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Urology/Scrotal Pain

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Question
My son you is 19 and in the military had a hydrocele removed in May 2014, it is now November and he still has pain.  A few doctors believe it might be nerve damage, but won't know for sure until they go back in to "explore".  He is not real excited about a second surgery but if they go back in and they nicked or cut a nerve the first time, can it be repaired or fixed?  What are the risks or complications of this second surgery?  Thanks for a quick response if possible, he needs to know something by Tuesday evening.  Thanks

Answer
Robert:

A simple hydrocele should not be causing pain now, so many months after the surgery.  Nerve damage is possible, but no surgeon should be anywhere near the cord or the "nerves" during the surgery.  Even if the nerves are damaged, they cannot be repaired or fixed surgically.  While they might find the cause of the pain, they might not.  In that situation, he might need to consider having the testicle removed.  Sexual function and fertility are not affected and the pain would likely be gone.  He should get an outside opinion from another urologist before agreeing to any more surgery and he should be prepared for the possibility of having the testicle removed if this surgery doesn't work.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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