Friday, April 12, 2024

Testicular Pain After Prostate Surgery

How Is Testicular Pain Diagnosed

Chronic Testicular Pain — Dr. Fenig

Your doctor will exam you standing up and lying down. Youll be asked questions about when the pain started, how long you have had it, how much it hurts and exactly where you hurt. Youll also be asked about your sexual, medical and surgical history. Tell your doctor if any activities make your pain better or worse, like going to the bathroom, exercise, sex or sitting.

Blood or urine tests can help to rule out infections as a possible cause. If theres a lump in your testicle, an ultrasound will be ordered to check for testicular cancer. If the ultrasound scan shows signs of cancer, youll be referred to an urologist to have the cancer removed.

If you get diagnosed and treated early, testicular cancer has a very high cure rate.

Testicular Pain Common After Laparoscopic Nephrectomy

Men undergoing laparoscopic nephrectomy should be warned that they might develop testicular pain postoperatively.

To confirm their clinical impression that testicular pain occurred in a significant proportion of men after laparoscopic renal or adrenal gland surgery, the researchers analyzed prospectively collected data from 64 male patients operated on between January 2006 and February 2007. The surgery was unilateral in 60 men and bilateral in four men, for a total of 68 sides.

Testicular pain developed in 14 patients and was consistently ipsilateral to the side of their surgery. Eleven different procedures were represented in the series, but all men who developed testicular pain had undergone donor or radical nephrectomy. The rate of development of testicular pain was 55% in the donor nephrectomy subgroup and 20% among men undergoing radical nephrectomy.

“Our experience is that some men who develop testicular pain report it only when directly questioned,” said Dr. Gjertson, who presented the findings at the 2007 AUA annual meeting in Anaheim, CA. “We believe this problem is something that has been under-recognized and under-reported. Although there appear to be no significant sequelae, we believe a risk of testicular pain as well as of hydrocele are elements that should be included in the informed consent for patients undergoing laparoscopic nephrectomy.”

What influences pain?

Leakage Of Urine With Sexual Arousal: I Underwent A Radical Prostatectomy One Year Ago I Am Doing Great Except For Leaking Urine During Intercourse Is This Normal And Will It Improve

During sexual arousal, there is a rhythmic contraction of the pelvic muscles. This is part of the normal sexual response. In patients with borderline urinary continence, there may be leakage of urine. The practical solutions to this problem are to perform Kegel exercises to strengthen the external sphincter muscle, ensure that your bladder is completely empty before intercourse, or to use a device such as the Actis venous flow regulator to prevent the urine from leaking out through the urethra.

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What Is Testicular Surgery

Testicular surgery is a type of operation in which a congenital or acquired testicular problem is surgically fixed.

Usually, testicular surgery is a relatively short procedure that involves only one testicle. But in some circumstances, like when it’s done for metastatic cancer, surgery on both testicles, as well as nearby structures like the bladder or prostate, may be needed.

A small incision in or near the scrotum, the sac that holds the testicles, is required. The procedure often involves the spermatic cord or epididymis . In some circumstances, an orchiectomy may be necessary.

Typically, a urologista surgeon specialized in surgery of the urinary and male reproductive systemswould perform the operation. They may choose to directly access the areas that need to be removed or repaired with an open procedure. Or the procedure could be done laparoscopically, using a minimally invasive surgical method that’s done with the assistance of camera-equipped surgical tools.

You will likely have general anesthesia for pain control during your testicular surgery.

Scheduling Appointments For Testicular Implants At New York Urology Specialists

Enlarged Prostate And Testicular Pain

We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.

We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.

Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men. He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures.

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Urethral Stricture After Radical Prostatectomy: My Father Had A Radial Prostatectomy And Had To Leave The Catheter In For 3 Weeks He Developed A Urinary Tract Infection And Subsequently Scar Tissue Formed In His Urethra Causing Him Pain When He Urinates Are There Any Other Options Beside Surgery In Order To Remove The Scar Tissue Is It Possible That The Scare Tissue Formed A Blockage Because Of The Stitching Of The Catheter To The Urethra

Urethral stricture is one of the most common complications of radical prostatectomy. It can occur for a variety of reasons. In most instances it can be managed by simple dilation of the urethra. Sometimes the patient must perform intermittent self catheterization for a while to keep the channel open. However, sometimes it does require surgery to correct it. Surgery involves removing the scar tissue and sometimes injecting a cortisone-like drug to prevent the scar from coming back.

I Am Thinking Of Having Laparoscopic Surgery I Talked To A Surgeon Who Does Traditional Surgery And He Mentioned About The Catheter Being In Longer For This Type Of Surgery He Went On To Say That He Does Not Understand Why With Laparoscopic Surgery They Take It Out In Possibly 3 Days It Takes The Body Longer To Heal Than 3 Days My Question Is Why Is Laparoscopic Surgery The Catheter Is Out Sooner Than With Traditional Surgery Is There Any Danger In It Coming Out Sooner

In my opinion, the catheter should stay in for at least one week, regardless of how the operation is performed. In some patients, the catheter can be succesfully removed before, but there is an appreciable chance that it will have to be re-inserted. In general, it is best not to have to re-insert the catheter through a healing connection between the bladder and the urethra.

