Im sorry to hear about your symptoms. Well from what you are describing it is possible that you may need another surgery to fix the hernia. Sometimes the mesh repair can become undone in a minority of the patients which would need to be repaired or a new mesh would need to be placed here. The pain which is worsening in coughing can indicate that you could have an obstructed hernia in which there is a portion of tissue trapped in the hernial opening. Now if the mesh method failed then direct hernial repair can be attempted but usually the mesh repair is a better option with less chances of failure. It is possible that mesh repair may be attempted again however with reinforcement of the surrounding muscles.
But first it HAS to be determined whether the initial repair has failed or not, it is possible that the pain which you are experiencing is due to another underlying issue. Such as kidney stones which can cause pain which radiates down into the groin. It is also possible that this is a severe muscle spasm in the area which would need to be treated with muscle relaxants.
The best thing to do now would be to first get another clinical examination done, this should be followed be followed by an ultrasound and if needed an MRI to look at the actual situation inside the abdomen. I would suggest that you visit your doctor to get this done ASAP, pain which worsens on coughing etc should not be ignored and evaluated at the earliest.
Do you have any more questions?
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