Intermittent Right Groin Bulge in Surgery — 60yo Man | General Surgery | SMLE Q#18553
SMLE Question #18553
Surgery
General Surgery
Objective: OBJ-INGHERN-01
Last updated: February 2026
A 60-year-old man presents to clinic with an intermittent right groin bulge for 6 months. It becomes more prominent with coughing or prolonged standing and reduces when supine. He reports mild discomfort only and denies nausea, vomiting, constipation, fever, or inability to reduce the bulge. Examination shows a soft, reducible right inguinal hernia with cough impulse and no skin changes or tenderness. What is the most appropriate management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.