131. HerniaTalk LIVE Q&A: Testicular Pain After Hernia Surgery

Welcome to HerniaTalk LIVE, a Q&A hosted by Dr. Shirin Towfigh, hernia and laparoscopic surgery specialist who practices at the Beverly Hills Hernia Center. This is the only Q&A of its kind, aimed at educating and empowering patients about all things related to hernias and hernia-related complications. For a personal consultation with Dr. Towfigh, call [phone] or email [e-mail].
This week, the topic of discussion was:
Testicular Pain
Spermatic Cord
Hernia Surgery
Complications
Mesh
Adhesions
Vas Deferens
Varicocele
Hydrocele
Spermatic Cord Denervation
Spermatic Cord Block
Urologist
Pain Management
Nerve Block
Specialist
Mesh Complications
Topic: Testicular Pain After Hernia Surgery
If you find this content informative, please LIKE, SHARE, and SUBSCRIBE to the HerniaTalk Live channel and visit us on www.HerniaTalk.com.

[@thomash4810]

Hey, I had my bilateral laparoscopic inguinal repair at 23y/o. I read that the pain is more common with younger men; it has been 3 years since my repair. The peak of my pain was this year, back in May. I am pretty good at managing pain, however, it got to the point where I could not sleep due to radiating pain in my lower left groin. I usually don't talk about the cause of my complications because it can be considered taboo. I usually talk about the effect -- which would be the pain. The pain flares with physical intimacy, once the area is agitated, it will feel like a sharp, then dull, burning, radiating, and stabbing pain in the lower left groin at the internal repair site. My pain has begun to subside as of this month, December 2023. I went 3 months with abstinence; this drastically helped me manage pain. As of late, I barely get pain from physical intimacy. During that time of abstinence, I did a lot of abdominal exercises (flutter kicks, sit-ups, etc.) and a lot of massaging and stretching. I would like to think this helped a lot. Maybe it loosened adhesions or freed the sperm cord or nerve from adhesions. I still get the occasional twinge, but nothing dramatic like before. I will post an update a month from now to let you know if it has gotten even better. I have empathy for everyone who experiences this pain; most people will never understand the feeling! To anyone who reads this, keep your head up and stay positive

[@abdullahmadanat6634]

Do you recommend not to Do the surgery? I have dull left pain in the testis. But by the looks of it, its bound to get worse. Do i not do it and just live with the pain?

[@thomash4810]

@@abdullahmadanat6634 My advice for taking natural remedies before anything extreme was for those who have already gotten the surgery and are experiencing nerve pain. If you have a hernia and it needs to be repaired then you should see a professional. Try getting input from more than one doctor if you can. Lay off sexual activity for a while (this helped me with my pain).

[@TC-ug1kb]

Uh

[@2101hoffman]

I had a inguinal repair done by a military doctor over ten years ago and have suffered with testicular pain ever since. I have tried to have a nerve block twice with no success. At my whits end and I'm now medically retired from the military and feel like no one wants to help me figure this out. It has impacted my life in so many ways. To the point I'm scared of doing and preforming certain task of life.

[@herniadoc]

Let my office know if you’d like some advice via consultation

[@silvergrizzly316]

My friend, I had bilateral inguinal hernia repair back in 2012 and I'm convinced I never had a hernia. I've had that same testicular pain since I got up off the surgery table. I've been to California in 2013, Florida in 2017 and just went to see a doctor at the Cleveland Clinic a couple weeks ago with no results, believe me I understand your pain and I know what you're going through brother. Like you said, you're afraid to do anything strenuous or if you're like me you'll end up in bed for a week or longer with ice packs. I've had numerous illioinguinal nerve blocks over the years at the pain clinic with absolutely no results. At the end of June I'm going to let them try and burn the nerve to see if that helps, the last doctor suggested having a neuroectomy but I think NOT!!! Good luck and Godspeed my friend. 🙏

[@bmw328i8]

@@silvergrizzly316man I’m glad I’m not the only one! I’m scared to do anything that involves strenuous activity anymore…the pain I have after is almost unbearable, I’m usually hunched over almost in tears. God knows I wish I could be done with this. I just want to feel normal again.

[@johnnyelvis]

I had a Inguinal hernia and a umbilical hernia done at the same time at the end of 2020. Ive been countless of doctors because of the pain im in. One testicle constantly stays swell the other epididymitis so they think, (ultra sound normal, urine sample good, never had problems before till the surgery) had a cord blocker done today. Still in pain in my abdomen and groin areas. Ive been in an out of doctors for the past three years, and had to recently quit my career job due to the pain, and am now out of insurance. Im only 36 with no children,and their answers are to amputate one testicle and remove the epididymis on the other. My life hasn't been the same since the surgery, if i set for to long or Even walk longer than 30 mins i swellore and hirt more... i am no longer able to lift or do things i once did since this surgery resulting in my job loss at the usps. Now my wife is pulling the weight while i lay around useless all the time from pain. Wish never got these surgeries.

[@herniadoc]

Oh boy. Removing the testicle is almost never the right choice. The problem is likely at the hernia repair. Please see a hernia specialist

[@johnnyelvis]

@@herniadoc that will be my next step if I can find one here. I had two surgeries tell me that they didn't wanna touch it because it was another surgeons work, and I've had one day it was to risky because it being the plug type. I'm going to keep searching for a specialist.

