional benefit!

So, I have tried my best to share my knowledge on retaining at least one testis.
It appears to me that you are convinced that scrotoplasty is not needed now.

Kindly discuss these issues with your surgeon to come to a point of decision.

Wishing you good health,

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an Internal Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor