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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.

Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.

Organizations
American Medical Association, American Urological Association, American College of Surgeons

 
   

You are here:  Experts > Health/Fitness > Urology > Urology > hernia

Topic: Urology



Expert: Arthur Goldstein, M.D.
Date: 9/22/2008
Subject: hernia

Question
hi arthur........i was operated for inguinal hernia last year....i am 24 yrs old...
1) i wanted to know if i could safely lift heavy weights or workout in gym...i spend an hour in thew gym last week and then felt a bit of pain in my testis
2)my right testis is very small and not rigid and doesnt hang down as a normal testis would...its like invisible to naked eye...is that a problem.
3)My doctors had adviced to wear tight underwears after the surgery fr some time....but i had some people telling me that i need to wear tight underwears for life....does it help or is it just a myth.............thanx

Answer
Ali, hernia surgery is in the speciality of general surgery and not urology but I will try to help.  You best bet, however, is discussing maximum allowed activity is with your surgeon.  After hernia surgery, most physicians allow their patients to return to full & unrestricted activity and exercise within 8 weeks.  This is, of course, is assuming they were able to obtain a solid repair utilizing healthy tissues (as opposed to synthetic mesh).  Tight underwear or a truss are recommended for the most part in individuals who have had repairs using less than ideal tissue, weakened residual tissues or recurrent hernias.  Therefore, if you have a good solid repair done with healthy tissues (only your surgeon can tell you this) & are otherwise well, you should have no exercise restrictions.  

Was your hernia repair on the right?  If so, was your testicle normal before surgery?  Before I can answer your question about the testicle, I need this information.  In general, pain in the operative area including the ipsilateral testicle and spermatic cord is common when one first starts to exercise.  It is due to stretching of scar tissue.  This type of discomfort gradually disappears over time.   Let me know the answers to the above questions and I'll get back to you.

Good luck.

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