[@thomash4810]

How are you feeling now? Have you tried routinely massaging your lower groin? Massaging your testicles is another thing you should try. Massaging and stretching will not always show immediate results, but over time they will.

[@machinemonkey1337]

I've experienced similar problems. Almost identical. I begged them to remove mine. I've even seriously contemplated getting liquored up and doing it myself just to make it stop. And yes I'm am serious. No help. Just excuses. Dull ache all the time increases to a throb seemingly having its own heartbeat. Pain radiating throughout my lower abdomen. To the point of wanting to puke sometimes. I work. I refuse to quit. I refuse let them take my life away from me. Had shots. Meds for 4 years. I am a heavy equipment mechanic and live in pain continuously now without meds. I have an incredible tolerance for pain. So I just live with it. One old man who is a urologist told me during my last ultrasound that I still have a hernia. Of course it was a myriad of excuses and symptoms. I finally got very angry with these doctors and their no accountability. I'm a very old school person and do not deal well with people who lie or hide things from me. I finally am once again on a quest to find out what's going on.

[@johnnyelvis]

@@thomash4810 still the same a lot of pain I've tried everything. Lot of pain in my stomach from the mesh in there. I've been on the hunt for a specialist but my state does not have Any hernia specialists here

[@mathewselvaraj6902]

Thanks for this video. The most informative I have seen on this topic .

[@herniadoc]

Thank you!!🙏

[@leeking2596]

I had bilateral robotic mesh hernia surgery 2 years ago. A year later, it came back. Now, I just had bilateral open hernia surgery to repair it last week. I felt somewhat ok right after surgery but a week later, I'm in extreme pain now. All day long, it feels as if I was kicked in the testicle from under the incision to my testicles. I'm starting to get hard back pain now. It has been a horrible experience getting pain medication through my surgeon and from CVS. If the pain continues, I'll be going to the hospital. Thank you for this information. I felt truly lost, but at least this gives me an idea of what to tell my surgeon.

[@herniadoc]

🙏🏻 wishing you best of luck. Contact my office if you’d like to consider options

[@ilya_gur]

Has your pain subsided? I am in a similar situation on day 32 post open inguinal repair, although it's intermittent pain that lasts 4-5 hours at a time

[@steve3439]

I just had had the new robotic hernia repair on the 20th. My doctor wrote a note for work saying I can go back to work(light duty) in a week! I’m hurting like hell right now as can hardly work. Surgeon said it two weeks I’m good to go full duty. Don’t see how this is going to be possible because my job is extremely physical. I’m a delivery driver and have to lift heavy boxes all day.

[@jackblack579]

I just got my surgery on the 13th I'm taking 3 weeks off,I'm a truck driver

[@herniadoc]

You should get better daily. If not better within first 6-12 weeks, seek more help.

[@steverid]

I just had this surgery last Wednesday. My surgeon did a fantastic job fixing the hernia issue. But now, both of my testicles are extremely sensitive. It is painful doing anything now. No swelling, but they just hurt. I figured it would pass or at the very least taper off after the surgery, but the level of pain is the same as it was the day of the surgery.

[@herniadoc]

Supportive underwear may help as you recover. If not better, see a specialist

[@wally1957]

What I would like to see is guys respond with a follow up after they posted a question and let us all know how they fixed their problem! I too had surgery 3 weeks ago with mesh and have pain in spermatic cord from right testicle to inner thigh. Sometimes I have little to no pain and then other times I can't stand the discomfort and go lay down (on my back) which helps. The doctor said not to lift anything for six weeks so I am going too wait that long to see if pain goes away. Oh an it is like a tugging feeling.

[@anjuchaudhary1232]

I'm 61 yr old male.l had inguinal hernia surgery on left side 6 months back. Now I am suffering from intense pain in pelvic region. MRI shows bone and muscle edema in pubic and ischium area. My surgeon has now suggested mesh extraction. What do I do

[@herniadoc]

Get a second opinion from a specialist

[@abdullahmadanat6634]

I have an inguinal hernia, i was about to do surgery. I have noticeable left testical pain. And after watching your video. I dont want to do the surgery anymore. So what are the chances i leave the surgery with no pain at all in my testical after a full covery? By the looks of it im guaranteed to get testicular pain for life, working near the sperm cords and the testical nerves. I thought the medical world would be way more advanced in this sector

[@herniadoc]

If the testicular pain is due to the inguinal hernia, it won’t get better without hernia repair

[@michelem9653]

I know this is on testicular pain but, do you have a talk about vaginal / labia pain after a incisional hernia repair ?

[@herniadoc]

Yes. We have talked with gynecologists, urologists and pelvic pain specialists. Can search throughout the channel.

[@ilya_gur]

I'm 32 days post open inguinal hernia repair and still have intermittent (every 3rd day) right side pain along my Vas and testicle. The sharpest pain is where the Vas meets the testicle while the testicle itself is a dull pain. It doesn't radiate elsewhere. The pain surfaces the day after ejaculation or after slight physical strain/coughing/laughing. My surgeon dismisses it as post surgery scar tissue and general inflammation that will pass, but I think it's a blood vessel or nerve issue. Have you had such patients recover without intervention? I'm inclined to do a Pelvic MRI and scrotal ultrasound because it feels wrong (today had renewed numbness below the incision)

[@herniadoc]

Likely your surgeon is right. Massaging the scar may help reduce scarring and its effects. MRI pelvis and testicular ultrasound may help shed light on other things

[@ilya_gur]

@@herniadoc can sharp testicular pain be caused by the internal scar tissue as it heals? After 5 weeks my left side (lipoma) repair has healed perfectly so I'm inclined to believe it's a mesh failure on the right

[@herniadoc]

@@ilya_gur it can. But we don’t call it a mesh failure unless there is a hernia recurrence.

