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Groin Pain and Swelling in Men: What Could it Mean?

Groin pain and swelling could be a red flag for men and potentially indicate many different conditions. It is important to know what these conditions are since they can range from kidney stones to cancers, and to be able to identify when something is wrong. Not only can this be worrisome to any man experiencing abnormal swelling or pain, but depending on the extent of the pain and symptoms could be reason to see your doctor.

The most common cause for pain or swelling in the groin – the area between the abdomen and thigh – is a hernia. This type of hernia is more specifically called an inguinal hernia, and it occurs when part of the small intestine bulges through a weak area in the lower abdominal muscles. Inguinal hernias present as bulging in the groin, and can often be confused with swelling. Even a small hernia will cause intermittent pain, which is pain that comes and goes.  However, more severe hernias can cause unbearable pain for sufferers to the point of incapacitation. This symptom is not something to ignore. Hernias left untreated may become strangulated when blood flow to the intestine is cut off, leading to death of the bowel tissue. Such a complication is life-threatening and requires emergency surgery.

Another common cause of swelling in the groin area are swollen lymph nodes. Most often we do not notice these glands, but when they are swollen, or enlarged, they become evident to us. Lymph nodes are important part of the immune system and are located regionally throughout the body. The groin has a uniquely high concentration of lymph nodes and as part of the immune system lymph nodes reflect abnormalities in that area. Therefore, you could be experiencing swelling of nodes from a urinary tract infection, or some other type of infection your body is fighting off.

In general, infections are the most common causes of lymph node enlargement. As mentioned, this could be from an infection in the urinary tract, but could also be something a bit more serious such as infection from sexually transmitted diseases (STD). Currently, there are over 300,000 cases of STD’s like gonorrhea in the country.  If you have swollen lymph nodes and it is NOT a hernia, then another possibility would be the above-mentioned.

Other causes include inflammation and cancers. Cancers such as testicular or penile cancer can present by swollen lymph nodes in the groin, similar to infections. In addition to swollen groin nodes, a dull ache in the lower abdomen or groin is also a symptom for testicular cancer. Not all swollen lymph nodes are abnormal, so don’t forget to consult with your doctor. Paying attention to your symptoms and the progression of the swelling could be a great help for your doctor in determining the cause. Let your doctor know if the swelling has come on suddenly, or gradually, and if there is pain associated with it.  These small details could give a doctor valuable information about the diagnosis.

These are only some of the possible causes of pain and swelling in the groin. Consulting with your doctor is your best defense against figuring out the cause of your symptoms, and treating an infection, hernia, or cancer early. When consulting with your doctor, remember to be detailed. The more information you can give, the better able your physician will be to help you.

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Author: David Samadi, MD - Medical Contributor

Dr. Samadi is a board-certified urologic oncologist trained in open and traditional and laparoscopic surgery and is an expert in robotic prostate surgery. He is chairman of urology, chief of robotic surgery at Lenox Hill Hospital and professor of urology at Hofstra North Shore-LIJ School of Medicine. He is a medical correspondent for the Fox News Channel’s Medical A-Team. Learn more at roboticoncology.com. Visit Dr. Samadi’s blog at SamadiMD.com. Follow Dr. Samadi on Twitter, Instagram, Pinterest, and Facebook.

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