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After Prostate Removal The Sperm Has To Go Somewhere But Where

Men who are facing prostate removal due to cancer will surely wonder where their sperm will go after removal of the prostate gland. Its fair to wonder about this.

First of all, sperm is produced in the testicles.

People can continue to have orgasms, though, because the nerves that have to do with climax are unaffected, and are actually not related to whether or not someone ejaculates.

The sperm gets broken down and reabsorbed by the body. This is the same process as if someone were abstinent or had a vasectomy.

In short, prostate removal will not affect sperm production or quantity. It only affects what happens to the sperm once its produced.

Unfortunately, removal of the prostate may be more of an issue to a woman than to the man, if she believes she cant enjoy intimate relations without ejaculations.

Men who have partners like this should focus on all that can be done to treat their prostate cancer and prevent a recurrence.

Prostate cancer affects one out of six men as a lifetime risk, and the number it kills every year in the U.S. averages in the high 20,000s.

Where the sperm goes, though an interesting question, should not rank high on the overall questions list, when all things are considered.

Dr. Hermans interests include reducing the over-diagnosis and over-treatment of prostate cancer by utilizing the latest biomarkers and imaging techniques. He is at the forefront of treatment and research of urologic cancers.

Points To Take Into Consideration After A Prostate Surgery

8 Causes Of Testicular Pain
  • Do not sit on hard floors.
  • Avoid getting constipated.
  • Consume at least 3 liters of water per day.
  • Regularly use the drugs prescribed by your doctor.
  • Do not drive for the first week during the recovery period after surgery. In addition, stay away from activities such as cycling, exercising, and horseback riding for 6 months, which may strain the groin area.
  • Do not wear trousers that tighten the groin area.
  • Do not consume drinks that contain alcohol and caffeine.
  • Do not shower in a sitting position after the surgery, unless your doctor tells you otherwise.

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Blood In Urine After Surgery: Three Weeks Postop Blood In Urine Constantlyclear Tea

I presume that the catheter has been removed. The most common cause would be that there may be some old blood clots in the bladder that are gradually dissolving. If so, when they dissolve, your urine should become clear. Other possibilities include a urinary tract infection or it could be bleeding from the suture line in your bladder. This will heal with time. It is best to consult with your surgeon.

After A Radical Prostatectomy My Husband Says He Doesnt Feel Like Himself He Is Back At Work And Functioning Well But He Says That While His Heart Is Happy His Brain Is Not Could This Feeling Be A Side Effect Of The Rrp

It is not uncommon for a man to have a let down after a radical prostatectomy. This mood usually resolves as he moves along the road to recovery. It can be prolonged, if side effects of surgery persist longer than hoped for.

For reasons that are unclear, some men have a temporary decrease in plasma testosterone levels after surgery. The cause is not clear.

Changes in testosterone levels may affect a mans mood making him feel less vigorous.

In most instances, testosterone returns to pre-treatment levels within a matter of months after surgery.

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Do Kegels Stimulate The Pudendal Nerve And Help It To Recover

The pudendal nerve carries sensations from the external genitals, the lower rectum, and the perineum . Kegel exercises do not stimulate the pudendal nerves, nor do they stimulate the cavernosal nerves that are responsible for erections. Kegel exercises are meant to strengthen and increase the bulk of the sphincter muscles that are responsible for closing the urethra sufficiently tightly to prevent urinary leakage.

Postoperative Care After Prostate Surgery

Testicular Atrophy Expert

After a healthy operation and discharge, there are some rules that you must follow. There is a risk of bleeding for the first several months after surgery. Therefore, there are some points to take into consideration. The length of the recovery period after prostate cancer surgery varies depending on some conditions. There are factors such as the type of surgery, the stage of disease, and the patient’s health status. However, overall recovery time is short.

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Cost Of Treatment And Insurances

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.

We accept many health insurance plans. We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plans coverage. and credit options are available to help you pay for medical care.

Discomfort And Pain After Testicular Implant Surgery: Causes

Persistent discomfort after testicular prosthesis insertion, lasting more than 3 months, occurs in a small number of men.

Typically, the discomfort is related to the position sitting, exercising, or crossing legs for example, might make testicular implant felt in the groin or the thigh. This is most commonly caused by the implantation of the testicular prosthesis in a small scrotum.

Many men who have lost the testicle as children do not develop normal-sized scrotum on the side where the testis is lost. Adult men who lose a testicle and seek testicular implants many years later often have shrunken scrotum. Typically, surgeons try to stretch the scrotum before putting an implant in. The scrotum has muscle fibers calledcremasteric muscle, which pulls the scrotal skin up. Stretching the skin during surgery can be helpful for men with mildly decreased scrotum.

