Tuesday, April 9, 2024

Why Does My Testicle Hurt After Hernia Surgery

What Causes Swelling Of Scrotum

Let’s be honest: Pain after inguinal hernia repair

Scrotal swelling is an enhancement of the scrotal sac. The scrotal sac, or scrotum, houses the testicles. Scrotal swelling can happen due to injury or a hidden medical condition. It may be caused by an accumulation of fluid, inflammation, or an unusual growth within the scrotum.

The swelling might be pain-free or really painful. If the swelling hurts you ought to look for emergency treatment. In severe cases and depending on the cause, not getting timely treatment can lead to the loss of your testicles due to the death of tissue.

Scrotal swelling can happen rapidly or slowly over time. Among the main causes of painful scrotal swelling is testicular torsion. This is an injury or an occasion that causes a testicle in the scrotal sac to twist and cut off blood circulation. This really painful injury could cause tissue death to the scrotum in a matter of hours.

Medical conditions and illness can also cause the scrotum to swell. These conditions include:

  • abnormally bigger veins in the scrotum
  • severe inflammation of the testes, called orchitis
  • swelling due to increased fluid, called hydrocele

What Are The Advantages And Disadvantages Of Laparoscopic Surgery Over Open Surgery

One of the benefits of laparoscopic hernia surgery over âopenâ hernia surgery is that you can usually return to work and normal activities more quickly. There may also be a lower risk of developing persistent numbness and pain after surgery and a smaller incidence of wound infection. . Another advantage of laparoscopic surgery is that the surgeon can view both sides of the abdomen, so if there is a hernia on the other side there is an opportunity to repair that at the same time.

The disadvantage of laparoscopic surgery is that there is a slightly higher risk of injury to surrounding structures or tissues than there is in traditional âopenâ surgery.

The surgeon will discuss all the risks and benefits of both open and laparoscopic surgery. This will enable you to choose between the procedures and help you to decide which is the best treatment option for you.

Symptoms Of Inguinal Hernia

Although the symptoms may vary between individuals, the following are the common inguinal hernia symptoms.

  • A bulge on either side of the pubic bone area becomes more apparent when the individual is upright, particularly during a cough or strain
  • A sensation of pain or burning in the bulge
  • Discomfort and a sensation of heaviness in the groin
  • Pain and weakness in the groin, especially when bending over, coughing, or lifting weights
  • Pain and swelling around the scrotum

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What Is A Groin Hernia

A hernia is a weakness in the muscles of the abdominal wall . This weakness may allow a section of intestine or fat to bulge out under the skin. The most common site for a hernia is in the groin . This hernia is called a groin hernia. A groin hernia can occur on either or both sides. The bulge may appear during vigorous activity or when coughing or straining, and usually disappears when lying down. The bulge is usually seen or felt in the scrotum, groin or abdominal wall.

How Long Does Pain Last

Chronic post-hernia surgery pain can last for months or years. “Chronic” is usually defined as more than three months after surgery. However, since procedures using surgical mesh have longer recovery times, some researchers have suggested a six-month definition may be more realistic.

In studies, about 6% of people have reported pain bad enough to interfere with daily activities for between one and six years after their procedures.

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Risks And Possible Complications Of Surgery

Although problems are uncommon, it is essential to be familiar with the risks and issues before any surgery. Those threats and complications for herniorrhaphy include bleeding, infection, injury to bowel or bladder, urinary retention , numbness or pain in the groin or leg , dangers from anesthesia, and embolism.

Likewise, while every attempt is made to decrease a reoccurrence of a hernia, the ideal repair work does not exist, and in some cases, hernias reappear. Nevertheless, the recurrence rate over several years is little, as low as 1 to 5 percent: the smoother your recovery, the much better the chances that your hernia will not repeat.

Questions To Ask Your Doctor

If you are experiencing hernia mesh pain after surgery, its important to talk to your provider. Here are some questions that will help you and your doctor discuss your pain and develop a treatment plan.

  • Where is the pain located?
  • On a scale of 0 to 10, where 0 is no pain and 10 is severe pain, where does your pain fall?
  • What were you doing when the pain started?
  • Does the pain come and go?
  • Does the pain interfere with your sleep?
  • Does coughing make the pain worse?
  • Are there activities that make the pain worse?
  • Does taking medicine, changing positions, resting or eating different foods lessen the pain?
  • How does the pain feel?
  • Does doing normal activities cause you pain even after youve taken medicine?

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Am I A Suitable Candidate For Laparoscopic Surgery

Laparoscopic surgery is not suitable for everyone, particularly if you have had previous abdominal surgery or underlying medical conditions. The surgeon will need to assess your suitability for general anaesthesia and your medical and surgical history. The surgeon will need to consider the nature of the hernia, whether it affects one or both sides of the groin and whether it is your first hernia or a re-occurrence. The National Institute for Clinical Excellence has reviewed this procedure and recommends that laparoscopic surgery can be used as one of the treatment options for the repair of inguinal hernia. You can obtain more detailed information about this procedure from their website www.nice.org.uk.

