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Inguinal Hernia

What is an Inguinal Hernia?

An inguinal hernia occurs when one’s intestinal tissue protrudes through a weak muscle in the abdominal wall near the pubic bone. This common condition affects more men than women. In men, the inguinal canal is a passageway for the spermatic cord and blood vessels into the testicles; in women, it holds the round ligament that supports the womb.

What is Hernia

Types of Inguinal Hernia

An inguinal hernia can be indirect or direct:

Indirect inguinal hernias

This type of inguinal hernia is often due to a defect in the abdominal wall that is present at birth. However, they can also occur at any period in life.

Direct inguinal hernias

This form of inguinal hernia often occurs in adult males as they age. They are usually caused by the weakening of muscles of the abdominal wall. Straining or lifting heavy weights may also result in a direct inguinal hernia.

Inguinal Hernia Symptoms

Inguinal hernias are often evident by their appearance. Common signs and symptoms include:

  • A bulge on either side of the groin, which increases in size when standing up, coughing, or straining
  • Pain or discomfort in the groin, especially when lifting, coughing, or exercising
  • A burning or aching sensation
  • A swollen scrotum in men
  • Weakness or pressure in the groin

Diagnosis and Treatment of Inguinal Hernia

A physical examination is usually enough to diagnose an inguinal hernia if there’s a bulge in your groin area. Your hernia doctor may ask you to stand, cough or strain since these activities can make a hernia more prominent. If the physical exam isn’t enough, your doctor may order imaging tests, such as abdominal ultrasound, CT scan, or MRI.

If your hernia is still small and not yet symptomatic, your doctor may recommend you to observe it first. However, you will still be under observation. If the inguinal hernia symptoms persist and starts to affect your daily life, you will need prompt medical treatment.

Inguinal Hernia Surgery

Inguinal hernia treatment involves surgery that comes in two types, which include:

  • Open hernia surgery – During this procedure, your surgeon makes a long incision over the hernia and pushes the protruding tissue back into its proper place. The weakened area is then repaired and supported by a synthetic mesh.
  • Laparoscopic Surgery – During this procedure, the surgeon makes a few small incisions in the abdomen. A laparoscope (a small tube equipped with a tiny camera) is then inserted into one incision. Through the camera’s real-time imaging of the internal organs, the surgeon is able to see the internal structures clearly and can insert tiny surgical instruments to repair the hernia.
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Our Hernia Surgeons
Dr Dennis Koh
Dr Dennis Koh

Medical Director & Senior Consultant Surgeon
B Med Sci (Nottingham), MBBS (Nottingham)
MMed (Surgery), FRCS (Edinburgh), FAMS

Hernia Surgeon, Dr Dennis Koh is a MOH-accredited and experienced colorectal surgeon; and currently the Medical Director at Colorectal Practice.

Hernia Surgeon, Dr Koh strives to provide a customized treatment plan for each patient, which allows for better outcomes. He also honed his skills in proctology abroad in Geneva, bringing a more diverse touch to his practice.

Dr Sharon Koh
Dr Sharon Koh Zhiling

Senior Consultant Surgeon
MBBS (Singapore), MMed (Surgery),
FRCS (Edinburgh), FAMS

Singapore Hernia Doctor, Dr Sharon Koh is an experienced colorectal surgeon and the former Director of Endoscopy at Alexandra Health.

Dr Koh completed her fellowship at Cedars-Sinai Medical Centre in the US after being awarded the Academic Medicine Development Award by the National University Hospital.

Dr Sharon Koh
Dr Pauleon Tan Enjiu

Senior Consultant Surgeon
MBBS (Singapore), MMed (Surgery),
FRCS (Edinburgh), FACS

Singapore Hernia Surgeon Dr Pauleon Tan has served in public hospitals for over 15 years and is experienced in minimally invasive surgery and endoscopy.

Dr Tan undertook advanced colorectal surgical training at Japan’s Saitama International Medical Center after being awarded the Ministry of Health – Health Manpower Development Plan (HMDP) Award.

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Colorectal Practice (Orchard)

3 Mount Elizabeth, #12-14
Mount Elizabeth Medical Centre
Singapore 228510
Tel: (+65) 6262 1226

Colorectal Practice (Novena)

38 Irrawaddy Road, #10-28/29
Mount Elizabeth Novena Specialist Centre
Singapore 329563
Tel: (+65) 6266 1226

Colorectal Practice (Gleneagles)

6 Napier Road #02-12
Gleneagles Medical Centre
Singapore 258499
Tel: (+65) 6539 9626

Colorectal Practice (Farrer)

1 Farrer Park Station Rd,
#14-09/10 Connexion,
Singapore 217562
Tel: (+65) 6262 1226