1. Community
  2. Men's health
  3. Testicular Pain and Disorders

Has anyone had Microsurgical Denervation?

Posted , 53 users are following.

gg78506
gg78506

Has anyone had Microsurgical Denervation to help with chronic testicle pain?

Seems like a better solution than removing the testicle but has potential issues given the nerves are tightly integrated with muscle, blood vessels and tissue.

7 likes, 534 replies

534 Replies

Prev Next
  • yossi01581
    yossi01581 gg78506

    Posted

    Hi all, I have a chronic pain in my left testicle that started after a hydrocele surgery I did many years ago, and I'm checking out also about this surgery. I see that some doctors do it roboticly and some do it manually, for your knowledge what is the best option ?

  • yossi01581
    yossi01581 gg78506

    Edited

    Hi all, I'm from Israel and look for a recommendation from a personal experience for a doctor who perform testicle denervation surgery in the US. The names of the doctors I have are Dr Levin, Dr Parekatill, Dr Fenig, Dr Patel. Thanks Yossi

    • Howard31850
      Howard31850 yossi01581

      Posted

      Shalom Yossi!

      Dr. Jason Kovac at Indiana University Uorlogy invented the MDSC procedure! You can google him and get his email address. He is very good at responding to emails as well as telephone calls. So check him out. Shalom Alechem . Howard

    • Howard31850
      Howard31850 yossi01581

      Edited

      Hello again Yossi - I forgot to mention that as you are in Israel you should contact Dr. Gat in Jerusalem. He and Dr. Goren are fertility doctors who pioneered a new procedure for embolizing varicoceles. Since varicoceles are a primary cause of scrotal pain it might be worth speaking with Dr. Gat. He is an IR who invented the coil-free procedure for sealing the spermatic veins that cause varicoceles. He is also a professor at the Weizmann Institute.

    • pauline44734
      pauline44734 Howard31850

      Posted

      I am taking my son to the London Andrology Clinic for a spermatic cord block hopefully next week .Can you tell me how you are doing bob ? I was contacted privately via this site by a young man who had travelled to America for the denervation surgery .He said he would let me know how he recovered but havent heard any more from him .

    • bob01550
      bob01550 pauline44734

      Posted

      HI Pauline:

      It is a mixed bag. The bottom line is I am glad I did it, as it reduced a lot of my pain. Based on the cord block test (lasted 2.5 days without pain), it should have relieved all my pain. My Dr was shocked that it did not.

      I believe that I still have another problem, The Dr. thinks that it is one of the following:

      1. I have additional nerves that were ruined by my hernia operation.
      2. I have Prostatitis (this is more common in younger people). This is basically an inflammation of the Prostate. I am seeing a specialist tomorrow to try a combination of Prednisone and antibiotics, hoping that will knock it out.
      3. My pelvic floor is messed up. I am working on exercises for this and just bought a "DB Method" squat machine that strengthen this area for about $200. I can already tell some difference there.

      I sure hope this works out for you and your son. If he passes the cord block test (don't do the operation without passing this), there is an 88% chance that the operation will work for him. I think I just had extenuating circumstances. You may also try a couple of Ativan pills a day to see if that helps. It knocks my pain right out. The Dr thinks this is because it relaxes muscles and may apply to #2 and 3 above.

      Good Luck, I know how painful and discouraging this is, but have faith.

      Bob

    • pauline44734
      pauline44734 bob01550

      Posted

      Thank you. I feel like we have no option the NHS offer nothing and our GP seems to have lost sympathy. She refers us back to the pain management team who feel he needs to learn stratagies to live with pain .Hes 16 !

      He wanted me to book the appointment but now he's not sure and getting angry again .It's difficult .

    • Howard31850
      Howard31850 pauline44734

      Edited

      When you see the doctors please remember to ask them if they can do a spermatic cord block using Botox!! I've had 2. Each works for 6 months and reduces the pain a lot. Don't forget to ask them about Botox. It is considered experimental but all the men I know who have had it have all done well with no side effects at all.

    • yossi01581
      yossi01581 Howard31850

      Posted

      Thanks Howard for your help, I don't have varicoceles I have chronic pain in my left testicle that started after hydrocele surgery I had many years ago, still I think its a good idea and I will consult with him. How did you heard about him ?

    • Howard31850
      Howard31850 pauline44734

      Posted

      Pauline - A big cause of scrotal pain among adolescent boys is due to masturbation. I don't know if this is relevant for your son but just wanted to mention it to you.

    • We5t
      We5t Howard31850

      Posted

      Howard, I have emailed Dr Kovac more than once and he doesn't reply.

    • Howard31850
      Howard31850 We5t

      Posted

      Try phoning him at 877-362-2778 and just leave him a message to please look at your emails and respond asap. He is usually very good about a quick response that is helpful.

  • Fox23
    Fox23 gg78506

    Posted

    hello, i would like to know something about the testicular denervation process.

    i had surgery like 2 months ago due to a constant testicular pain for more than 1 and a half year.

    it was supposed to be a testicular denervation surgery but after the surgery i was told that they didn't cut any nerves but they performed more of a neurolysis cause they couldn't find any damaged nerve.

    still after almost 2 months i feel pain as before. i have no way to talk to my doctor soon for the moment but i wanted to ask you if somebody knows if in a standard MDSC the nerve should be cut or not?

    cause in that case i would ask to redo the surgery and let them cut the nerve. maybe that would help.

    i haven't lost any sensitivity and from what i read online i should have lost a bit after surgery. so that's kinda confusing.

    can somebody please tell me.

    thanks a lot!

    • Howard31850
      Howard31850 Fox23

      Posted

      If you send me your email in a private message I will send you an article by Dr. Kovac who invented the procedure. The article shows how he does the MDSC procedure and what to expect in the recovery.

    • pauline44734
      pauline44734 Fox23

      Posted

      That's very disappointing for you. Should they have done that with out your consent ?

    • yossi01581
      yossi01581 Howard31850

      Posted

      Hi Howard, please send me also the article by Dr Kovac to my e-mail: yosikan@netvision.net.il

      Thanks, Yossi

Back to top
Prev Next

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.