Question: A few years ago i caused my self a hernia by straining a the bowels while constapated .16 mths ago had hernia repair (apendics in scrotum) and still have same pain i had before op . Ache runs from just to right of belly button down into right testical . Had ultra sound to check repair , all ok . My consultant says i may have ilioinguinal nerve distribution pain but has discharged me from their care . I was then referred to the pain clinic and prescribed Gabapentin which i have not yet taken and do not wish to .The pain clinic doctor thinks there is a muscular component to my pain as it is aggravated mainly by movement but also thinks there may also be a neuropathic element given my description of pain being aching and burning . Im not happy with the out come of my treatment and my GP seems frustraited that i want to persue more screening to find an awnser to my pain and get it treated rather than taking drugs to hide the pain . I feel like im back at square one ive had the op but no further forward . so my question is , is it worth me persueing this maybe getting a private consultation , is there any other worth while screening i could get maybe an mri scan , can mri scan detect muscle damage or nerve damage . What do i do now any advise appreciated cheers XXXXXXX

Yes your right I had inguinal hernia repair . Im not sure that damage was done to these nerves during surgery as I have had this pain long before my op . Infact ive had it since I strained at the bowels and wonder if this caused the damage to the nerves , can this be possible . I still have the very same pain now as before op , seems like op was waste of time .I have had two ultra sounds since op to check repair and also to check testicals because I recently found lump on right testical and have also had pain in left. Lump was just a cyst and no explanation for pain in left .I do not think pain in my left testical is connected to problem with my right as they both started at different times .My GP did prescribe me antibiotics for four wks to clear pain in left but did not work . Pain in my left testical feels like its more in spermatic tubes above testical ,this pain is some times mild and can then flair up for a while and become uncomfortable , also my scrotum can become really red and can feel sticky to touch , could this be a varicocele .So since ive already had ultra sounds on testical is it worth getting mri to check for nerve and or muscle damage or should i try and get my GP to refer me back to consultant and if so would you recommend general surgeon or urologist . I hope what ive writen is clear thanks for your help XXXXXXX

I do understand that my pain is not due to straining when constipated and is because of nerve damage . The question is was damage caused by surgery as you sugest or when i strained and caused hernia . If caused by surgery then why was i in pain before surgery , as its exact same pain . Please explain , confused .Also i have had ultra sound of testicals , is Colour Doppler ultra sound a different type of ultra sound please awnser .Last question , can mri scan show nerve or muscel damage and if so can it be treated .Thanks so much for your help XXXXXXX

thanks for your awnser but could you lpease explain what pulling of the mesentry or omentum due to adhesions means and would this be in the field of general surgery or urology . thanks so much XXXXXXX