Inguinal Hernia in Older Men: Overview and Causes
What is an Inguinal Hernia?
An inguinal hernia is a fairly common disease characterized by a marked protrusion of the peritoneum into the cavity of the groin canal. According to statistics, 90–97% of the total number of patients with such a diagnosis are representatives of the stronger sex. The predisposition of elderly men to this type of hernia is due to the anatomical features of the structure of their groin area. Lifestyles, habits, the specifics of work, hereditary predisposition lead to the formation of a hernia gate in the walls of various cavities. Inguinal hernia is more common in older men while in women, abdominal and umbilical hernia. Through the hernial ring, the internal organs protrude under the skin or into the intermuscular space, forming a hernia.
Regardless of the place of occurrence and the intensity of pain, the disease may require a surgical procedure. In older men, the hernial sac often descends into the scrotum, forming an inguinal-scrotal hernia. Causes of inguinal hernia in older men: As men age, the elasticity of the abdominal wall decreases. The resulting hernial bag through the opening of the inguinal canal bulges under the skin increases to large sizes and can sink into the scrotum. In this case, surgery for an inguinal hernia in elderly men is inevitable. The main factors that lead to the occurrence of this painful issue in older men are given below:
- The weakening of the abdominal muscles and fascia of the abdomen
- Excessive weight
- Excessive physical exertion
- Issues related to the digestive and urogenital system
- A severe cough
- Various injuries may also increase the pressure on the abdominal wall and groin area leading to their weakening.
- The hernial defects of the abdominal wall are divided into:
- Congenital – these are malformations.
Acquired – the most common hernial protrusion occurs under the influence of generating factors.
Depending on the anatomical features, hernial disorders of the groin area may be classified as:
Straight (acquired) – the hernia falls into the inguinal canal without touching the spermatic cord.
Oblique (can be congenital and acquired) – the hernial sac from the peritoneum falls into the inner ring of the inguinal canal.
Combined – combines several pathological defects.
According to the localization of the pathological process, the hernial protrusion can be one-sided (on the left or on the right side) and two-sided (on both sides). About Advantage Coverage: Medicare advantage plans enable older adults who’re 65 & over pay for out of the pocket costs since Original Medicare doesn’t pay for them .