### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
During sonography to confirm Hernia,(3 years ago)cortical cyst in kidney(20x19 mm) was detected.Report further says.Both kidneys appear normal in size and echotexture .C-M differentiation appear normal.No evidence of calculus,hydronephrosis or mass is seen. Sonography report further states that there is mild prostatic enlargement.Prostate measures 45x31x35 mm.volume is 26cc.No evidence of intravasical extension.Capsule appears normal.Recent sonography marks improvement now volume is 24CC Liver shows grade3 fatty infilteration.Size and IHBR are normal.No evidence of focal parenchymal lesion.Recent sonography marks improvement now fatty liver is Gr.2) My family doctor has recommended only surgery for hernia? Do I require treatment for fatty liver,kidney cyst and prostate enlargement? I do not have pain/burning/acidity due to hernia?Can it be cured without surgery? At present I am taking Thyronorm 125 mcg,Olemcip20(For High BP) and Tonact-TG(For cholestrol-borderline) regards bharat khatwani

### output:

Hello namaskarbrief answer surgery is recommended for hernia repairDetailed answer am glad to know that your clinical profile is improving very rapidly like down gradation of fatty liver from grade 3 to grade 2. Hernia may get complicate as time passes so it's better to get it operated as earlier possible you may start getting the all those symptoms you mentioned.I tried to keep it simple for you, feel free to ask for follow regards