Hernia - your experiences?

Hernia - your experiences?

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LordGrover

Original Poster:

33,699 posts

219 months

Friday 30th March 2012
quotequote all
I have a hernia and the GP says the other side is 'weak'. He says it's not possible to get it repaired on the NHS unless it's causing pain or serious discomfort - which TBH it's not, yet.
Clearly it's not going to go away on it's own and it's only going to get worse. I'm conscious of it all the time and am being overly cautious and get concerned at the slightest exertion.
I don't have private health insurance so it looks like my only option is to stump up for it myself. Any ideas of where to start or how to go about this please?

The_Doc

5,121 posts

227 months

Friday 30th March 2012
quotequote all
YOu can self refer for lots of this stuff.

You are a "Self Pay" customer.

http://www.spirehealthcare.com/

or

http://www.nuffieldhealth.com/hospitals/patient-in...

or

talk to your GP and ask him "who's the best hernia surgeon working privately near me?" YOUr GP will know who the good guys are and refer you on.

If your hernia becomes very painful in the near future then obviously get back to the NHS.

Tiggsy

10,261 posts

259 months

Friday 30th March 2012
quotequote all
LordGrover said:
I have a hernia and the GP says the other side is 'weak'. He says it's not possible to get it repaired on the NHS unless it's causing pain or serious discomfort - which TBH it's not, yet.
Clearly it's not going to go away on it's own and it's only going to get worse. I'm conscious of it all the time and am being overly cautious and get concerned at the slightest exertion.
I don't have private health insurance so it looks like my only option is to stump up for it myself. Any ideas of where to start or how to go about this please?
I spent 20 years with a bad knee that was always painful enough to see the doc once every 6 months but never bad enough to get him sending me to the hospital - so I told him it was screwing up my life and I was falling over - 6 weeks later NHS surgeon at a BUPA hospital, no less, fixed my knee.

Moral - if it hurts, say it bloody hurts!

okgo

39,334 posts

205 months

Friday 30th March 2012
quotequote all
I had a hernia on one side, got it fixed, he mentioned that its often the case that the other side could go to, about a year later it had, then I got that fixed. I never had any pain with my hernia's so just did it when I had the time to be off work etc.

mikebradford

2,712 posts

152 months

Friday 30th March 2012
quotequote all
was at doctor last week with a pain in my lower stomach/groin area dead centre
doctor checked for hernia, and said i had a thrill! on the left side
not heard this expression before, was explained to me that it was a potential weakness
will wait and see,
personally the area where she says, isnt actually where i experiance pain, as i get a pain when doing a sit up in the top of my groin lower stomach, dead centre

Burrow01

1,908 posts

199 months

Friday 30th March 2012
quotequote all
I've had two repaired

Last time I went to the GP, he confirmed it was a hernia, and asked if I wanted it repaired - it was not causing me any pain etc, but it's not going to get better on its own, only worse

Would suggest seeing another GP

LordGrover

Original Poster:

33,699 posts

219 months

Friday 30th March 2012
quotequote all
I believe it's a 'postcode lottery' type thing - by health authority. My GP has sent a referral letter to the relevant surgeon(s)/consultant(s) so I'm waiting to hear from them - not holding my breath though.
I'm currently investigating the two links above from The_Doc - appreciated. thumbup

cheeky_chops

1,603 posts

258 months

Friday 30th March 2012
quotequote all
neighbour and I had hernia ops at virtually same time - he was walking around fine within a week. I had 10 days off work and it was utter agony. Could hardly walk the 200m from station to work. Sitting at desk was agony too. Occasionally feel a niggle but i am fit and do lots of core/situps which have made it alot better. Good luck!

The_Doc

5,121 posts

227 months

Saturday 31st March 2012
quotequote all
We are talking about hernia, but there are hernias and there are hernias.

The lay term means Inguinal Hernia, but you can have incisional hernias, femoral hernias, herniation of the pons, hiatus hernias etc etc. The amount of damage to the usually intact restraining barrier predicts how big a job it is to repair. In the case of Inguinal hernias it is a mistake in evolution that has given us all a pair of weak points in the anterior abdominal wall where protrusion can occur.




uk_vette

3,336 posts

211 months

Saturday 31st March 2012
quotequote all
Burrow01 said:
I've had two repaired

Last time I went to the GP, he confirmed it was a hernia, and asked if I wanted it repaired - it was not causing me any pain etc, but it's not going to get better on its own, only worse

Would suggest seeing another GP
.
I had my right side done.
It just "popped " on day, no real exercise or lifting.
I was out of the county at the time, and wasn't due back for about 6 weeks.
I phoned the local doc' who asked me when I was back in the UK, and he would book me in.
Fair do's to the doc'
I was booked in for 3 days after arriving back.
In and out in one day, it was a "sliding hernia"

Any way, every thing went very well, no hitches, easy peasy.
Before the op, I was wearing a big pair of rolled up sock's in my underpants, to help keep the lump in my groin from popping further out.
I was like this for 3 weeks, and for the flight home from South Korea.

If your own doc' says no, tell him it is causing you untold agony, lay it on thick.

vette

LordGrover

Original Poster:

33,699 posts

219 months

Saturday 31st March 2012
quotequote all
The_Doc said:
We are talking about hernia, but there are hernias and there are hernias.

