Ultrasound and CT imaging can provide important information when an abdominal wall problem is difficult to define through examination alone. A specialist review helps connect the scan findings with your symptoms, previous operations and clinical examination. At The Women Surgeons Clinics, imaging is considered as part of a complete assessment rather than in isolation, so you can understand what the report means and whether treatment is needed.
When may imaging be recommended?
Imaging may be useful for a small or hidden hernia, pain without an obvious lump, suspected recurrence, multiple defects or a previous abdominal operation. It can also support planning where there is significant muscle separation, scarring or previously placed mesh. Ultrasound is dynamic and may show a hernia while you cough or strain. CT provides a broader, cross-sectional view of the abdominal wall and internal structures, which is often helpful for complex or recurrent cases.
What happens during the review?
Your surgeon will examine the images and report alongside your medical history and symptoms. The review may assess the site and dimensions of a defect, what is passing through it, the condition of the abdominal muscles and the relationship to previous scars or mesh. If the images are not available or do not answer the clinical question, further imaging may be suggested. A scan finding does not automatically mean that surgery is necessary; its relevance depends on your symptoms and examination.
Planning treatment from the results
The findings may support reassurance and monitoring, physiotherapy or surgical repair. Where an operation is being considered, imaging helps the surgeon decide whether an open or keyhole approach may be appropriate, whether tissue can be closed directly and whether reinforcement may be beneficial. Your options, expected recovery and individual risks will be discussed before any decision is made.
Risks and limitations
Ultrasound does not use radiation, but results can depend on the operator and may be less informative for deep or complex defects. CT uses ionising radiation and sometimes contrast dye; contrast is not suitable for everyone and may rarely cause an allergic reaction or affect kidney function. Your clinical team will explain why a scan is recommended and any preparation required.
Frequently asked questions
Can you review a scan performed elsewhere? Yes, provided the original images and report can be supplied in a compatible format.
Is ultrasound or CT better for a hernia? It depends on the suspected condition. Ultrasound can assess movement dynamically, while CT often gives more detail for large, recurrent or complex hernias.
Will I receive a treatment plan at the same appointment? In many cases, yes. If further tests or records are needed, your surgeon will explain the next step.