[@ilya_gur]

Can a nerve entrapped in scar recover on its own, or will it forever be agitated by physical activity/exercise? My testicular pain only began on day 12 after open repair, and as of today (day 38) it's only 30% better. Open repair was biggest mistake of my life.

[@herniadoc]

@@ilya_gur in most patients it can. Massage massage massage.

[@scottallen7264]

I'm lost, I've been told I should get my hernia fixed, but it sounds like it could open a whole world of problems. It doesn't cause me many problems, but I've been told it's fairly big.

[@herniadoc]

Get second opinion from hernia specialist

[@MadKingFan69]

Had herina surgery 3 weeks ago. Before surgery I was very sensitive in my left testicle. Got checked down there and nothing showed up. So again been 3 weeks after surgery and same discomfort again.

[@MadKingFan69]

And yes it was mesh in three spots.

[@herniadoc]

If your surgeon confirms nothing wrong, then massage the area and followup again with your surgeon in 1-2 weeks

[@Enrique-sb7jl]

​@@herniadocI have a question 😢I have a small inguinal hernia only bothers me when I sit for 3to5. Hours please let me know should I wait longer before I get a surgery

[@herniadoc]

@@Enrique-sb7jl seek consultation for personalized planning of your care. Every patient and hernia is different when the hernia is symptomatic.

[@gillart99]

Hey I’m in the same boat with left test pain before hernia surgery, and very similar (unchanged) pain a couple of weeks after surgery. May I ask if you have gotten better now??

[@bluewave7120]

Is it safe to use mesh with all of the recalls and pain issues? Or is it better to avoid it and do a non mesh repair?

[@herniadoc]

Depends on the patient and situation.

[@Backcountryhiker]

Thank you for the video, it was very informative. I have a question, if you don't mind. Five weeks ago I had an open left inguinal hernia operation. Healing well but my left testicle is about 1 to 1 1/2 inches lower than my right. It was quite sensitive but now is much better. If there is no future pain, is there reason I should have that brought up in height, to match the right testicle? Thank you very much!

[@herniadoc]

No reason to act on that

[@Backcountryhiker]

Thank you very much and have a Merry Christmas! @@herniadoc

[@abdullahmadanat6634]

Do you recommend the surgery? Scared it my affect my testical negatively. Any advice? Tips?

[@herniadoc]

@@abdullahmadanat6634 find a surgeon you trust and discuss your concerns

[@NBCon]

Thanks for this video. A few years out from a hernia repair, and the pain is still there, and even getting worse. I’m going to have to do something about this. 😢

[@herniadoc]

Thanks 🙏🏻 best of luck

[@markuse3472]

What has happened to date? And, what kind of hernia did you have?

[@sardaareditz62]

I had the right inguinal hernia operation, and my testicles are swollen. Is it going to be the same, or will the swelling come down? Please tell me I'm worried.

[@herniadoc]

These are questions to ask your surgeon. It’s normal to have some swelling early after surgery.

[@GenevieveAdanuvor]

Yhhh

[@sardaareditz62]

@@GenevieveAdanuvor Yeah its normal now

[@Samsum-m8p]

@@sardaareditz62hi how long were the testicles swollen and did it gradually improve and became normal? How are you now?

[@sardaareditz62]

@@Samsum-m8p It was swollen for 18-20 days. After that it became normal.

[@OptimumInsuranceMark]

I had laparoscopic inguinal hernia repair (with a mesh) six (6) months [not days/weeks] ago and it has been horrible. My condition is actually worse than before the surgery. The mesh feels like a piece of sandpaper was surgically implanted inside of my body and the area where the hernia was a half year ago is still painful and swollen. My right testicle has been swollen and inflamed and is still approximately 100% larger than my left testicle. My condition is worse because of the pain and aching associated with my testicle being affected as opposed to just the less sensitive abdominal material that would occasionally protrude though my abdominal wall. My condition is affecting my activity level. I cannot walk for extended periods of time before the aching spreads to my lower belly area causing an upset stomach and ultimately headaches. I am dealing with chaffing because of the abnormal size of my right testicle. I can no longer complete a full yoga workout, ride a bike or jog/run and this has caused my physical condition to continually decline since the surgery. I have lost notable muscle mass, flexibility and my energy level is continually lessening. I have found that doctors are more than available to talk about performing surgery, but when it comes to complications secondary to surgery and/or potential medical malpractice necessitating restorative surgery, these same doctors hide in the shadows and are tight lipped about offering aid.

