Treatment of inguinal hernia - options for solving the problem

August 1, 2014

  • Treatment of inguinal hernia - options for solving the problem
  • Laparoscopy

 Treatment of inguinal hernia
 Treatment of inguinal hernia is mandatory and necessary. If found in the adult small hernia, which does not cause significant discomfort, the doctor can not designate his operation, and a regularly examine the patient.

In deciding how to treat an inguinal hernia, the doctor considers the following factors:

  • The patient's age and general state of health;
  • Type of inguinal hernia;
  • It is hernia vpravimoy or not - that is, whether it can be pushed into the abdomen without surgery or not.

In some cases, your doctor may take into account the opinion of the patient or his or her parents (if the inguinal hernia Inguinal hernia - dangerous or not?  Inguinal hernia - dangerous or not?
   diagnosed in children).


Treatment of inguinal hernia surgically

The most common methods for treating inguinal hernia Inguinal hernia - dangerous or not?  Inguinal hernia - dangerous or not?
   - Open surgery and laparoscopy. Treatment Inguinal Hernia laser is almost never used - the laser is often used for the destruction of certain types of tumors, and during a hernia operation not destroy - it is recycled through the hernial ring into the peritoneal cavity.

For over a hundred years open surgery is the gold standard in the treatment of inguinal hernias. One of the important advantages of such an operation is that it can be performed using local anesthesia and sedation, so that it is suitable for treating patients who have contraindications general anesthesia. On the other hand, the traditional surgical treatment of inguinal hernias bad that thereafter remains quite large scar, and for several days, patients experiencing more severe pain than after laparoscopy.

Surgery to remove an inguinal hernia Removal of inguinal hernia - all features of the procedure   It is used to treat patients of all ages, including, at times, and preterm infants.

Surgical treatment of inguinal hernia in boys Inguinal hernia in boys: frequent disease requiring surgery  Inguinal hernia in boys: frequent disease requiring surgery
   and girls, men and women held almost equally, with the difference that in male patients hernia sometimes descends into the scrotum, and this can complicate surgery. However, in general preparation for treatment, and the restoration operation after the majority of patients, regardless of sex, the differences are not significant.



In the evening or in the morning before surgery, patients are advised to empty the bowel and to take a shower .  Those who often suffer from constipation, you should consult in advance with your doctor - he may recommend an enema or laxatives, which can be used for some time before surgery .  If surgical treatment of inguinal hernia is performed under general anesthesia, the morning before the surgery, the patient can not eat or drink .  People who daily take any medication, you need to ask your doctor when and how they can be taken before the operation; In most cases, doctors recommend taking the pills as usual, but they drink a small sip of water .  If the patient is taking aspirin or other blood-thinning drugs, or medicines for the treatment of arthritis, he should inform your doctor as soon as possible .  Usually, doctors recommend to stop receiving these medications for a few weeks before surgery .

If the operation is to be a child, advice on nutrition depends on his age.

As a rule, children over 12 months, prohibit eating and drinking opaque liquids from the beginning of the day on which the scheduled operation - that is, since midnight. Prohibited products include, for example, milk, infant formula, juice with pulp, and so on. Water or some other liquid can be drunk in limited quantities specified physician.

Children younger than 12 months who are fed formula milk, feed no later than six hours before arrival at the hospital. Feeding breast milk is allowed no more than four hours before. Children of any age are not more than two hours before the arrival to the hospital can give a transparent liquid (e.g., water or grape juice). Parents of young patients is recommended to take a child's favorite toy or other object that helps him to calm down. In addition, the parents themselves are very important to keep yourself in their hands and not to betray emotion - the tranquility of a loved one has a beneficial effect on the psychological state of the child for whom the process of preparation for surgery is a major stress.

After start acting anesthetic, the surgeon makes in the skin over the groin incision of approximately 6.5 cm. If the hernia protrudes beyond the abdominal cavity, it is pushed back, after which the hernial close, When sewing a healthy, tightly woven piece of synthetic material suitable size . In most cases, this is much more effective than just sew hernial: seam increases the load on the healthy tissue of the abdominal wall, and there may eventually form new holes. Synthetic fabric, on the contrary, strengthens the abdominal wall, and the likelihood of recurrence is reduced to 1-3%.

After the operation the patient transferred to the ward and his condition closely watched as long as he does not wake up. If there is not any complications, the patient is discharged within a few hours after the operation - as soon as he wakes up and begins to walk without assistance. Typically, for a further 24-72 hours, patients are still experiencing severe pain in the postoperative seam, and the doctor may recommend them to receive non-prescription analgesics; prescription painkillers is rarely necessary.

