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Urology/Poast-varicocelectomy Question


Hello Dr. Suppe:
I had left-side varicocelectomy about three months ago. Immediately after the surgery, I noticed a numbing sensation on the area where the incision was done and also on my left groin area. My doctor said that it was "because of the surgery" and said that the numbing sensation would eventually away. It's been three months already and it still feels as numb as the first day. What are the potential causes of this numbness? Can anything be done? Will it go away by itself eventually? Please advice.

What you are experiencing is neuropathy from a nerve being severed which is a potential complication even with the most proficient surgeon. There is no significance that effects a quality of life when we have this complication. It is unfortunate but the blessing is nerves have an amazing capability to regenerate and allow for sensation in the future. If you want to speed the process up I recommend Vitamin E 400iu 2X a day and L-argenine 500mg 2 X a day and if possible ask your doc for a sample or two of daily Cialis 5 mg packs. No not for ED but to increase blood flow to the nervous system to speed up healing. There is also a topical GHRH analog called Trans-D Tropin that will increase your pituitary gland to secrete more  growth hormone and accelerate your healing. GHRH analogs are growth hormone releasing hormones unlike HGH (human growth hormone) this is not a synthetic version of HGH its a bio-identical hormone that tells the brain to increase secretion of our endogenous growth hormone. When we are young we have much higher levels of GH and this is what allows children to heal so rapidly compared to after the age of 30 when GH declines significantly. Now mind you Trans D tropin is not for those on a budget. This product has been used by the stars and wealthy who go to anti-aging clinics and want their body to function like when they were younger. You do not need a prescription for this because it is not a controlled drug. If you were to do nothing at all you will most likely heal a bit slower and still regain sensation eventually. Just an FYI I am not linked to Trans D Tropin or make any financial gain from recommendation, this is only data I have researched in my years of treating post surgical nerve regeneration for prostatectomy erectile rehabilitation.  


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Thomas A Suppe RDMS CLT


Invervential urologic radiology , urologic laser surgery, cryotherapy of the prostate and kidney, extracorporal shockwave lithotripsy, holmium laser lithotripsy, urodynamics (video-non video),male infertility, erectile dysfunction, Peyronies disease, hypogonadism ,kidney stones, prostate cancer detection, BPH, voiding dysfunction, bladder cancer and continent diversions.


For the past 20 years performing intervential and diagnostic uro-radiology for a multitude of urologic surgeons from New York, New Jersey, Lousianna and Texas. Founder of DMS medical LLC introducing the Texas Medical Center to the first high power Green Light laser for the treatment of BPH just after its release by the FDA from Laserscope and its sucessful trials at the Mayo Clinc.

American Registery of Diagnostic Medical Sonographers (ARDMS), American Urologic Assocoation (AUA), American Medical Systems (AMS) Laserscope,Oncura, Allergan and Auxilliam pharmaceuticals.

Comprehention of Urologic Ultrasonography for the Resident Physician (Journal of Urology 2012), Author of the syllabus for the uro-radiology residency course at The Scott Dept of Urology at Baylor College of Medicine Houston Texas (2010 to present). Past Clinical Studies: Principal radiology investigator Allergan Inc for "The treatment of BPH with intra-prostatic injections of Botox" with Larry I Lipshultz MD 2011-2012, principal radiology investigator for Allergan Inc for "The treatment of Peyronies disease by intra-lesional penile injections of Botox" with Mohit Khera MD MBA MPH (2011-2012). Current studies: Principal investigator of "Blood pressure risk factors of intra cavernosal injections of Trimix and PGE1 during Penile Duplex's.

BS from Ramapo College of NJ, Registered diagnostic medical sonographer with the ARDMS, 2 year fellowship of Uro-Radiology and intervential sonography at Baylor College of Medicine Houston TX, laser safty officer in state of Texas and certified in KTP, Holmium and Lithium Tri-boride laser systems from Laserscope San Jose, California and American Medical Systems Minnatonka Minnasota, trained and certified by Oncura Inc Isreal in ultrasound guided argon cryotherapy of the prostate and kidney.

Awards and Honors
Honorary instructor of GU ultrasound course 2012 international meeting of the American Urologic Association. Author of the the AUA course for "Ultrasonography of the Testes and Scrotum" 2012.

Past/Present Clients
Baylor College of Medicine (BCM) Lousianna State University (LSU), LSU Medical Center Shreeveport LA, The Methodist Hospital Houston Texas, St Lukes Episcopal Hospital Houston Texas, Memorial Herman Health Systems Houston Texas, Palestine RMC Texas, Doctors Regional Hospital Corpus Christi Texas, Valverde Regional Medical Center DelRio Texas, Current instructor/technologist for two internationally recognized urologists : Larry I Lipshultz MD and Mohit Khera MD, MBA, MPH at Baylor College of Medicine. I served as intervential sonography consultant for Oncura Inc cryotherapy systems. Former lead trainer for Urosource mobile medical services , training new surgeons in PVP or photo-selective vaporization of the prostate for BPH, BNCs and urethral stricture vaporization.

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