[@herniadoc]

You need to see true hernia specialists

[@OptimumInsuranceMark]

I HAVE seen a true hernia specialist at Wellstar North Fulton Medical Center in Roswell, Georgia USA (*name redacted, MD). My surgeon tried to claim that my symptoms (grossly enlarged testicle with radiating pain, aching and swelling) were, "not related to my surgery" despite the conditions being present immediately after waking up from my surgery. It is now more than 8 months since my surgery (May 25, 2023) and I still have the symptoms. I got a 2nd opinion from a urologist and was told I had the hernia repair caused a hydrocele (sack around my testicle [but under my scrotum] is filled with peritoneal fluid) which is a condition that will not go away on its own and I will now need a 2nd, more invasive surgery involving making an incision just below the belt line and dissecting down to the hole in the muscle layer. The hydrocele lining is then removed from the scrotum. I will not be able to work for 4 - 7 weeks after the procedure and will be left permanently scarred. If I do not have the surgery, I am at risk of developing another hernia on the opposite side and I have an increased risk of the hydrocele masking the presence of testicular cancer until the cancer becomes inoperable resulting in my death. @@herniadoc

[@OptimumInsuranceMark]

I HAVE seen a true hernia specialist at Wellstar North Fulton Medical Center in Roswell, Georgia USA (*name redacted, MD). My surgeon tried to claim that my symptoms (grossly enlarged testicle with radiating pain, aching and swelling) were, "not related to my surgery" despite the conditions being present immediately after waking up from my surgery. It is now more than 8 months since my surgery (May 25, 2023) and I still have the symptoms. I got a 2nd opinion from a urologist and was told I had the hernia repair caused a hydrocele (sack around my testicle [but under my scrotum] is filled with peritoneal fluid) which is a condition that will not go away on its own and I will now need a 2nd, more invasive surgery involving making an incision just below the belt line and dissecting down to the hole in the muscle layer. The hydrocele lining is then removed from the scrotum. I will not be able to work for 4 - 7 weeks after the procedure and will be left permanently scarred. If I do not have the surgery, I am at risk of developing another hernia on the opposite side and I have an increased risk of the hydrocele masking the presence of testicular cancer until the cancer becomes inoperable.@@herniadoc

[@herniadoc]

Lots of misinformation there. A true hernia specialist would include the surgeons I have interviewed on HerniaTalk LIVE.

[@ILLWill1027]

Hello Dr. Towfigh, thank you for all the knowledgeable information you are explaining in this video. I’m 35 yr old relatively healthy man with a left Inguinal hernia in the scrotum that I’ve had since i was 18 yrs old. I’m suppose to have lapro mesh surgery in 2 weeks but I’ve been putting it off for years because I’m nervous about it and thankfully I’m in no pain. I’ve been able to lift heavy at the gym with no pain and also no pain during sex. I’m wondering now after all this time with no pain should i even get the surgery or not honestly. Would love to hear your opinion on this. Thank you 🙏🏾

[@herniadoc]

watchful waiting is considered safe in males with asymptomatic inguinal hernias

[@ILLWill1027]

@@herniadoc that’s good to know thank you. So how would and should i go about monitoring it going forward?

[@herniadoc]

@@ILLWill1027 that is a personal discussion to have with your surgeon.

[@ILLWill1027]

@@herniadoc ok I’ll contact them today thank you again 🙏🏾

[@truk-inbbq9197]

Hello, I had an robotic inguinal hernia surgery mesh , 4/21 and have had testicular pain, loss of blood flow to penis, extreme size reduction of penis and right testicle (acts like a turtle head,now you seeit now you Don't)severe penis retraction, often hard to pee, usually feels like I have a UTI, always have gurgling at repair site, often a internal feeling of dripping water down my right thigh, very painful to stand upright to attention. I developed shingles May of 22, was sent to a urologist, ultra sound, CT scan, hydroceles on right testicle , was sick for 6-8 months. I'm still suffering from daily pain that shoots from repair site to the right testicle.Hurts standing up or laying down. My GP says I just have scar tissue and low testosterone. Have now 2/24 have Peyronie's. Have only had 3 erections since surgery 4/21. Age 51. Need help in Pennsylvania. As a side note, my surgeon saw me at 2 week post op (surgeon assistant), told me the pain and numbness would go away within a couple more weeks. The surgeon's office would take two - three weeks to return a reply to my inquiries about my pain.( the first one). The second inquiry was again replied to 3 weeks later. And then was told I had to go back to my GP for any other problems. And the wheels on the bus go round and round. P.S. I don't drink alcohol, Not on any medications or illicit drugs, don't smoke, don't eat beef, No dairy, No high fructose sugars. Try to stretch and do simple yoga, but usually hurts too much.

[@herniadoc]

I’m so sorry to hear about all of these problems. May I suggest you consider a surgical consultation by a hernia specialist. If you would like to contact my office directly to inquire about this, please email [e-mail].

[@nfn4]

Hi Dr. I had laparoscopic left inguinal surgery repair done four weeks ago with mesh. The entire post surgery pain was immense, but improved a lot with pain killers about a week post op. The left testicle remains a cause of my concern over four weeks post op the pain is still lingering though less in intensity to 1/25/25. On my two weeks post op follow up visit, I told the surgeon about the pain and he told me that it can happen post op and it will get better. He asked me if I've had sex. I said no because it's painful and I had no erection since surgery. He suggested that I wear support and I did since then. The pain subsided somewhat, but still happening and my left testicles hurts a lot if pressed on. I also have numbing pain in my thigh, pins and needle pain in the groin back of my knee and calf. Ibuprofen helps somewhat, but never eradicate the pain which returns fully after a few hours. After calling and texting the surgeon to complain about the problems, he ordered a ultrasound of the scrotum, which I had done yesterday. The reading showed that I have varicocele in left testicle. Any suggestions on what next? Based on the ultrasound, the surgeon sounds happy that was the only thing I had going on post op. He hadn't seen me since the ultrasound , the report was emailed to him. I should mention that I also had umbilical hernia repair with mesh done at the same time. Other than some lingering aches in the area, the umbilical area seem to be recovering well thus far. I wish I had done more research before having this surgery, I would have found your channel then and asked more questions. I went into the procedure with trust of the surgeon because I worked with him for some years in the medical field.

