Direct Inguinal Hernias

A direct inguinal hernia occurs when the organ enters through a weak spot or gap in the floor of Hasselbach's Triangle – the area of the lower abdomen located above the abdomen-thigh juncture. This type of hernia is usually acquired and generally associated with heavy lifting, straining due to constipation, coughing, or an enlarged prostate.

While a direct inguinal hernia can affect both men and women, men are 20 times more likely to develop one. Patients who have this type of hernia may feel pain or a bulge in the groin area. If left untreated, the hernia may become strangulated, which could lead to bowel obstruction. Unless a significant medical condition prevents it, all hernias should be repaired with surgery.