Sports Hernia Surgery

Cremasteric Muscle and Hernia Repair Surgery

What Happens to the Cremasteric Muscle During Non-Mesh Hernia Repair Surgery?

Perhaps your surgeon mentioned the cremasteric muscle when discussing your hernia repair surgery. The cremaster muscle surrounds the spermatic cord and runs from the internal inguinal ring to the testicle.  The cremasteric muscle has two important jobs:

  1. It pulls the testicles closer to the body when they are exposed to cold.
  2. It brings the testicles closer to the body during sexual intercourse.

However, since it is a muscle, it has the potential to add volume around the spermatic cord and thereby make it more difficult to get a tight hernia repair. 

Options for Addressing the Cremasteric Muscle

Removing it: There are surgeons who routinely remove the cremasteric muscle during hernia repair surgery, which results in a tighter repair. However, removing this muscle means it can no longer do its job of pulling the testicles closer to the body in…

What You Should Know About the McVay Technique

McVay Technique for Non-Mesh Hernia Repair

Femoral hernias are more common in women than in men. It develops from a hole underneath the inguinal ligament. Most hernia repairs depend on an intact inguinal ligament, and for this reason most hernia repairs will not work when there is a femoral hernia. The McVay operation uses Cooper’s Ligament instead of the inguinal ligament and is the best operation for femoral hernias or when the inguinal ligament has been damaged.

The McVay operation is more painful than the other operations and thus is reserved for situations in which the inguinal ligament has been damaged or when a femoral hernia is present.

Knowing that the McVay method will make your recovery longer and more uncomfortable, you can be proactive to minimize both by preparing ahead of surgery. Of course, Dr. Brown and his staff can answer all your questions about the McVay technique…

You were the only one who could diagnose me properly.

Hey Dr. Brown,

I just wanted to say thank you for everything you’ve done thus far and the care you’ve put into my recovery.

I was living with pain for 4 years and after seeing countless doctors, you were the only one who could diagnose me properly — so I’m very thankful that I  found you. I’ll continue to keep you updated about my progress.



You are amazing.

Doc Brown,

You are amazing. Thank you.

After your surgery I went on to break the record for goals at West Valley Community College, then transferred to play D1 at Cal Poly SLO where I unfortunately tore my ACL. Now going on Physical Therapy School. Hopefully through the military.

Thanks for everything.


Shouldice Hernia Repair Technique

Four Things You Should Know About the Shouldice Hernia Repair Technique

Shouldice Repair for Hernias

If you are researching hernia repair techniques, chances are that you’ve come across the Shouldice technique. No wonder since it’s considered an excellent hernia repair method due to it putting minimal tension on the repair, which leads to less post-operative pain and easier recovery, it has a low hernia recurrence rate, it has a low infection rate, and its results are equal to or better than using mesh.

That just scratches the surface of this popular hernia repair method. Here are four more things you should know about the Shouldice hernia repair technique.

1. How it’s performed.
The Shouldice hernia repair involves using a running permanent suture to first plicate and strengthen the inguinal floor. Then a second running suture is used to plicate the oblique muscles, creating a four-layer hernia repair.

2. Who invented it.
Dr. Edward Shouldice,…

William Brown, MD
Hernia Specialist

Dr. Brown has been repairing inguinal hernias for over 30 years, taking care of Athletes with Sports Hernia injuries since 1999.  Dr. Brown has been taking care of patients with complications from mesh for so long that his hair is gray. Luckily he still has some hair.

His patients include players from the San Jose Sharks and the San Jose Earthquakes as well as athletes from the NFL, AFL, NBA, and the local college teams. As well as Athletes from 15 foreign countries.

Fremont Office
William H. Brown, M.D.
39470 Paseo Padre Pkwy
Fremont, CA 94538
(510) 793-2404
Fax: (510) 793-1320

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