However, in men with moderately to the severely hypoplastic or underdeveloped scrotum, the scrotum returns to its normal size shortly after forceful stretching by the surgeon in the operating room. As a result, once everything heals,

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Where To Get Testicular Implants Surgery In Nyc

At New York Urology Specialists, we offer same-day appointments for men. Same-day virtual video appointments and in-person appointments are available.

We perform testicular implants, scrotal surgery, penile procedures, varicoceleand hydrocele repair, and We offer treatment for phimosis, balanitis, missing testis, low testosterone, penile irritation, and redness. We treat sexual and erection problems and offer for infections. We offer confidential appointments.

Our appointment costs are affordable with or without insurance. We offer free insurance verification.

We perform cystoscopy, penile and testicular ultrasound in our office. We offer testosterone replacement therapy, vasectomy, , in our office. We treat urinary and erection problems. We offer confidential appointments.

What Are Some Causes Of Testicle Pain

Testicular torsion: causes, symptoms, diagnosis and treatment – Clinical Anatomy | Kenhub

If you or a loved one is experiencing testicular pain, the multispecialty team of experts in the Urologic Oncology Program are here to help.

The testicles are very sensitive. Even a very minor injury can cause intense pain in the scrotum, the testicle itself or in the coiled tube the delivers sperm and supporting tissue behind it . For instance, a direct blow from a kick, punch, sporting mishap or car accident can result in extreme but usually temporary pain, swelling and bruising.

Many men are inclined to ignore testicular pain and hope that it will simply go away. However, if a man experiences severe testicular pain from a severe trauma or for no apparent reason, he should see a physician right away. Some conditions that cause this symptom require prompt medical attention. These include:

Men who would like to have their testicular pain evaluated are welcome to consult with the multispecialty team of experts in the Urologic Oncology Program at Moffitt Cancer Center. We offer a full range of diagnostic tests in a convenient setting and provide our patients with prompt and accurate results.

To learn more about Moffitts services, call 1-888-MOFFITT or complete a new patient registration form online. No referrals are required.

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Frequent Urination Burning With Urination And Difficulty Urinating

These are the most common complaints. Occasionally the urinary stream will weaken. Generally these symptoms are managed with medications to help the bladder function better or eliminate burning. Rarely, your doctor may order a urine test. Symptoms will resolve after the end of treatment. Contact your doctor if you see blood in your urine or if you are unable to urinate.

Swelling Bruising Or Tenderness Of The Scrotum

Symptoms generally resolve on their own within three to five days. Oral anti-inflammatory medications such as ibuprofen are usually sufficient for pain relief, if necessary. You should avoid hot tubs and Jacuzzis for at least two to three days after the procedure. Postpone bike riding until the tenderness is gone.

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Who Treats Testicular Pain

If you have testicular pain or if you have recently had high-risk sexual activity, you should seek medical help. High-risk sexual activity includes having more than one partner or having a partner who has had more than one partner. You can get diagnosed by specialists including:

  • Urologist: If you have signs of testicular cancer or kidney stones, you may be referred to an urologist .
  • Nephrologist: If you have kidney infections or poorly functioning kidneys, you may be referred to a nephrologist .

Purpose Of Testicular Surgery

Ureteroscopy Treatment for Urinary Problems

There are several different reasons why you might have testicular surgery. Removing cancer, correcting a deformity, or repairing traumatic damage are the most common ones.

Some conditions, such as an infection, can often be managed with medication alone. Others, like cysts, might never need any intervention at all. You and your healthcare provider will have to discuss the risks of your condition and when surgery might become an appropriate treatment option.

Generally, the conditions that require surgical intervention with testicular surgery cause an unusual appearance of the testicles or cause testicular pain.

Testicular surgery may be needed to save a testicle, treat pain or discomfort, prevent the spread of disease from a testicle to other areas of the body, and treat fertility issues. Preserving or creating a normal appearance of the testicle is an important aspect of any type of testicular surgery.

Indications for testicular surgery include:

Testicular cancer most commonly affects males 15 to 35 years old, though it can affect men of any age. Although this cancer is rare, you should not ignore any discomfort or change in your testes . See your healthcare provider if you have a lump, pain, or swelling in or near your scrotum.

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Pain In The Testicle After Radical Prostatectomy: I Had A Radical Prostatectomy And Everything Was Okay About Two Years After The Surgery I Started Having Pain In The Right Testicle After Sexual Intercourse This Pain Is A Pulsing Type That Radiates Toward The Bladder And Back At 5 To 15 Seconds Intervals It Also Causes Nausea And Vomiting It Usually Lasts About Six Hours The Right Testicle Is A Little Sensitive And This Is Being Controlled With Ibuprofen However When There Is Sexual Activity The Testicle And Radiating Pain Makes It Difficult To Even Walk What Is Happening

It is difficult to say without performing a physical examination and an ultrasound examination of the testicles. It is probably related to continued sperm production in the testicles with nowhere for the sperm to go. So they are trapped in the duct system. This causes the duct system to become congested and distended and causes pain. It would be best to be evaluated for this by a urologist. Sometimes, a pelvic CT scan is also indicated to rule out any other possible cause of pain.

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