Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
142 Doctors are Online

Testicular pain and sunken scar after removal of inguinal hernia - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1762 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   HI I had a inguinal hernia removed 5 years ago this week just noticed the scar had sunken in.. I am 26 yrs
Doctor :   Ok

Doctor :  
Wonderful
Doctor :  
This is good that the scare is sunken
User :   I also have slight pain in my right testicle
User :   OK why is that?
Doctor :  
Why are you bothered
Doctor :   Ok I understand
User :   Because it was like a slight bulge for 5 years then all of a sudden it has sunken in?
Doctor :  
What was the size earlier?
Doctor :  
put in cms
Doctor :  
like a * b * c
User :   Of the scar is about 6cm & the bulge was right over that
User :   Plus the pain also, it is below the scar.. seems around my right testicle
Doctor :  
Ok
Doctor :  
Are you sexually active?
User :   Yes but always safe and not for about 6 months prior to this week either
Doctor :  
Were you injured?
Doctor :  
over the area?
User :   I cant remember anything off hand
User :   Do u mean in the last 5 years?
Doctor :  
No witin the last two weeks?
User :   I dont really think so though
User :   No
User :   definately not
Doctor :  
Do you have urine problem?
Doctor :  
like burning sensation, pain while passing urine?
User :   no problem but i dont now what is normal so to speak. Umm I do get up of a night sometimes but i also drink before i go to bed..
Doctor :  
Do you have abdominal pain?
Doctor :   How are you stools?
User :   sometimes a little burning pain but nothing which hurts. No abdominal pain, stools are fine.
Doctor :  
Do you have pain in the testicles / increase pain when you cough or bend down?
User :   No not when I cough. The pain is so random. Sometimes its really bad & other times its not there...
User :   I also have had the same pain when i ejaculate but again, not all times & only when my testice hurts anyway
Doctor :  
Do you have pain when you press on the scar and testicle or either of these?
User :   No pain on the scar. But pain on testicle when pressed (if its a bad day) Also I have ever had a physical exam? I went to the doctors for the pain of hernia & sent straight to the hospital. So i cant go off any other Doctors comments.
User :   I can send u a image of the scar etc
Doctor :  
Ok you may send it to me at YYYY@YYYY
Doctor :  
Let me understand your problem first
User :   OK i am color blind so cannot tell if its red or not..
Doctor :  
Also I have ever had a physical exam?
User :   OK
Doctor :   What does this sentence mean
Doctor :   I went to the doctors for the pain of hernia & sent straight to the hospital. So i cant go off any other Doctors

User :   I have never had a physical exam like an annual check up... Never..
Doctor :  
Can you explain the second sentence once again
User :   I cant explain what other doctors have said thats what i meant.
Doctor :  
Ok
User :   as you are the first
Doctor :  
Now I understand
User :   :)
Doctor :  

User :   of course
Doctor :  
Ok , look from my understanding about the chat we had till now, you have pain in the testicle and scar size reduced.
Doctor :  
You have not seen a Doctor yet
Doctor :  
and no other complaints apart from thesse
Doctor :  
Did you / Do you have fever?
User :   I have not see a Doctor yet, I had a fever last week but passed quick. I am generally not sick.
Doctor :  
Did you measure the temperature?
User :   no real complaints but the pain, no i didnt... sorry
Doctor :  
No problem
Doctor :  
Now listen to me
User :   OK
Doctor :  
From the history I have elicited, I could think of an infection a possibility of the pain you have in the testicle
User :   OK
Doctor :   that is causing you the pain
User :   How can i get the infection?
Doctor :  
The cause of infection is still not understood
Doctor :  
probably a dormant infection through Urine
User :   oh ok
Doctor :  
This symptoms I could probably think of Epididymitis or Seminal vesicle infection or Orchitis
Doctor :  
This can be traced with physical examination of the parts locally
User :   What is traced?
User :   Oh u mean found?
Doctor :  
Yes
Doctor :  
The indication of fever a week back and then the testicular pain
Doctor :  
is pointing towards Orchitis
User :   The pain has been there since I had the hernia
Doctor :  
but you were complaining of this for the last one week
User :   NO the scar had sunken in just recently
User :   the pain had been there for quite a while. Im so sorry
Doctor :   So you are concerned only about the sunken scar