Not all surgeons undertake Laparoscopic surgery and only surgeons specially trained in these techniques will undertake Laparoscopic Hernia Repair.

Diagnosis Of Inguinal Hernia

Chronic Pain After Hernia Surgery

The preliminary diagnosis of an inguinal hernia would be based on the medical records and physical examination of the patient. The physician would perform a physical examination of the abdomen, during which the patient is asked to cough, stand, or strain to identify the bulge caused by the hernia. Diagnosis is proceeded by massaging the bulge of the tissues to restore them to their original position.

Further diagnosis would be based on the reports of imaging studies of the abdomen like ultrasound scan, MRI scan, and CT scan.

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What Happens During Surgery

There are 2 ways an inguinal hernia repair can be performed:

  • open surgery where a cut is made to allow the surgeon to push the lump back into the abdomen
  • laparoscopic surgery a less invasive, but more difficult, technique where several smaller cuts are made, allowing the surgeon to use instruments to repair the hernia

There are advantages and disadvantages to both methods. The type of surgery you have depends on which method suits you, and your surgeon’s experience.

You should be able to go home the same day or the day after surgery. It’s important to follow the instructions you’re given while in hospital about how to look after yourself.

This includes eating a good diet to avoid constipation, caring for the wound, and avoiding strenuous activities.

Most people make a full recovery from inguinal hernia repair within 6 weeks, with many being able to return to work and light activities within 2 weeks.

Ask your surgeon or GP for advice on when it’s safe for you to drive again. You should also speak to your insurer before driving again after having surgery.

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Can A Hernia Cause Your Testicle To Hurt

Sometimes, what seems to be testicle paintesticle painNoun. orchiodynia pain in the testicles.https://en.wiktionary.org wiki orchiodyniaorchiodynia – Wiktionary is caused by a problem that starts in the groin, abdomen or somewhere else for example, kidney stones and some hernias can cause testicle pain.

Groin Pain After Hernia Repair

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What Happens After Inguinal Hernia Repair Surgery

Patients who have surgery usually need medication for several weeks to treat pain. Patients are also advised to not lift anything heavy or engage in vigorous activity.

Minimally invasive hernia surgery usually has a shorter recovery time. However, it may not be an option for patients with large hernias or for those who have had previous abdominal surgery.

Should You Have Any Testicle Shrinkage After Hernia Surgery

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How To Reduce Swelling In Testicles After Surgery

Mainly, the hernia is detected during a health examination as lump or bulge surfaces on the skin that goes in and out.

Many surgeons will require the patients to obtain a CAT scan of the abdominal area if swellings are not obvious during the physical exam. To ascertain whether a surgery is required, the following are accounted for:

  • Considering that there is a risk that the intrabdominal organ will be permanently caught in the hernia opening, instead of moving it and out, lots of physicians advise fixing hernia as quickly as identified.
  • Patients with little or no symptoms are put under close observation prior to treatment such as surgery is chosen.
  • Prior to the operation, some surgeons would suggest extra imaging based on age and other pre-existing medical conditions consisting of blood test and ECG.
  • Swelling can be due to the fluid that locates into the scrotum and which is soaked up gradually.

Lawsuits For Testicular Torsion After Hernia Surgery

No surgical procedure is risk-free, and the same applies to inguinal hernia repair surgery. Testicle damage, pain, and torsion are some of the complications reported in hernia repair procedures. Though not common, testicular torsion is one of the acceptable complications of hernia surgery. Like other surgical procedures, there is a fine line between the anticipated surgery complication and negligence of the surgeon resulting in testicular torsion.

Is it possible for the patient to file a lawsuit for testicular torsion following inguinal hernia surgery?

Yes. If the patient encounters testicular pain after hernia repair, which is proved to be the result of testicular torsion, there is a chance for a medical negligence lawsuit. The claimant should substantiate that the torsion had occurred as a complication of the hernia repair surgery and was not a preexisting one. This is very crucial as testicular torsion is found to occur naturally in some individuals.

Medical records of the claimant could effectively reflect the medical history and the complications he had encountered as a result of the surgery. By conducting a thorough medical record review, it could be proved that testicular torsion had occurred post- hernia surgery.

Though not common, the chances of testicular torsion should be discussed by the physician before conducting the hernia surgery. Indication of the discussion in the informed consent form could help the physician from any medical malpractice lawsuit.

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Are There Any Risks From The Operation

An inguinal hernia repair is a routine operation with very few risks. But a small number of hernias can come back at some point after surgery.

Other potential complications of an inguinal hernia repair include:

  • blood or fluid building up in the space left by the hernia
  • pain and numbness in the groin area caused by a nerve being damaged or trapped during surgery
  • damage to the blood supply to the testicles
  • damage to the vas deferens

Complications are more likely if you’re aged over 50, smoke or have another illness, such as heart disease or breathing problems.

