An abdominal wall assessment is the first step towards understanding a lump, bulge, discomfort or change in the shape of your abdomen. Problems may develop after pregnancy, weight change, previous surgery or a hernia repair, and symptoms can affect movement, exercise and confidence. At The Women Surgeons Clinics, your consultation is led by a specialist surgeon who will listen to your concerns, examine the abdominal wall and explain the most appropriate next steps.
What does the assessment involve?
Your surgeon will review your symptoms, general health, previous operations and any factors that may affect healing. You may be asked when the problem started, whether the swelling changes with coughing or standing, and whether you have pain, nausea or changes in bowel function. A physical examination is usually carried out while you are lying down and standing. This helps assess the location and size of a suspected hernia, the quality of the surrounding tissues and whether the abdominal muscles have separated. Photographs may be taken with your consent for clinical planning.
Will I need a scan?
Some conditions can be diagnosed through examination alone. If the findings are unclear, the problem is complex or you have had previous surgery, your surgeon may recommend an ultrasound or CT scan. Imaging can show the abdominal wall in greater detail and help identify the contents of a hernia, muscle separation and the position of any previous mesh. It also supports accurate planning if surgery is being considered.
Your personalised treatment plan
Not every abdominal wall concern requires an operation. Depending on the diagnosis, options may include observation, lifestyle measures, physiotherapy, symptom management or surgery. If surgery is suitable, your surgeon will discuss the available approaches, whether mesh may be recommended, expected recovery and the risks relevant to you. The aim is to reach a clear diagnosis and a plan based on your symptoms, anatomy and priorities.
Risks and urgent symptoms
An assessment itself is non-invasive. Clinical photography and imaging are only arranged with your agreement. Seek urgent medical help for a painful lump that cannot be pushed back, worsening abdominal pain, vomiting, fever or difficulty passing stool or wind, as these symptoms may indicate an obstructed or strangulated hernia.
Frequently asked questions
Do I need a GP referral? Many private patients can book directly, although your insurer may require a referral. Check your policy before attending.
What should I bring? Bring a list of medicines and any previous operation notes, scan reports or relevant photographs available to you.
Can I be assessed after pregnancy? Yes. Assessment can distinguish a hernia from abdominal muscle separation and identify options appropriate to your stage of recovery and future plans.