[@robertvaldez1047]

Good evening Dr. Towfigh, this video definitely has answered my concern, which I been visiting number medical professional can not figured a solution... Absolutely, after my inguinal hernia surgery I been having testicles pain...I had a plug hernia mesh ..must be plug mesh interfering vas deferens and ejaculation been low....is this condition be successfully repaired....8 months been going through.... it's a nightmare... Thank you....😊

[@herniadoc]

Yes! See a specialist

[@robertvaldez1047]

Wondering if any advice regarding the condition, definitely looking forward to seek your assistance ☺️

[@robertvandervelde60]

Hello Dr. I'm 77yrs old, had bilateral hernia repair open surgery two mths ago, mesh was used on both sides, the right hernia was very large whilst sitting in the scrotum, left one was not as bad, both sides have healed up nicely, no pain at all, however on both sides where ths scrotum joins the body there are hard lumps, the left one has diminished greatly in size, the right one is much bigger, they are not painful at all, will they eventually disappear?

[@herniadoc]

Sounds like resolving hematomas. Should go away.

[@KGcod4KG]

Had a laparoscopic left hernia repair with mesh exactly 1 week ago. I know it’s super early in my recovery but overall I feel fairly well recovered besides the odd abdomen soreness when moving around etc. One thing that is really concerning me is this weird dull/achey pain in my left side of scrotum or near my left testicle. Once again I know it’s only been a week, but since I’ve been researching post op symptoms I came across chronic testicle pain now I feel I’ve become fixated on it haha. I hope it’s only temporary during my 4-6 week recovery and doesn’t stick around for longer than that. If anyone can relate or has an opinion please don’t hesitate to comment. Thank you

[@dasgelbevomei4449]

How are you Bro?

[@KGcod4KG]

Hey man to be honest I think a few days after writing this comment my testicle discomfort nearly disappeared. Was a very odd dull achey pain but it was pretty much gone by day 8-9 post operation. At my 4 week follow up with my surgeon he mentioned that they needed to remove a lipoma from a nerve that ran down to my scrotum, the nerve took a beating during the lipoma removal so it was sore and tender = severe ball pain for a few days. But after that, just like any bruising or injury, the human body is unbelievable in its ability to fix itself. If anyone reading this has doubts just remember everything gets better in time, if it doesn’t then of course there’s an issue that you need to get your surgeon to address.

[@herniadoc]

Should improve daily.

[@timbowman6638]

Ive had 3 hernia surgery, third one had testicle pain . Altra sound found nothing, then. Months after surgery none stop pain then went away. Now its back out of know where.

[@herniadoc]

You definitely need to see a hernia specialist.

[@jeremysmith2753]

I am having some of these same testicular pain you have talked about in this video and am around 6 weeks post laparoscopic inguinal hernia surgery. How can i go about getting a appt with you? Im from Ohio but willing to travel to you as i can tell you know your stuff!!! I just feel like everyone around me thinks its normal and will go away with time. But i kinda have not gotten any better after the swelling had gone down after surgery in my testical. Please any information would be greatly appreciated or if maybe you know of someone around my area that you would recommend as i have been to 3 different places and pretty much get the same answer.... It will go away in time.... Im nervous its not gonna go away.....thank you very much for any information or help you can give me.

[@herniadoc]

Happy to help. Contact my office directly for Online Consultation [e-mail]

[@micah1754]

Hi Dr, how do I start loading the core to get back to advanced training? I had umbilical and epigastric hernia repair, as well as diastasis recti up the midline surgery 5 days ago with subcutaneous onlay laparoscopically. The pain at this point is still very intense, like hot knives in my belly button. I have a drain in for a week and a binder to support me. I have a background of calisthenics, running, yoga and gymnastics and really want to get back to this. I'd lost a lost of strength and muscle weight prior to the surgery, after a gnarly post op infection from my wisdom tooth extraction surgery, so feel like i've got a long road ahead. Want to get strong again but not overdo it and bust something. Any suggestions on what to do when would be welcome. I'm trying to seek out some local physiotherapist support for my rehab. There is such varied advice out there, and I had very minimal guidance from the surgeon. Basically just, you should be fine to do most stuff after a few weeks. Not great advice for me as I'd be back to busting out gymnastics rings pull ups lol Cheers

[@herniadoc]

You’re too early from surgery for me to chime in. I defer to your surgeon

[@micah1754]

@@herniadoc Thanks, understandable. My surgeon has given very little in the way of specific guidance. Just said to take it easy for a couple of weeks, and that I should be back to being able to do most things and exercise at 4 weeks onward. I'm a bit unsure about that though, really want to make sure I don't push it too hard too soon and end up back at square one

[@bluewave7120]

If a patient is allergic to polypropylene will they have an allergic reaction to Bard 3D max mesh?

