Brief Answer:
Consider assessment for nerve entrapment neuropathy.

Detailed Answer:
Brief Ans-Consider assessment for nerve entrapment neuropathy.

Hi Dear !! Welcome to HCM with your query.
Read and reviewed your query in context to your health concerns of burning/numbness and tender spot above the base of penis and to its right.

My Impression-

Based on the facts, that the post-operative pain was more than the pre-operative burning type of pain with hernia.
Now that pain is still remaining and is added with numbness.
This is mostly-due to the post-operative fibrosis - causing entrapment neuropathy and is due to edema/traction causing irritation/inflammation.

Do's Suggested-

Consult attending Surgeon-to review on cause of this unresolved burning and numbness.

Try following Special Treatment plan-for 2 weeks-

Start with Tab Motrin 400 mg x 3 times a day -for 3-4 days - to reduce edema / inflammation/ congestion - in post-op period.

Tab PPI-Pantoprazole 40 mg once daily before breakfast - to control gastritis(if any) with Motrin
Voltaren (OTC) gel locally
Tab Chymoral forte-1 x 2 time a day x 2 weeks.
Tab Neurontin 300 mg x 2-3 times a day x 1 week
Tab Neruobion- 1 x 2 times a day x 2 weeks.
This should resolve the burning pain/ numbness in 2 weeks time.
Pain at point near base of penis, also should resolve this special drug planning.
Other cause of -Keloid in the hernial wound need to be ruled out

In NO Relief of burning pain-

If this treatment of 2 weeks does not resolve your complaints, then-CT Spine is needed to rule out prolapsed disc at L1/ or any other causes need to be ruled out with Orthopedic Surgeon Consultation.

Comments about your case-

As the burning pain before surgery is added with numbness-
You need to rule out-neural compression due to hidden un-diagnosed prolapsed disc at L-1 spine vertebra level,which may mimic like this.
But before doing CT scan, I would suggest you to rule out post-operative nerve entrapment in fibrosis-which is adding numbness to earlier burning pain.

Do Contact for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, if satisfied with this reply, Do close this query with your praising /excellent feedback comments to rate this reply, to boost the morale of My visiting complicated patients like You, at HCM Virtual forum.

Keep Me updated soon about further progress after 2 weeks of treatment suggested .

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Hope this would resolve your health issue.

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