Can pediatric hernia be treated without surgery?

Patient's question:

My child has a hernia, which often descends into the scrotum. The condition frequently recurs, and each episode causes intense pain, leading the child to cry uncontrollably. I am concerned about the risks of surgery and hesitant to proceed, so I am asking: can pediatric hernias be treated without surgery?

Doctor's answer:

According to the described situation, this may be related to inguinal in children, which is often caused by the failure of the processus vaginalis to close during the descent of the testis in the embryonic period. It can develop during the neonatal period and is a congenital disease. For children with a history of a mass in the inguinal area or those who temporarily cannot be found with a mass in the inguinal area, infants and young children can be stimulated to cry or have pressure applied to their abdomen, while older children can be asked to cough, hold their breath, or bear down before re-examination, at which time the mass can often be found and a definitive diagnosis can be made. It generally resolves on its own, but if it does not resolve by the age of one year, surgery should be considered.

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