Inguinal hernia practice

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Tune this setClinical rotations · 10 questionschange

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Any stageFoundations71Mechanisms of disease35Clinical rotations832Pre-internship488

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AnyCommon535Middle twist776Niche but important115

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Year 4middle twist

A 64-year-old man presents with a right-sided groin bulge that becomes more prominent on coughing. He reports no pain and has no difficulty with daily activities. He has a BMI of 28, is a non-smoker, and has no comorbidities. On examination, the hernia is reducible and located above the inguinal ligament. He is concerned about surgery and asks about alternatives.

What is the most appropriate initial management for this patient?