How are groin hernias diagnosed?

Most groin hernias are diagnosed by the clinical history and examination alone. Occasionally, if the diagnosis is unclear or if pain is the predominant symptom and there is no obvious swelling further investigations may be used. These include MRI scans, herniography and ultrasound scans. However, these scans have the problem that they may ‘over diagnose” hernias. In such cases they report a ‘possible’ or ‘small bulge’, which is really just a bit of normal tissue. So you can’t rely 100% on scans. Be guided by your surgeon.