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Urology (Expert Forum)
trouble w/recovery-post vasectomy & spermatocele removal
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
trouble w/recovery-post vasectomy & spermatocele removal
by scoty, Jun 29, 1998 12:00AM
I had surgery on 13 Feb 98. Had a vasectomy along with removal of
a spermatocele (r-testi) in one procedure. At five weeks post surgery I went
in for check up and tested sterile and was released with no restrictions. I felt pretty good then.
I woke up two days later with significant pain in r-testi and deep inside my body. No trauma that I know of.
Since then it has been a roller coaster of pain; both in the testicle and
deep inside my body cavity. I've had numerous visits to doctor office
and he seems puzzled by the intensity and longevity of the pain.
I have followed his advice carefully but the pain continues to worsen
and deepen. It is affecting all aspects of my life at this point.
Hot soaks, rest, ice bag all seem not to be working and over the counter
pain meds don't touch it. Sorry to be so long-winded, but any ideas
as to the cause for the continued pain in my right testicle and
(like a red-hot wire!) up in my right-side body cavity? I am sick
of feeling like I've just been kicked in the ba!!s.
Thank you very much for listening.
Sincerely, Scotty.
--------------------------------------------------------------------------------------------------------------------------------
Dear John:
There are a many reasons why one might develop unilateral (one-sided) testicular pain including epididymitis, trauma to a testicle during intercourse (position phenomenon?), prostatitis with pain radiating to one testicle, or for a variety of other causes. I don’t know what you mean by a “Blue Ball” because different individuals have different definitions of what it is.
Based on what you tell me you can physically feel something in your left scrotum that may be a vein or the epididymis. This may indicate a varicocele (essentially a varicose vein of the scrotum) which usually does not cause pain during oral sex or intercourse, or that you may be feeling your epididymis on the left which would be on the backside of the scrotum attached to the testicle (which is a normal thing to be feeling). If there is truely epididymitis, you would feel pain at other times, especially when the effected epididymis is palpated. As you know, it would be impossible to tell you whether you have epididymitis, or not, based on the information provided, and without having examined you. Your testicular pain may have been due to local trauma that you may have experienced during that particular sexual encounter, and may last several days. In any case, I would recommend you see your urologist who can examine you and perform any necessary tests to sort this out for you.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).
Wish you the best,
Sincerely,
HFHS M.D.-JJ
*Keyword: Scrotal pain, epididymitis
a spermatocele (r-testi) in one procedure. At five weeks post surgery I went
in for check up and tested sterile and was released with no restrictions. I felt pretty good then.
I woke up two days later with significant pain in r-testi and deep inside my body. No trauma that I know of.
Since then it has been a roller coaster of pain; both in the testicle and
deep inside my body cavity. I've had numerous visits to doctor office
and he seems puzzled by the intensity and longevity of the pain.
I have followed his advice carefully but the pain continues to worsen
and deepen. It is affecting all aspects of my life at this point.
Hot soaks, rest, ice bag all seem not to be working and over the counter
pain meds don't touch it. Sorry to be so long-winded, but any ideas
as to the cause for the continued pain in my right testicle and
(like a red-hot wire!) up in my right-side body cavity? I am sick
of feeling like I've just been kicked in the ba!!s.
Thank you very much for listening.
Sincerely, Scotty.
--------------------------------------------------------------------------------------------------------------------------------
Dear John:
There are a many reasons why one might develop unilateral (one-sided) testicular pain including epididymitis, trauma to a testicle during intercourse (position phenomenon?), prostatitis with pain radiating to one testicle, or for a variety of other causes. I don’t know what you mean by a “Blue Ball” because different individuals have different definitions of what it is.
Based on what you tell me you can physically feel something in your left scrotum that may be a vein or the epididymis. This may indicate a varicocele (essentially a varicose vein of the scrotum) which usually does not cause pain during oral sex or intercourse, or that you may be feeling your epididymis on the left which would be on the backside of the scrotum attached to the testicle (which is a normal thing to be feeling). If there is truely epididymitis, you would feel pain at other times, especially when the effected epididymis is palpated. As you know, it would be impossible to tell you whether you have epididymitis, or not, based on the information provided, and without having examined you. Your testicular pain may have been due to local trauma that you may have experienced during that particular sexual encounter, and may last several days. In any case, I would recommend you see your urologist who can examine you and perform any necessary tests to sort this out for you.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).
Wish you the best,
Sincerely,
HFHS M.D.-JJ
*Keyword: Scrotal pain, epididymitis
