Clinical features
The clinical features of an inguinal hernia can be divided into symptoms and signs.
When taking the history of a man with a possible hernia, it is important to enquire about risk factors for herniation:
- occupation, particularly heavy manual work
- chronic cough e.g. bronchitis
- difficulty passing urine e.g. prostatic hypertrophy
- constipation
These factors tend to increase the intra-abdominal pressure.
Reference
- Itani KMF, Fitzgibbons R. Approach to groin hernias. JAMA Surg. 2019 Jun 1;154(6):551-2.
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