[@herniadoc]

There is no test to definitively say that

[@Juan-hy5cl]

No one is listening because then that would cut off the patient(money) supply to lines of medical fields and treatments after surgeries, i.e. urologist, pain management doctors, therapist, MRI scans etc... Sadly, in many cases and for many, medicine is a huge business, but only if you have patients. A mesh like your design would have probably saved me from the pain am suffering now after my surgeries. I had three hernia surgeries. Umbilical, and double inguinal. Open surgery with mesh. They were done two months apart. Now, 9 months later I still suffer from sharp stabbing umbilical pain, burning, stabbing, stinging inguinal surgery area pain and testicular pain among other pain not there prior to surgery. Unfortunately, done by a doctor who only does worker's comp surgeries (mine was work related). He had patients lined up for surgery at the surgery center as he pumped out a patient every 30 minutes or so, like a farm or factory.

[@haythamb4826]

Did my inguinal hernia repair testicle was badly swollen 3 weeks later found out it's dead for atrophic my first sergery in canada in 34 years health system is trash

[@herniadoc]

so sorry to hear. this is seen more with the open mesh based repairs.

[@Samsum-m8p]

Hi Did the swelling gradually go? How is the pain now?

[@Samsum-m8p]

Hi l'm done with Open right ingunial hernia surgery with mesh 3 days ago There is a little swelling in the right testicular region and pain is still 70% Is swelling common and will it go away within 1-2 weeks? And when I can start taking shower? And any other tips would be much appreciated Please reply and thanks for this video Helps a lot

[@herniadoc]

Yes. Will be gone soon.

[@netkotreci3135]

Good evening doctor. 12 days ago I had right inguinal hernia TEP surgery. 6 days after the surgery I got lower back pain on right side and from yesterday I got pain in right testical. When I feel pain on lower back then I dont feel pain in right testical and the same when I feel in right testical then not in lower back. It depends on positions in movement during the day. Is that something normal in postoperative period?

[@herniadoc]

Please contact your surgeon directly. It is too early in your care to provide external consultation

[@antoineguillick7459]

Hello Shishi. Are ENMG and evoked potentii are useful to detect nerve problem after hernia repair ? Or just the blocks are useful ? Thx

[@herniadoc]

EMG does not work for sensory nerves. Blocks are useful if performed correctly.

[@kannainjeti8611]

This is my 5th day after left Inguino scrotal surgery, I (23/M)had a bulge in the scrotum which was corrected in the surgery, but I noticed a small mass like swelling above my left testicles , I'm worried what it is , I was advised by my Dr to wear tight clothing on waist to compress the surgical site n to prevent swelling of testicles, I'm still continuing the tight wear but I'm worried about this mass above the left testicle, Hoping for a reply thankyou

[@herniadoc]

Most likely normal swelling or hematoma after surgery. Talk to your surgeon about it

[@kannainjeti8611]

@@herniadoc Sure Doc Thankyou so much

[@MG-je2vz]

Following inguinal laparoscopic surgery, I am having mild/infrequent right testicular pain.. only to the touch when touching the oval ends of the testicle(assuming this is where there at Spermatic Cord and other attachment points are ) Mentioned this to my surgeon at my 10 day follow up and he said its normal b/c the hernia was wrapped/tangled around the spermatic cord and they had to untangle that as part of the operation. its only been 2 1/2 weeks since my surgery and its not getting worse but not getting better. How long should I give it before following up with a urologists' or my surgeon.

[@herniadoc]

Follow your surgeon’s guidance

[@ravia5441]

Hi, is it better now? I have exactly the same problem. Please let me know.

[@MusicTantra]

Hw is ur pain issue now

[@laszlonemet4425]

So ev. better to go on with belt? Control positions timeby time. /push back.?

[@herniadoc]

truss or binder helps some

[@The_rk153]

I have had my inguinal hernia surgery 8 weeks ago but still testis swelling. Is it normal or not.

[@herniadoc]

It can be. Report to your surgeon

[@ravithakurN]

sir after igunial hernia TAPP repair 4 inch long seroma/hematoma developed in scortum region after 2 months surgery seroma still present and its become stony hard sir what is treatment for seroma/hematoma

[@Samsum-m8p]

Hi how are you doing now? I had the open ingunial hernia surgery 3 days ago and there is a little swelling in right testicle. Did you also face the problem? And long did it take for you to recover from the pain?

[@ravithakurN]

@@Samsum-m8p what said your doctor about swelling swelling is common, its take time person 2 person and also depend upon size of hernia

[@Samsum-m8p]

@@ravithakurN your swelling is still there or did it go?

[@ravithakurN]

@@Samsum-m8p hi how are you send your Telegram/WhatsApp no.

[@herniadoc]

Massaging helps make it go away faster.

[@PatrickReddevil]

Doc i had a bilateral laproscopic TAPP mesh hernia repair 5 months ago..right one large.. left just defect..with a medronic 3 d mesh. i have a scrotal nerve lump on the right side...now & engorged veins.. but NO PAIN OR THE NERVES in testicles.. just some when the lump is squeezed ,kind of feel like a nerve block and nerve injury.. with some level of ED.. ( its not acute but low level ) & feel like blood outflow may be contricted with a blood clot..which is why right sided have some engorged nerves on the right side up to the testes..& also they are pretty low hanging.. What would be the line of treatment to it ? So that the lump & engorged veins are gone.. and blood flow issue is resolved..? Can it be managed consevatively with anti cogulents ?

[@herniadoc]

Seems like you do need to see a specialist. The mesh can obstruct the vessels.

[@bh9262]

Can the doctor do the inguinal hernia repair incorrectly to cause the testicular pain?