The lay term means Inguinal Hernia, but you can have incisional hernias, femoral hernias, herniation of the pons, hiatus hernias etc etc. The amount of damage to the usually intact restraining barrier predicts how big a job it is to repair. In the case of Inguinal hernias it is a mistake in evolution that has given us all a pair of weak points in the anterior abdominal wall where protrusion can occur.
As a child I had an orchidopexy on the same side as the hernia - GP suggested this is likely connected.

BenM77

2,835 posts

171 months

Saturday 31st March 2012
quotequote all

Sorry to hear you have a hernia, I would have to agree that you should lay it on thick to get the op on the NHS.

A friend of mine had gilmores groin and got the op done on his private health, he does quite a lot of training and was told that the crunches he was doing probably caused it. He is back training no problem now but doesn't hammer the crunches so much biggrin

Just because you are not rolling around in agony doesn't mean you don't need the op. Go in and lay it on thick, you are a tax payer so shouldn't have to go private smile

vxrich

44 posts

181 months

Wednesday 11th April 2012
quotequote all
I'm not sure what the GPs current rules are on referring hernia repairs to NHS surgeons, but as a General Surgical trainee it's rare we turn away any hernias that do turn up in clinic, unless they have medical problems that affect their suitability for theatre.
I'd try a different GP. I would not pay to go private unless you can't afford to wait the 18-odd week waiting list.
As above, sudden severe pain in a hernia and you should seek medical attention immediately.

Most inguinal hernia repairs can be done as day cases, and you may have the option of local vs general anaesthetic.

Good luck

daz3210

5,000 posts

247 months

Wednesday 11th April 2012
quotequote all
As many say above, keep on at the GP, this needs sorting painful or not.

I have had one, right side, was described after the op as rather larger than expected from exam. Was never painful, but basically part of my inside descended into my scrotum, making that look larger than it should have I did little about it at first until one of my Uncles (Uncle by marriage, not blood relative) relatives died. Cause of death was listed as strangulated hernia, because he did nothing about his until it was too late.

I was at the GP surgery quicker than Concorde could have delivered me when I heard that!

Looking forward, I had a cut about 8 to 10 inches long in my groin area. I could feel post op a piece of gauze under the skin. For several days I couldn't toilet normally, in that I had to sit there until I went rather than being able to 'make' myself go. Consultants told me I would have to take it easy for several weeks, I was walking (not normal, but walking) within about three days. Ten years on, whilst I get an occasional twinge, I am pretty much back to normal.

I was told that it may re-occur and need sorting again in later life though.

LordGrover

Original Poster:

33,699 posts

219 months

Monday 16th April 2012
quotequote all
rolleyes

My GP dictated the letter requesting a referral in my presence 29 March, after original diagnosis 27 February.
Just called to chase and the letter was typed and sent 13 April - last Friday. fking useless tts.
It's now a two week (average) wait for funding approval from PCT before they forward to the hospital.

daz3210

5,000 posts

247 months

Monday 16th April 2012
quotequote all
LordGrover said:
rolleyes

My GP dictated the letter requesting a referral in my presence 29 March, after original diagnosis 27 February.
Just called to chase and the letter was typed and sent 13 April - last Friday. fking useless tts.
It's now a two week (average) wait for funding approval from PCT before they forward to the hospital.
Funding approval? How does that work then, does some non-descript decide if you are worth spending the money on?

LordGrover

Original Poster:

33,699 posts

219 months

Tuesday 17th April 2012
quotequote all
Is anyone familiar with The British Hernia Centre?
The website is a bit cack, but their sales blurb is interesting - skip down to Preferred Method.

The only 'recommendation' I have is a colleague's husband who went there but was a little disappointed with the outcome. Just my luck.

vxrich

44 posts

181 months

Tuesday 1st May 2012
quotequote all
LordGrover said:
Is anyone familiar with The British Hernia Centre?
The website is a bit cack, but their sales blurb is interesting - skip down to Preferred Method.

The only 'recommendation' I have is a colleague's husband who went there but was a little disappointed with the outcome. Just my luck.
Their "preferred method" sounds like the standard way of performing an open inguinal hernia repair these days, don't let their sales blurb convince you that it's anything revolutionary. Everyone uses mesh, you would likely get the same from any NHS surgeon.

On the other hand if they just do hernia repairs you hope they'd be pretty good at it! (They may have data on recurrence, haematoma and infection rates to back this up)

Out of interest why was your colleague's husband disappointed?


LordGrover

Original Poster:

33,699 posts

219 months

Tuesday 1st May 2012
quotequote all
vxrich said:
Out of interest why was your colleague's husband disappointed?
He says he can feel it all the time. No pain or even discomfort, but an 'awareness'. He's very conscious of it a year later.

daz3210

5,000 posts

247 months

Tuesday 1st May 2012
quotequote all
I'm 'aware' of mine over ten years later.

BUt that awareness I'm sure arises from knowing it was there and haas been repaired, and its more a case of I keep needing to check it hasn't come back.

As for discomfort etc, mine disappeared over time.