Groin hernias

Inguinal hernia

An inguinal hernia is the most common type of groin hernia. It occurs when abdominal contents push through a natural weakness in the lower abdominal wall, near the inguinal canal.

Direct hernia Indirect hernia Men & women Keyhole repair
Treatment options Recovery & risks

Direct vs indirect inguinal hernia

There are two main types of inguinal hernia: direct and indirect. Some patients may have both.

Indirect inguinal hernia

The most common type. It occurs when a congenital opening related to testicular descent fails to close completely, allowing a hernia to develop over time.

Direct inguinal hernia

Occurs due to acquired weakness in the groin muscles and is more common in men with long-term physical strain or heavy lifting.

Symptoms

  • Groin lump or bulge
  • Discomfort with lifting, coughing or straining
  • Dragging or aching sensation in the groin or testicle
  • Pain that worsens later in the day
Severe pain, redness or a non-reducible lump may indicate incarceration or strangulation and requires urgent medical assessment.

Treatment of inguinal hernia

Most inguinal hernias are treated surgically once symptomatic. The type of hernia (direct or indirect) rarely changes the overall repair strategy.

Open repair Laparoscopic repair Robotic repair