
Is It Normal To Have Testicular Pain Post Hydrocele Operation?

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
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.


How common is my problem and what do others do? I am active and in good health otherwise. XXXXXXX
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.

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