nguinodynia: Causes, Symptoms, and Treatment – By Dr. Karan R. Rawat, Agra’s Leading Hernia & General Surgeon

Inguinodynia, also called chronic groin pain, is a condition that can occur after inguinal hernia surgery. While hernia repair is a common and generally safe procedure, some patients experience persistent pain or discomfort in the groin region, which may affect daily activities and quality of life.

Dr. Karan R. Rawat, recognized as the best general surgeon, laparoscopic surgeon, laser surgeon, gastro-liver specialist, proctologist, and podiatrist in Agra, explains the causes, diagnosis, and advanced treatments for inguinodynia. Residents of Agra, Mathura, Firozabad, Etah, Mainpuri, Aligarh, Hathras, Dholpur, Morena, Bharatpur, Shikohabad can benefit from his expert care.

⭐ What is Inguinodynia?

  • Inguinodynia refers to chronic pain in the groin region, usually lasting more than 3 months after hernia surgery.

  • It can occur after open or laparoscopic inguinal hernia repair.

  • Pain may be burning, stabbing, or aching, and sometimes radiates to the thigh, scrotum, or lower abdomen.

🔥 Causes of Inguinodynia

  1. Nerve injury or entrapment – damage or pressure on ilioinguinal, iliohypogastric, or genitofemoral nerves during surgery

  2. Mesh-related complications – tension, folding, or reaction to the hernia mesh

  3. Scar tissue (fibrosis) – causing nerve compression

  4. Recurrent hernia or infection – rare, but may contribute

  5. Postoperative inflammation or poor healing

🩺 Symptoms of Inguinodynia

  • Persistent groin pain for months after surgery

  • Burning, tingling, or shooting pain

  • Discomfort while walking, standing, or sitting

  • Pain during sexual activity in males

  • Local tenderness or swelling in some cases

🧪 Diagnosis

Dr. Karan R. Rawat uses a thorough approach to diagnose inguinodynia:

  • Clinical examination – checking for nerve involvement, tenderness, and mesh position

  • Imaging – ultrasound or CT scan to rule out recurrent hernia or mesh complications

  • Nerve blocks – diagnostic injection to confirm nerve-related pain

  • Electromyography (EMG) – in rare cases for nerve assessment

⭐ Treatment of Inguinodynia

Treatment depends on cause and severity:

1. Conservative Measures

  • Pain medications: NSAIDs, neuropathic pain drugs

  • Physiotherapy and gentle exercises

  • Local nerve blocks or injections

2. Surgical Management

  • Mesh removal or revision if pain is mesh-related

  • Neurectomy (nerve removal) for severe nerve entrapment

  • Laparoscopic approach – minimally invasive surgery reduces recovery time and scarring

3. Lifestyle & Supportive Care

  • Avoid heavy lifting initially

  • Gradual return to daily activities

  • Regular follow-up with a hernia specialist

💡 Why Residents of Agra Should Consult Dr. Karan R. Rawat

Dr. Rawat is the best hernia and general surgeon in Agra, offering:

  • Expertise in inguinodynia and chronic groin pain

  • Advanced laparoscopic and open hernia surgery

  • Safe, precise mesh placement and revision

  • Patient-centered care for recovery, pain relief, and lifestyle guidance

  • Emergency and elective surgical care for hernia, abdominal, and gastrointestinal conditions

Patients from Agra, Mathura, Firozabad, Etah, Mainpuri, Hathras, Aligarh, Dholpur, Morena, Bharatpur, Shikohabad trust him for best outcomes and minimal post-op complications.

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💬 Conclusion

Inguinodynia can affect quality of life if not addressed properly. With the expertise of Dr. Karan R. Rawat, patients in Agra and nearby regions receive accurate diagnosis, effective conservative management, and advanced surgical treatment, ensuring pain relief, faster recovery, and improved daily functioning.