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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
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You are here: Experts > Health/Fitness > Urology > Urology > hernia
Expert: Arthur Goldstein, M.D.
Date: 9/23/2008
Subject: hernia
Question
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.
---------- FOLLOW-UP ----------
QUESTION: thanks for the info arthur...ali here....yes my hernia repair was on the right and my testicle was abnormal from childhood.....i remember my parents telling me that doctors had adviced a hernia operation whn i was four months old.......i also dont feel sensitiveness on the right part, i mean where the operation has been performed...i thought complete sensitiveness shud hv been restored as its bin an year since i got operated,,,,,,also will wearing tight breifs help coz i heard sum saying that it doesnt make a difference after u r operated.....thanx
Answer
Ali, I have already commented in my first note regarding tight briefs: "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." If none of the conditions apply to you and you are more comfortable with tight briefs, wear them. The change in sensitivity in the "right part" may be either due to scarring or, sometimes with a hernia repair, one of the nerves in the inguinal canal gets damaged during surgery. The former generally heals over time while the latter may or may not be permanent. Only time will tell. Good luck.
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