There is a long strip of hard lump on the right testicle. It is not painful, but there is swelling and pain in the right groin.

There is a long hard lump on the left testicle, and there is no pain, while there is bloating and pain in the right groin. This is probably caused by inguinal oblique hernia. Inguinal oblique hernia is a disease that has certain harm to men, so it needs to be treated in time with certain methods. Below, we will introduce the symptoms and treatment methods of inguinal oblique hernia in detail.

1. Typical symptoms

Most patients have no conscious symptoms in the early stages, but occasionally feel dull pain in the groin area, which worsens when standing, carrying weight or exerting excessive force, and improves when lying down.

(1) Reducible hernia: The defining symptom is a protruding mass in the inguinal area. Initially, the mass only appears when the patient is standing, working, walking, running, or coughing violently. After lying down, the protruding mass can retract on its own and disappear. The mass is small at first, and gradually increases in size as the disease progresses, descending from the inguinal groove to the scrotum or labia majora. The mass is pear-shaped with a handle, which runs obliquely outward into the inguinal canal.

(2) Irreducible hernia: In patients with a long course of disease, the hernia contents often rub against the inner wall of the hernia sac, causing mild inflammation and gradual formation of adhesions, making it impossible for the hernia contents to be completely retracted.

(3) Incarceration and strangulation: Most cases have no obvious cause, but can also occur due to intense labor or sudden increase in abdominal pressure. Sudden onset causes obvious pain, and the hernia becomes firm and hard with obvious tenderness. If the incarceration is an intestinal loop, typical symptoms of acute intestinal obstruction may occur.

2. Surgical treatment

Tension-free hernia repair is the main method of surgical treatment at present, which can reduce postoperative pain, shorten recovery time, and reduce the recurrence rate of hernia. According to the surgical principle and repair level, the surgical methods of inguinal hernia can be divided into: 1. Strengthen the classic suture repair of the posterior inguinal wall, such as Bassini, Shouldice and other procedures. 2. Strengthen the posterior inguinal wall of the tension-free hernia repair, such as the simple flat patch repair (Lichtenstein, Trabucco, etc.) procedure and the mesh plug plus flat patch repair (such as Rutkow, Millikan, etc.) procedure: 3. Tension-free hernia repair in the preperitoneal space, such as Kugel, Gilbert, Stoppa and other repair procedures. 4. Laparoscopic inguinal hernia repair, including transperitoneal repair (TEP), transperitoneal preperitoneal repair (TAPP), and intraperitoneal patch repair (IPOM).

3. Other treatments

1. Hernia belt treatment: Suitable for the elderly or those who are seriously ill and cannot undergo surgery. Long-term use of a hernia belt causes the neck of the hernia sac to become thickened and tough due to repeated friction, which promotes adhesion between the hernia contents and the inner wall of the hernia sac, and easily forms a difficult-to-reduce hernia.

2. Manual reduction of incarcerated hernia: Manual reduction can be attempted only in a few cases. Manual reduction has certain risks and must be used with strict control. After successful reduction, patients are advised to undergo elective surgical treatment to prevent recurrence.