[@herniadoc]

There are many reasons why testicular pain can occur

[@bh9262]

@@herniadoc I woke after surgery yesterday afternoon in excruciating pain. 10/10. Its getter a bit better but now i have testicular pain on top of the groin pain. The surgeon never came by to see me. He spoke with my wife and said everything went well. So I'm confused about the whole experience!

[@bh9262]

​@@herniadocCan you help me?

[@goyes-vr3bz]

​@@bh9262 is your problem fixed cause I just have ejaculate pain so I don't pull on it,am I permanently damaged I don't know , it's almost two weeks

[@rh1107]

@@bh9262how u feeling now

[@rh1107]

I had a hernia repair like a year agoo after 6 months of the surgery one of my testicle still hurtss i went to the same doctor who did the operation and he said that its a nerve some times i feel like something hard idk like a hernia or like something hard they did aon ultrasound and and mri and they said that they didnt find anything any advicee thanks

[@herniadoc]

If you’d like me to review your imaging as part of a consultation, please contact my office directly [e-mail]

[@antoineguillick7459]

Hello Shirin. Is an inguinal hernia related nerve pain (in testicles for example) is necessary a sharp/burning/stabbing pain ? Or could it just be a dull ache pain?

[@herniadoc]

Could be anything

[@aeryntorres1950]

I have my surgery in 2 days im really nervous considering it being my first surgery especially in that area its mesh operation i believe open incision. Just one question when will i be able to walk again post surgery i dont to push myself too hard blowing myself out. I also dont want to be stuck in bed allday either although i understand i need to rest

[@herniadoc]

Please follow your surgeon’s orders. Each surgeon has their own protocol and wants.

[@michaelray2981]

I had laparoscopic inguinal repair and they had to put a plug in. I lost a lot of blood and scrotem filled up the size of a grapefruit and took 4 weeks for the bruising and swelling to go away . Since then i cant sit bending for long periods of time and my right testical has shrunk and my left will get pains like i am getting kicked . also i have sexual problems and never have had any before so i cant work and my love life is gone . This happened to me at work and have workman's comp that paid me for 20 weeks till they got a assessment that said this would be permanent with out farther medical and I am not at MMI . If i put my waist in a bind like driving and shifting a clutch ( I am a roll back tow truck operator ) it shoots pain . the insurance co wants to settle only giving me a impairment rating at 4% for 15 grand with no farther medical help and I just am lost with no work, no income, and no hope of ever returning to normal life . What should I do for medical help if that is a possibility

[@herniadoc]

seek help from a hernia specialist. your pain should be treatable.

[@AnthonyHarris-f1e]

Im so sorry to hear you struggling through this pain my brother. I wish you best of uck with further treatment and I just wanted to say my prayers are with you. I sincerely hope a great doctor can fix this for you so you can enjoy life and work again.

[@teddyacosta]

doctor told me that there is a possibility of cutting the spermatic cord on an inguinal hernia is that truth, im 28 and i want to have kids your thought please

[@herniadoc]

Anything is possible. But if your surgeon considers this a real risk, run!

[@Hi-DefCreative]

Dr. May I ask you a question not exactly medical advice just your opinion? If I have a small hernia that is only fat at this point. Drs, they are wanting to do surgery but I am having No pain I'm still able to run full court basketball at 42 years old should I be scared to give it a little while and see if it gives me problems or is it worth fixing?

[@herniadoc]

watchful waiting is safe for most hernias that have no pain

[@Hi-DefCreative]

@@herniadoc thank you, that is what my primary care said as well

[@antoineguillick8145]

Hello, I had a TEP laparoscopy bilateral hernia repair two weeks ago (obviously with mesh). Left side was inguinal + sports hernia repair and right side was only inguinal. Now right side is fine, however for left side, for two days ago, I start having numbness at the site where mesh was implanted and moderate pain (3-4/10 pain scale) irradiating to groin, inner tigh and testicles. It is normal process of healing or should I start worrying?

[@herniadoc]

It can be normal to have pain. I recommend you contact your surgeon as they know better your situation and what they performed

[@Charles-or8tn]

I had a hernia repair 6 years ago. It resulted in a swollen spermatic cord and terrible testicular pain. I just wanted to die. I am on medication but I still have pain, albeit manageable. I can't sit without pain. Cannot wear tight clothing. My life has changed for the worse. I no longer trust any surgical intervention. It scares me. I'm in pain every day. Nerve blocks are useless. I've tried everything to no avail. I've listened to this talk, but unfortunately I live in the UK. Do you know any enlightened practitioner I can see in the UK who you might know?

[@ifundeliveredsteal]

​@@Charles-or8tnthere is professor Aali Sheen in Manchester. He is a hernia specialist.. he's been on hernia talk with Shirin. Wishing you well friend

[@raulocasio9168]

On an 'UMBILICAL HERNIA' procedure, can you still get "TESTICULAR" pain?

[@herniadoc]

Definitely not

[@raulocasio9168]

@@herniadoc This is good to know, Thanks!!! Can they do a Bariatric procedure at the same time as when they are repairing the umbilical hernia?

[@herniadoc]

please see the episodes I did about bariatric surgery and hernias

[@raulocasio9168]

@@herniadoc Thanks!

[@raulocasio9168]

@@herniadoc Have not found the video you suggested. HELP!

