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Is It Normal To Have Testicular Pain Post Hydrocele Operation?

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Posted on Thu, 5 Mar 2015
Question: Hi,I
after 3 mos of testicular pain after a bout of prostatitis, I had a hydrocele and a spermatocele removed just
18 hours ago. However, it feels that I still have the testicular pain (always feels like being kicked in the scrotum) in addition to the pain caused by the incision and the drainage tube. Can you comment on this?
Thanks,
XXXXXXX
doctor
Answered by Dr. V. Sasanka (40 minutes later)
Brief Answer:
pain will come down gradually

Detailed Answer:
Hi,
Quite often patients have pain after a Hydrocoele operation because of handling of delicate testis, and in fact after the dressing is removed, you might find that the testis has become larger in size compared to prior to surgery due to the inflammation caused which will also account for pain. The presence if an irritant drainage tube will make matters terrible till the tube is out, SBD the good news is that the tube should be removed by 48&72hours later, following which the pain will be better.
You can probably wear scrotal support and a tight snug fitting underwear should help pain come down, apart from analgesics and antiinflammatory drugs like ibuprofen and ensure there is no infection by antibiotics if they have been advised by your surgeon.
Hope I have been of help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. V. Sasanka (36 minutes later)
Thanks Doc. However, what options do I have should the testiclar pain persist after a few days? I should just have the associated with the incision and drainage tube, right?
How common is my problem and what do others do? I am active and in good health otherwise. XXXXXXX
doctor
Answered by Dr. V. Sasanka (1 hour later)
Brief Answer:
Scrotal pain common, usually responds to medication

Detailed Answer:
Hi again,
It will be difficult to predict if you are going to be among the 10% who will have chronic scrotal pain - this is more common among people who have had vasectomy. The rest 90% usually find good relief with analgesics and anti-inflammatory drugs.
Unfortunately, scrotal pain is quite common among young adults, and there are medications like tramadol, amitryptilline, pregabalin which are prescribed, and most people have relief.
In patients who do not have relief of pain despite extensive investigations and treatment, scrotal denervation can be attempted in patients who demonstrate pain relief with a test dose with local anaesthesia.
This is however quite rare, and I am of the impression you will be fairly comfortable within the next three to four days, and with almost no pain by the next 2-3 months.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. V. Sasanka

Urologist

Practicing since :1995

Answered : 529 Questions

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Is It Normal To Have Testicular Pain Post Hydrocele Operation?

Brief Answer: pain will come down gradually Detailed Answer: Hi, Quite often patients have pain after a Hydrocoele operation because of handling of delicate testis, and in fact after the dressing is removed, you might find that the testis has become larger in size compared to prior to surgery due to the inflammation caused which will also account for pain. The presence if an irritant drainage tube will make matters terrible till the tube is out, SBD the good news is that the tube should be removed by 48&72hours later, following which the pain will be better. You can probably wear scrotal support and a tight snug fitting underwear should help pain come down, apart from analgesics and antiinflammatory drugs like ibuprofen and ensure there is no infection by antibiotics if they have been advised by your surgeon. Hope I have been of help.