The complaits unlikelt to be due to inguinal herni
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Greetings of the day
The diagnosis of any Hernia
is based on history by patient of observing swelling at the site of known hernial orifice( in your case Inguinal and femoral region) and demonstration by clinician of swelling at the site either spontaneously or by any action which raises intro-abdominal pressure and causes appearance of the swelling(example while coughing or straining). If there is no such presentation in your case then its unlikely to be Hernia. Your Previous MRI
is also normal, and any other MRI will not be able to pick up sub-clinical hernia.
In my clinical practice if i suspect sub-clinical hernia( history of noticing swelling by the patient but not seen by surgeon at the time of examination), I subject such patients to real time Ultrasound
examination to demonstrate widened internal ring as in case of inguinal hernia or spermatic cord
thickening which could be indirect signs. I would suggest you the same, if its normal then the complaints you are facing is unlikely to be due to Hernia. I do not recommend Surgery in individuals if i am not convinced with physical findings and demonstration of Hernia. I rarely rely on any Radiological investigation. Its only in doubtful cases I go for it.
Remember in Ultrasound its possible to examine hernial sites orifice in real time and individual an be asked to do the maneuvers which demonstrate sub-clinical hernia .
The decision to operate or not operate is better taken in consultation with a Surgeon
Do get back to me if you need any further assistance, will be glad to assist you.
Dr Deepak Kishore