Firstly mesh hernioplasty is the gold standard method of treatment for hernia repair irrespective of sex of the patient. There is no guideline saying that you have to do herniorhapphy for females and plasty for males Herniorhapphy is done for pediatric cases Secondly though pricking sensation might be an outcome of some local nerve entrapment or trauma during surgery it should have occured soon after surgery. Pulling sensation with full bladder or on prolonged standing might lead to herniation of bowel loops because of increased intra abdominal pressure or due to gravity respectively and thus might point to early recurrence