Right Groin Bulge in Surgery — 60yo Man | General Surgery | SMLE Q#11939
SMLE Question #11939
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 60-year-old man presents to the surgical outpatient clinic with a right groin bulge for 1 year. The swelling appears with standing or coughing and disappears when lying down. It is easily reducible and causes mild discomfort without limiting daily activity. He has no nausea, vomiting, abdominal pain, abdominal distension, or change in bowel habits. Examination shows a reducible groin hernia with a cough impulse and no tenderness, skin changes, or signs of bowel obstruction. He prefers to avoid surgery if it is safe. What is the most appropriate management at this time?
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