Page last reviewed: 15 October 2021 Next review due: 15 October 2024

Additional Causes And Treatment

Complications After Hernia Surgery

Additional causes of testicle pain may include:

  • Diabetic neuropathy: This nerve damage due to diabetes can also cause pain in the testicles. Managing the underlying diabetes can resolve the problem.
  • Hydrocele: This is a fluid buildup that causes swelling of the scrotum. They typically affect babies but can impact males of any age. While they do not usually cause pain, there can be some pain from the swelling. In infants, the hydrocele will typically resolve on their own. In adults, surgery may be necessary.
  • Idiopathic testicular pain: This is where the testicular pain is due to an

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Robotic Spermatic Cord Lysis For Treatment Of Post

Erfan Zarrinkhoo, BA1, Shirin Towfigh, MD1, David Josephson, MD2. 1Beverly Hills Hernia Center, 2Tower Urology

Case: 52 year old male with a history of vasectomy undergoes laparoscopic TEP bilateral inguinal hernia repair with mesh. After initial recovery, he develops pain and feeling of tugging sensation of the left spermatic cord and testicle.

Hypothesis: Retroperitoneal mesh placement may cause postoperative symptoms affecting the spermatic cord, due to mesh-related adhesions.

Workup: The patient is found to have non-specific 3+ tenderness of the left spermatic cord at the external inguinal ring. He undergoes full evaluation for his postoperative pain, including nerve blocks, trigger point injections, ultrasound, MRI, and full urologic evaluation. His pain is deemed non-neuropathic and not related to hernia recurrence or postoperative infection. He also was ruled out for epididymitis and other urologic causes of spermatic cord pain.

Intervention: The patient underwent complete robotic-assisted retroperitoneal adhesiolysis of the spermatic cord. A segment of mesh was also excised off the cord structures.

Results: The patient had immediate and complete resolution of his pain. Upon 2-month follow-up, he remains symptom-free.

What If You Have:

Constipation: This is common after any operation with general anesthesia, as well as if you are taking pain medication, since both have narcotics, which will delay bowel function. We recommend trying Dulcolax suppositories or Milk of Magnesia orally as a start. Any over the counter constipation remedy that you would normally take if you had not had any surgery is acceptable.

Pain: Pain is expected after this operation and it usually fades by the end of the first week, but sometimes can last for many weeks. You now have mesh inside you. The sutures or tacks used to secure it can cause this pain. Each day, the pain should be similar or better than the day before, but it will fade slowly. If the pain is worsening daily, then please call your doctor.

Headache: Some patients experience headaches after operations. Tylenol is OK to take. If the headaches persist, make sure to call your doctor.

Shoulder pain: this may be common for several days after laparoscopic procedures, but if it persists for more than 2 days, then you should give us a call.

Swelling where the hernia used to be, or for men in the scrotum: This can sometimes represent a seroma . Up to 15% of patients can develop a seroma, and in most cases it will resolve on its own. If you feel the swelling is getting worse, or becoming painful, please notify your surgeon.

What you can and should not do will be up to your own surgeon. Please ask your surgeon for your precise restrictions, if any.

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Is It Common To Have Testicle Pain After Hernia Surgery

Most people are told that inguinal hernia repairinguinal hernia repairInguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. There are two different clusters of hernia: groin and ventral wall.https://en.wikipedia.org wiki Inguinal_hernia_surgeryInguinal hernia surgery – Wikipedia is a low risk surgery. While death or severe injury is rare, penile or testes pain after hernia repair is not a novel or recent finding.

How Active Can I Be During Sex

Youll probably be advised to avoid strenuous activities for a time, and that would include vigorous intercourse. Follow your doctors advice on this.

When the time is right, have a frank discussion with your partner about your concerns, what youre comfortable doing, and what youre not.

Here are a few other suggestions:

  • Think about the area of the incision and any swelling you might have. Choose a position that wont put weight on it, rub against it, or strain it. Be creative. Theres no wrong way.
  • Ask your partner to take the lead.
  • Start with very gentle movements and gradually increase activity as you gain confidence.
  • Hold a pillow close to your abdomen to provide support during sex.
  • Use a wedge pillow to create the right angle without having to strain.
  • Opt for oral sex its unlikely to cause pain or discomfort.
  • Keep the lines of communication open and be willing to change position or stop if necessary.

Most of all, listen to your body. It will let you know if youre pushing it. And remember, soreness and swelling after surgery are temporary youll probably be back in the swing of things sooner than you think.

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What Activities Will I Be Able To Do After My Surgery

You can return to normal physical and sexual activities when you feel comfortable. You can undertake gentle activities immediately after the operation if it feels comfortable to do so. activity, back to normal for you, over the next few weeks. If you experience an increase in pain it may be because you have done too much.

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