Wow, what a great site for hernia info. I really wish I had seen this site before my surgery 20 days ago. I had open repair on direct hernias on the left and right side. As such, I have two incision 3.5 inches long on each side. I am a 45 year old male in good shape. I am 5â10 and 175 pounds. Had I done more research, I would have not done open surgery. The pain and recovery issues are just too great with the large incisions and scar tissue. Go with laparoscopic if you can. I let my surgeon talk me into open repair for a golf ball size hernia on the left side and marble size one on the right. He said it was better due to future operations for any prostate, colon or gallbladder (I have no issues at all now). He also said in open hernia repair the surgeon can be more targeted with the mesh and thus the mesh is a lot smaller. With Laparoscopic, the mesh must be larger due to limitations of access to the hernia site and the need to ensure a larger coverage area.
Tips!: Four things that helped me the most:
1. Eat nothing but soup 36 hours before surgery and for 72 hours after surgery. Then make sure they give you a prescription for glycerin suppositories. GET THEM. Trust me; both items make bowl movements easy and pain free.
2. Put pillows under both knees when you are lying down flat to sleep. It tilts your pelvis slightly up or flat and removes all the pressure on the hernia repair. Your feet still need to touch the bed, just use enough pillow to allow you to rest your legs slightly upward at the hip. It works wonders.
3. I know the surgeon will tell you to ice the scrotum and penis for 24 to 36 hours after surgery. Do that. It helps keep the blood from pooling in your scrotum and reduces swelling. Swelling is what causes the most pain in days 2-5. But I found that in days 2+ heat on my scrotum via a pad or water bottle kept it from shriveling up and forcing my testicle closer to my body. Doing so eased the nerve pain greatly on both sides of my scrotum. If I got cold, and my scrotum shrunk, the pain was a lot more intense in the nerves in that region. Do not be afraid to apply heat in days 2+.
4. When you can finally sleep on your side, put a pillow in-between your legs to keep the pressure off your scrotum (from being squeezed between your legs).
Clueless! I did not see that coming:
1. You will not be able to sleep on your side for at least a week. During the first week, rolling over is a problem pain wise, but after that subsides, the swelling and pain makes it hard to sleep on your side for the first two weeks.
2. Two weeks after the surgery, you will still have pain and cannot stand for longer than a few hours. The recovery time is double what they tell you.
3. Using a recliner or sitting prone is very painful. I figured I could sit in my recliner and watch TV the first week after surgery. Wrong. After a week, I could sit prone in a chair or in a recliner without a lot of pain for a few hours, but in the first week, unless I was lying flat or slightly inclined, the hernia repair hurtâ¦a lot.
Soâ¦20 days later⦠I am getting better, but here is what you can expect after open repair for direct hernias.
6-12 hours after surgery: Pain and nausea are brutal. Pain killers help, but not much. You pray that you pee within 12 hours post surgery so you donât need to go back to the hospital and get a catheter. Prescription pain drugs mandatory. You sleep.
Day 1- pain is intense 24/7. You move at a snailâs pace to and from your bed to the toilet. Sitting up or standing up for any length of time is brutal. Getting in and out of bed takes help. Sneezing and coughing bring cries of âjust kill me, I canât live with the painâ. Prescription pain drugs mandatory. You sleep.
Day 2- pain is intense 24/7. You can now sit up at a slight incline and watch TV or read. But moving or standing is still a huge problem pain wise. Getting in bed is painful. Prescription pain drugs needed. Coughing occurs due to irritation from tube in throat during surgery. You call doctor for more pain meds to end cough or end the brutal pain of coughing.
Day 3- Pain is less, but still a challenge 24/7. You can now move around slowly without much help. Stairs hurt but are manageable. You feel like you need to poop but are too afraid. Prescription pain drugs needed at night. Ibuprofen during day. Shower!
Day 4 âPain is bearable with good prescription drugs 24/7. You poop. It doesnât hurt if you use my tips. Penis and scrotum is swollen and black and blue. Nasty looking. Getting and out of bed is painful, but not so bad that you donât want to. Prescription pain drugs really only needed at night. Ibuprofen during day.
Day 5 â Pain is bearable with some ibuprofen. You now move around faster. Swelling is painful still. Feels like something is burning inside the left and right side of your groin down to your scrotum. Sleeping on side not possible, but you attempt it. No prescription pain meds. Ibuprofen 24/7 to reduce swelling.
Day 6 - Pain is gone when laying flat or inclined. Otherwise bearable with some ibuprofen when standing or sitting. You can now sit around for an hour or two move around house faster. Swelling is painful still. Sharp pains on nerves to the left and right of penis more often when standing. Still feels like something is burning inside the left and right side of your groin down to your scrotum (nerves are starting to repair themselves) . Sleeping on side not possible, but you attempt it. No prescription pain meds. Ibuprofen 24/7 to reduce swelling.
Day 7 â you progress a little, but now more slowly. You realize this is not a one week and done deal. Swelling starting to go down near incisions and groin. You sleep on your sideâ¦finally. Still sore, but you are now up 3/4s of the day standing and sitting. Ibuprofen 24/7
Days 8-14 Progress every day, but incremental improvements slow down. You still have pain near the incisions and the swelling is an issue still. If you are upright for more than 3 hours it hurts a lot. Sitting in a chair is bearable for a few hours. Ibuprofen 24/7
Days 14-18 Again, progress every day with less pain, but incremental improvements slow way, way down. You still have pain near the incisions and the swelling is an issue near the incisions. Scar tissue is hard and you can feel the scar tissue. Sitting upright pinches the scars and causes pain now in places that wasnât painful before. You go back to work, but you still hurt and need ibuprofen to 24/7 to help take the edge off. If you are upright for more than 5 hours it hurts and you want to lie down. Sitting in a chair is bearable for a few hours. Ibuprofen 24/7
Days 18-20 Pubic hair is starting to itch where you were shaved. Nerves in the skin near groin area really starting return and are sensitive to touch. Sex starts to creep back into your mind and you wonder how much it will hurt. Ibuprofen 24/7
Days 21+ Dunno, not there yet.