Doctor :  
Did the scar shrinking increased the pain?
User :   Well both. The sunken scar didnt seem to increase the pain, BUT i feel like there is a pain below that even at the bottom of my right testicle
User :   I just thought i need to check the scar out so i may as well find out what the pain is from. I assumed it was just normal or from the hernia
User :   I hardly ever go to the doctors, i really never get sick
Doctor :  
I understand that XXXXXXXX
User :   But concerned lately
User :   thanks!
Doctor :  
Usually all the testicular pains are to be evaluated thoroughly as a protocol, like physical examination by Doctor then Ultrasound of the scrotal sac and Blood test for checking of the infection
User :   By a Doctor?
User :   OK
Doctor :  
If there is an infection it can be easily treated with a course of antibiotic
Doctor :  
Yes
User :   Excellent!
Doctor :  
I think the scar shrinking is only by chance and it is coincidental
Doctor :  
but I cannot completely comment on it with out inspecting and palpating the area
User :   So do i need to say I need to have a Ultra sound? OH wow, by chance... Yep sounds like me...
Doctor :  
Most of your other questions can be answered by examining the scar area
User :   Very true..
maybe a picture of the site may help? I can email it to you. It is very noticeable. Or just wait until i reach a Doctor locally?
Doctor :  
Just to confirm it needs an Ultrasound
Doctor :  
I forgot to ask you whether the hernia is operated by laparoscopy or by conventional surgery
User :   Surgery & they used this mesh type stuff
Doctor :   So not a lap procedure
Doctor :  
and they had to put the mesh
Doctor :  
They were tightening the wall of the hernia sac with mesh so that the hernia does not recur
Doctor :  
Good
User :   It was really painful & Doctors had to relieve the pain until I waited... Yes I went under & they operated & yes mesh!
Doctor :  
No problem then.
Doctor :  
You should not worry now.
Doctor :  
Just get a physical examination by Doctor which helps
Doctor :  
and if needed an Ultrasound
User :   Should I actually have a physical exam done or just this? NO Im not worried now thanks heaps!!
User :   OK no worries
User :   Thanks heaps you have put my mind at ease for now
Doctor :  
Since you had a fever a week back
User :   yep
Doctor :  
this could be a mild infection of the testicle, which can be easilty treated though
User :   Excellent! So its just a quick & easy exam & ultra sound the same right?
Doctor :  
I request you to come back to me to see what happened with the Doctor's opinion
User :   I will for sure
Doctor :  
and results of the tests if done
User :   ok
Doctor :  
Thanks
Doctor :  
Do you have any questions?
User :   Just 1 just is there a gown you where in a physical?
User :   You are not naked right?
Doctor :  
No you wear a gown
Doctor :  
Always doctor should make the person comfortable
User :   And I dont need a prostate exam either right?
Doctor :  
and then examine
User :   OK
Doctor :  
We do not hurt your modesty
User :   NO i didnt mean that, i am shy I suppose... I dont need a prostate exam either right?
Doctor :  
I am not sure XXXXXXXX, because prostate is one of the first things that is caught in infection than testicle
Doctor :   But your symptoms are not pointing very much on it

User :   OH
User :   So maybe not then? Ok thanks heaps
Doctor :  
The difference in the treatment is the same, but the duration is one week more
User :   OK also what is your name or how do I contact u again?
Doctor :  
I am Dr.Mazumdar
Doctor :  
You can just say my name
Doctor :  
on chat
User :   Great thanks I will keep u updated!!
Doctor :  
Sure
Doctor :  
Please fill the feedback form say done
Doctor :  
Thanks for consulting me. Bye for now
User :   bye!
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor