Aa
Groin/Penis Pain
I am a 48 year old male in overall good health. I had anal fistula surgery in early May. There were also two abcesses on the right cheek of the buttocks that were cut open and drained. All the actual surgical stuff is healing great..that’s not my issue. Six days after the procedure, I started to get very strong groin pain on the left side of my groin. The pain often radiates up the left side of my penis and into the head sometimes and also radiates down the inner portion of my left thigh. There seems to be some sensitivity in the testicle as well. The overall pain is much worse when I am sitting than when I am lying down or walking. It does seem like bending or activity will make it worse later. Several days after the groin pain started I noticed some pain at the head of the penis when erect, but I would say that pain has mostly resolved. The groin/penis.thigh pain unfortunately is still very strong.
I have been checked for a hernia…negative. Had a scrotal ultrasound…normal. Prostate was checked before procedure…normal. Also had colonoscopy with the fistula surgery…normal. I was on Keflex and Flagyl before and after the surgery. When this pain started my GP gave me Cipro. No help. Also had blood work...all normal. And I had a CT of the Abdomen and Pelvis back in February, three months before the onset of the groin pain…again normal.
Asked surgeon if it could be related to the procedure given the timing and onset. I was initially told it could be related, then when it lasted for several weeks without improvement, I was sent to a local urologist who saw the scrotal ultrasound result and told me to read a book on pelvic pain because he thought “I was carrying tension in my pelvis.”
I’m at a loss. Few questions…
1. Any ideas where the pain is coming from?
2. Could it be related to the procedure?
3. Nerve pain perhaps?
4. Will it resolve?
5. Can I take anything for it
6. Might some type of exercise/therapy help or would that make it worse.
I have been checked for a hernia…negative. Had a scrotal ultrasound…normal. Prostate was checked before procedure…normal. Also had colonoscopy with the fistula surgery…normal. I was on Keflex and Flagyl before and after the surgery. When this pain started my GP gave me Cipro. No help. Also had blood work...all normal. And I had a CT of the Abdomen and Pelvis back in February, three months before the onset of the groin pain…again normal.
Asked surgeon if it could be related to the procedure given the timing and onset. I was initially told it could be related, then when it lasted for several weeks without improvement, I was sent to a local urologist who saw the scrotal ultrasound result and told me to read a book on pelvic pain because he thought “I was carrying tension in my pelvis.”
I’m at a loss. Few questions…
1. Any ideas where the pain is coming from?
2. Could it be related to the procedure?
3. Nerve pain perhaps?
4. Will it resolve?
5. Can I take anything for it
6. Might some type of exercise/therapy help or would that make it worse.
Good Day, Doctor...I submitted my question five days ago and never got an answer. My credit card was charged, so I'm not sure where the hold up is. Very painful so I'd like to get some guidance so I can make the appropriate move forward.
Thank you.
Thank you.
Procedure itself was fine. More inconvenient than painful. Have to take 4 baths a day for a week or two and then down to three a day, etc. as you taper down. Wasn't painful for too long, but expect to take the week off afterward so you can really be on top of the aftercare.
Hi,
I have had a rectum to prostate fistula since 2008, currently I'm 46. I'm still waiting to see if corrective surgery is an option.
I think that you might have some nerve pain. How was your procedure done? If they damaged nerves during the surgical procedure than it is possible that this is the cause of your pain.
From what was explained to me about my surgical correction is the following. An incision is made in between the scrotum and rectum. This area is disected to give access to the fistula. A piece of mucsle from my lage is used to patch the area between the prostate and rectum. A diversion of the bowel is done by the means of a colostomy untill the fistula has healed. Currently I have a suprapubic catheter to divert urine from the fistula.
Currently when I sit down or do something that causes motion of the area of the scrotum and rectum, I experience a pulling like pain. Example cutting the lawn with a riding mower, causes pain in the rectum and prostate as well as it radiating into the penis and sometimes glans. I think that it is due to the connection between the rectum and prostate. At times I have discomfort in the scrotum as well. The urologist thinks that I got the fistula as a result of the following things. Resection of the prostate and bladder neck made the area weak. Due to a neurogenic bladder I used to self cath. It is possible that the fistula was caused by a catheter pushing through the weakened area.
With a neurogenic bladder I also have neurological issues for which I take medication.
Ask your doctor about the possibility that this could be due to nerve pain. If this is possible than medications like Amitriptyline or Lyrica might provide some relief. One problem with these medications is the fact that it causes drowsiness untill your body adjusts.
Your procedure was done very recent and you should take in account that your body is still healing. Most of the time recovery is based on a 6 week period, but recovery might take several months to feel normal again. Out of my own experience from a right inguinal incarcerated hernia repaired in 2006, I still have a some what uncomfortable feeling at times. In 2000 I underwent emergency surgery to have a necrotic left testicle removed. At times it feels like there is a mild pain in a testicle that I no longer have. The nerve endings are still there and can cause discomfort at times.
Currently I'm taking Morphine tablets for pain caused by the fistula, as well as for pain caused by the nervous system. At times the Amitriptyline does not seem to do enough.
Please let me know what the procedure was like for you?
All the best.
I have had a rectum to prostate fistula since 2008, currently I'm 46. I'm still waiting to see if corrective surgery is an option.
I think that you might have some nerve pain. How was your procedure done? If they damaged nerves during the surgical procedure than it is possible that this is the cause of your pain.
From what was explained to me about my surgical correction is the following. An incision is made in between the scrotum and rectum. This area is disected to give access to the fistula. A piece of mucsle from my lage is used to patch the area between the prostate and rectum. A diversion of the bowel is done by the means of a colostomy untill the fistula has healed. Currently I have a suprapubic catheter to divert urine from the fistula.
Currently when I sit down or do something that causes motion of the area of the scrotum and rectum, I experience a pulling like pain. Example cutting the lawn with a riding mower, causes pain in the rectum and prostate as well as it radiating into the penis and sometimes glans. I think that it is due to the connection between the rectum and prostate. At times I have discomfort in the scrotum as well. The urologist thinks that I got the fistula as a result of the following things. Resection of the prostate and bladder neck made the area weak. Due to a neurogenic bladder I used to self cath. It is possible that the fistula was caused by a catheter pushing through the weakened area.
With a neurogenic bladder I also have neurological issues for which I take medication.
Ask your doctor about the possibility that this could be due to nerve pain. If this is possible than medications like Amitriptyline or Lyrica might provide some relief. One problem with these medications is the fact that it causes drowsiness untill your body adjusts.
Your procedure was done very recent and you should take in account that your body is still healing. Most of the time recovery is based on a 6 week period, but recovery might take several months to feel normal again. Out of my own experience from a right inguinal incarcerated hernia repaired in 2006, I still have a some what uncomfortable feeling at times. In 2000 I underwent emergency surgery to have a necrotic left testicle removed. At times it feels like there is a mild pain in a testicle that I no longer have. The nerve endings are still there and can cause discomfort at times.
Currently I'm taking Morphine tablets for pain caused by the fistula, as well as for pain caused by the nervous system. At times the Amitriptyline does not seem to do enough.
Please let me know what the procedure was like for you?
All the best.
You are reading content posted in the Urology Forum
Discharge often isn't normal, and could mean an infection or an STD.
Dr. Jose Gonzalez-Garcia provides insight to the most commonly asked question about the transfer of HIV between partners.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
