In 1995 I had a vasectomy. Since then I have had on an off pain triggered (in my right testicle) either a result of sexual activity, physical activity or long durations of sitting/driving. Generally I experience mild discomfort after more frequent sexual activity. Recently I experienced more signifcant pain (6 on a scale of 1-10 with 10 being the most painful)
When the pain occurs I experience tenderness in my testicle and a shooting like pain in the upper right portion of my groin. After a year from my surgery a pain specialist suggested it was nerve damage and prescribed neurontin. This seemed to help and after a month or two it appeared fine. However, since then I have still experienced pain on an off again as described above. I have not taken neurontin since that initial time.
I intend to see a urologist, but I wanted to get a sense of the options/treatment/hope that I may have. The situation is both frustrating and impinging on my lifestyle.
A urologist would be the most appropriate next step. It is certainly possible that the pain may be related to the vasectomy. There are also a variety of other causes in the scrotum that you may want to rule out (i.e. cysts, masses, infection).
I would suggst a scrotal ultrasound to evaluate for such masses. If the urology referral is not revealing, you may want to consider other causes of pain that can radiate to the testicle - such as a groin pull, nerve damage, or hernia. A referral to a neurologist may be helpful to evaluate for nerve damage.
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.
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