[@jdkrup77]

I had robotic hernia surgery with a mesh performed on my right side 7 weeks ago. All seemed to be going well and then just a few days ago I started getting a sporadic sharp stabbing pain in my right testicle when I would start walking quickly. I am late 40s and physically fit and this last week resumed going to the gym and have only lifted light weights and worked on cardio. I have no pain sitting down or during sex or ejaculation. Only when I sit up and start walking do I get a quick stabbing pain in the right testicle. From what I’ve shared, interested in your opinion. Thanks.

[@herniadoc]

Should improve. Massaging the area and increasing activity including hip stretching can help

[@chenairosertmaseko4819]

My son had a surgery, so his balls descended but not into his scrotum, they are like lying in the sides What should I do it's been a year

[@herniadoc]

Return to his urologist or get a second urologic surgeon opinion

[@steffens66harpozo]

This discussion information helped greatly. I had inguinal hernia mesh repair on right (laparoscopic). I have had nerve pain that radiates in the groin and also in my right testicle. I was told I could have chronic pain for 3 months and if lasts much longer to make an appointment for exploring pain management options. I will do so and follow up. I have had little physical activity except for low impact cardio almost daily. He also stated that he hoped my pain would progressively decrease with increased physical activity.

[@herniadoc]

You should see a specialist for evaluation.

[@steffens66harpozo]

@@herniadoc Thank you!

[@UPDATED_GABRUZ_NZ]

Hi . I am also feeling same experience. Can I ask you what did you do for sort that problem please. Thanks

[@rh1107]

@@UPDATED_GABRUZ_NZhow u freling noww i have the same problem

[@radoinfalh8980]

Hey doctor, does small testicles affect childbearing?

[@herniadoc]

What’s important is the sperm count and quality

[@radoinfalh8980]

@@herniadoc Thank you very much I was worried about this a lot

[@bluewave7120]

Is it normal to have slight bleeding in the penis and alot of swelling and moderate bleeding in the scrotum after robotic assisted direct bilateral hernia repair?

[@herniadoc]

Best asked from your surgeon. Depends on the situation.

[@NitroVipers3]

Im super freaked out about hernia surgery with mesh after the stories on youtube. I have an inguinal hernia on the left upper where they normally are, not the lower type. Im scared to death of being knocked out (anesthesia) and then the horror stories of ppl that get it done and it ruins their whole life in pain. Should I be so worried? Ive never had surgery before and freaking out. Im 48 years old if that matters. But I have wicked anxiety and panic, not just about that but most everything in life. How do I know if the hernia is direct or indirect? It is about 2 inches from my left hip bone and down about an inch.

[@herniadoc]

Find a surgeon you trust and they can guide you through the process.

[@NitroVipers3]

@@herniadoc They just push you through the process. Doctors have no time for you or your questions here in NY. Appointments last like 10 minutes and half the time the surgeon isnt talking, its the student he has talking.

[@herniadoc]

@@NitroVipers3 you’re seeing the wrong surgeons.

[@NitroVipers3]

@@herniadoc Well I guess its hard to find anyone. I mean, It's not like you can just pick someone out of a list. I send them a message on the Guthrie website 2 paragraphs long and their replies are maybe 4 words answering nothing. I just feel like a number.

[@NitroVipers3]

@@herniadoc Do you know any good surgeons that take medicare/medicaid in upstate NY near Corning? I get disability for anxiety/panic and am very worried about mesh. Probably looked up to much on google. I been having pain in center abdomen above belly button, not the hernia area and sent the surgeon an email that when they give me a ct scan that they scan that as well. He never replied and then friday, they wouldn't do it because he didn't call it in. My hernia is a couple inches to the right of my left hip bone and about an inch down. So this upper pain is worrying me.

[@DanMehmet-yy1ly]

Jesus, testicular removal? That sounds nuts! No pun intended! I had cancer there and the inguinal region incision feels like it contributed to weakness and hernias later on.

[@herniadoc]

There is no hernia risk with orchiectomy

[@DanMehmet-yy1ly]

@@herniadoc Ah ok thanks. Long time ago so hard to remember

[@shashvatsaini5901]

I had inguinal hernia and vericocele sirgery both at the same time..., they removed some tiny veins too and showed me But it is swelling there

[@herniadoc]

Swelling will be there for a while

[@goyes-vr3bz]

Hi doctor I just had surgery a week ago, and I tried to ejaculate but I had vas deferens pain,in the cord, it's like a cramp that brused, how can I fix this plz

[@vivkhr6wh]

Hi Mate, I do have this issue 3 weeks post surgery, how are you feeling now

[@herniadoc]

Massaging sometimes helps during the early stages of

[@jenniesmith16]

Should men wear a jockstrap post surgery?

[@herniadoc]

Typically not

[@fwood1231]

I had bilateral robotic hernia surgery about eight weeks ago. Had some testicular pain for about three weeks. My surgeon suggested that I wear a athletic supporter (without the cup). It was a immediate game changer. Pain was reduced in just a few hours. I wore the support (bought three of them) continuously for about three weeks. After that time I had no more pain. At four weeks post surgery I started playing golf again, had some initial tightness feeling that is totally gone now. My opinion is that the supporter was instrumental in my recovery.

[@franko44tube]

Thanks for this comment. I’m two weeks after hernia mesh implantation and feeling very bad testicular pain. Start worrying even more after reading information in internet. Today I bought testies elevation. Hope it will bring me some relief.

[@RealSirDogeAlot]

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