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Right Inguinal Hernia.

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I have a small right inguinal hernia, 3 cm x 3cm, minimally symptomatic, I just turned 67, am in very good shape (competitive runner), although I've been keeping fit by power walking since I developed this hernia 4 months ago, I'm searching for a surgeon in my area who will repair it with local anastetic and sedation, I have MILD BPH symptoms, my concern is post op urinary retention, isn't it true that with local anastestia the UR rate is VERY low? This concern has me quite stressed as not being ill often and having no prior surgeries, this is new to me, please allay my fears if you would, thank you.


Category: General Surgeon

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Category: Pediatric Surgeon
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Expert:  Dr. Hari Charan Perigela replied 4 Days ago

Hi
Thanks for posting in Doctor spring. Com.
The risk of urinary retention is low in local anaesthesia. But, you should consult an experienced Surgeon for this.
As there is no medical treatment for hernia, surgery is the only option.
Even under Spinal anaesthesia, the urinary retention will be for few hours. I personally prefer doing surgery under Spinal anaesthesia, even in patients above 65years of age.
I have operated on hundreds of hernia without any urinary complaint after surgery.
The relaxation of muscles will not be that good under local anaesthesia.
Hope I answered your query.
Wish you good health and speedy recovery.
Regards



Patient replied :

Doctor, thank you for your response, so based on what I told you, you forsee a good outcome of my surgery? By the way, I'm having the Millikan modified Plug and Patch procedure, very good reviews on it.


Expert:  Dr. Hari Charan Perigela replied 3 Days ago

Hello,

Of course I foresee a good outcome for you as Hernia Surgeries are advanced now a days. Millikan modified Plug and Patch procedure is an excellent procedure . I think you can safely go for it.

Hope this helps
Feel free to ask followup
Thank you


Dr. Hari Charan Perigela
Category: Pediatric Surgeon
Experience: 
Fellowship: DNB, General Surgery, National Board of Examinations, New Delhi, 2001
Residency: MS, General Surgery, Sri Venkateswara Medical College,Tirupathi, 2000
Medical School: MBBS, Kurnool Medical college, 1995
Dr. Hari Charan Perigela and 4 other Medical Specialists are ready to help you

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