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pain in his testicles and unable to get erection
This question is for an older friend. He told me he had surgery awhile back (app 1
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233190 tn?1278553401
Difficult to say without examination.  Certainly it may a complication from the surgery, with nerve damage.  If there are concurrent diseases like diabetes or peripheral vascular disease, that can play a role in worsening the erectile dysfunction.  

I would check the testosterone level to ensure low levels aren't contributing to the problem.  

Regarding the testicular pain, a scrotal ultrasound can be considered to ensure there is no damage to the anatomy.  

If there is no evidence of organic damage, you can consider using medications like Viagra, Levitra or Cialis.

You can discuss these options with your personal physician or urologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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