Burning during urination in men - the reason for the appeal to the urologist

December 3, 2014

 burning during urination in men
 Burning during urination in men is most often the case with urethritis - inflammation of the urethra. A causes urethritis in men is an infection, a sexually transmitted - STI. But there may be other reasons for the appearance of a burning sensation during urination, can only reveal their urologist. It also helps get rid of the discomfort.


The most common cause of burning - urethritis

Urethritis - this is the most frequent infectious and inflammatory disease in men. This is due to the feature of the structure of the male urethra (the urethra). The urethra in men is long and narrow, so the infection gets into it rarely reaches the bladder, causing inflammation at the site of introduction.

In most cases urethritis are due to STDs. Depending on the type of infection the beginning of urethritis may be acute, subacute or chronic, invisible. So, with gonorrhea often develop acute urethritis with frequent painful urination, copious purulent discharge from the urethra. Even gonorrhea Gonorrhea - self-ruled  Gonorrhea - self-ruled
   Today, in the age of antibiotics may initially occur erased and occur only in the form of a burning sensation when urinating.

A urethritis caused by different kinds of Ureaplasma and mycoplasma, and does goes unnoticed, and only occasionally can manifest as a burning sensation when urinating. Candida urethritis (caused by fungi genus Candida) rarely occur in men and are a marker of some distress on the part of the urogenital organs and reduction of immunity.

Non-specific urethritis caused by staphylococcus, streptococcus, E. coli and other bacteria, often members of the pathogenic microflora is constantly present on the genitals. These urethritis occur equally, regardless of their causing pathogen. Current them more dependent on the characteristics of the patient.

Non-specific urethritis develop urethral trauma or non-compliance with sanitary regulations due to lower immunity. Sometimes they can cause infections of the upper parts of the genitourinary system. For example, in acute or chronic pyelonephritis, the beginning of which can be attributed to the presence in the body of a distant focus of infection (chronic tonsillitis, sinusitis and so on).

Acute urethritis is easily treated, you only need a timely appeal to the urologist. But chronic urethritis can be treated only with difficulty. Sometimes you can not identify the infection, which is caused by chronic disease. Yet a careful examination and implementation of all doctor's appointments can achieve a positive result.


The second least common cause burning sensation when urinating - prostatitis

Prostatitis - an inflammation of the prostate gland (prostatitis). This endocrine gland located below the bladder. Partially passes through the prostate urethra. The main functions are to develop prostate secretion, which is part of the sperm and the overlap out of the bladder during intercourse.

Prostatitis can occur acutely and chronically. The infectious-inflammatory process caused primarily by nonspecific infections - Escherichia coli, Proteus, Pseudomonas aeruginosa, and so on.

Many infectious agents are part of the pathogenic microflora is constantly dwelling on the male genitalia, and are active at lower immunity. The source of infection can also be any source of infection (eg, sinusitis or tonsillitis) - pathogens get into the prostate through the bloodstream.

Acute prostatitis is manifested as malaise, fever, appearance of nagging pains in the lower back, groin area. Characterized as frequent painful urination, as swollen prostate squeezes the urethra passes through it. There are also constipation, pain during defecation.

When time begun treatment acute prostatitis Acute prostatitis - the culprit bacteria  Acute prostatitis - the culprit bacteria
   It can be completely cured, but not timely commenced or inadequate treatment of the disease can become chronic. For chronic prostatitis Chronic prostatitis - every man should know his signs  Chronic prostatitis - every man should know his signs
   characterized all of these symptoms are, nevertheless, expressed much less pronounced. Frequent painful urination are common symptoms of prostatitis Symptoms of prostatitis - listen to your body  Symptoms of prostatitis - listen to your body
 . Treatment of chronic prostatitis must be complex, time-consuming and about his can only be experienced urologist.


Burning after urination in men

Burning after urination is often a sign of kidney stones or some tumors in the urethra. And in fact, and in another case there is irritation of the urethra, so there is a burning sensation. Sometimes this man in the urine can be seen admixture of blood.

To establish a diagnosis of the survey is conducted: ureteroscopy, cystoscopy, various types of radiological examinations, urinalysis. Treatment - diet with urolithiasis (operation is also possible, if the urinary tract there are large stones or crushing - lithotripsy), and surgical removal of tumors.

Burning during urination in men - is an occasion to refer to the urologist.

Galina Romanenko

Article Tags:
  • urethritis