Hernia
A lump in the groin? It may be an inguinal hernia
Inguinal hernia is the most common type of hernia, especially in men. A soft lump that appears on exertion and goes back when lying down is a typical sign.
Short answer
A lump in the groin that appears when you stand, cough or lift and disappears when you lie down is often an inguinal hernia. It is not dangerous in itself, but it can cause symptoms and in rare cases become incarcerated. A specialist surgeon can make the diagnosis with a simple examination and tell you whether surgery is needed.
Typical symptoms
An inguinal hernia occurs when part of the abdominal contents pushes through a weak spot in the abdominal wall in the groin. Many first notice a lump, others a heavy or pulling feeling.
- Soft lump in the groin or towards the scrotum
- The lump is more visible when standing, coughing or lifting
- Heaviness or pulling, often worse at the end of the day
- Discomfort during exercise or heavy lifting
How is the diagnosis made?
A clinical examination where the surgeon feels the groin while you stand and cough is usually enough. Ultrasound may be needed in unclear cases.
Other causes of a groin lump include enlarged lymph nodes, fatty lumps and, in women, sometimes a femoral hernia, which needs surgery more urgently.
When does the hernia need surgery?
An inguinal hernia without symptoms can sometimes be monitored. If the hernia causes pain, grows or affects daily life, surgery is usually recommended. In women, groin hernias are generally repaired because femoral hernias are more common and carry a higher risk of incarceration.
The operation is usually performed as day surgery, using keyhole or open technique and a mesh that reinforces the abdominal wall.
After the operation
Most people go home the same day and can return to light work within one to two weeks. Heavy lifting is avoided according to the surgeon's advice. Six months of free follow-up is included after hernia surgery with us.
Next step
Have your symptoms assessed by a specialist surgeon
No referral needed. Short lead times to assessment and treatment in Karlstad, Sweden.
Frequently asked questions
Can an inguinal hernia heal by itself?
No. The hernia does not disappear without surgery, but not all hernias need surgery straight away.
When should I seek emergency care?
If the hernia becomes hard, very tender and does not go back, especially with nausea or vomiting. Call 112 or go to the nearest emergency department.
Do I need a referral?
No. You book an assessment with a specialist surgeon yourself.
Sources
This text is patient information and does not replace an individual medical assessment.