Teticular Pain Following BPH Procedures Anyone?

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I am curious to know if anyone has experienced acute/chronic testicular pain following any of the BPH procedures we discuss here? It would not be altogether surprising if scrotal issues developed secondary to prostate procedures since the scrotum and the prostate are connected by the vas deferens.

In my case I had a botched varicocele embolization procedure in an attempt to mimic the Gat-Goren procedure to relieve BPH symptoms. It has left me with chronic epididimytis which is far worse than my BPH problems. So I guess in a way it did relieve my BPH symptoms but not in the way I had anticipated!

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  • Posted

    Hey Howard

    I do not know if this has any thing to do with the procedure I had but a few years ago a epididimytis infection. It hurts I had my Urolift done all most 4 years ago. The last 2 years on the right and it feel like it goes up in to the bladder area. I hate it. Sometimes I can't sit for long because of the pressure.

    It could happen because everything in that area has something to do with everything. Have a great day..

    Ken

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    • Posted

      Hi Ken - sorry to hear about your pain. You pretty much described my situation as well. There is an article you might find of interest on this topic and it is available for free. Just google the title: " Chronic scrotal pain and microsurgical spermatic cord denervation: tricks of the trade" by Tatem and Kovac. I had my nerve block this morning and so far it has helped a lot but it should wear off by tonight. Good luck.

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    • Posted

      Howard

      I try to deal with it when it happen. When it does I take something for the pain and go lay down. They seams to work most of the time. I think that is why I don't sleep much. My doctor want me to go for Pelvic Rehabilitation. I have not called yet.

      Maybe I will do that in the morning. Hope the nerve block helps so you can get some rest today.

      Have a great day.......Ken

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    • Posted

      Hi Ken - do you try putting an ice pack on the region when you lie down? I find that helps a lot. My nerve block went well this morning and I do feel some relief though maybe it is just the placebo effect - guess I'll see. Good luck. Howard

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    • Posted

      Hey Howard

      No I have not tried that. Well have to give it a try. When it get to bad I take a hot bath and soak. Then I lay down .

      Thanks...Ken

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    • Posted

      Hi Ken- you know when I first starting having these scrotal pains I also would sit in a hot bath (sometimes I would add epson salts ) but I never got relief. Then I read that these nerve pains were inflammatory in nature and applying heat was the wrong thing to do so I switched to ice packs and that has helped a lot. Good luck. Howard

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  • Posted

    The vas deferens is a long, muscular tube that travels from the epididymis into the pelvic cavity, to just behind the bladder. The vas deferens transports mature sperm to the urethra, the tube that carries urine or sperm to outside of the body, in preparation for ejaculation. It is not connected to the scrotum.

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    • Posted

      Yes - thank you. When I say "scrotum" I was referring to the general testicular region but it is all connected as the urethra is connected to the prostate and the prostate is connected to the testicles through the spermatic cord and the testicles form part of the scrotum. My urologist keeps saying my testicular problems arise from CIC due to these connections but I do not agree as the problem started right after my varicocele procedure.

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  • Posted

    Sorry to hear that. My prostate was 75 grams and I had 45 grams removed with the Holep method 13 days ago and the catheter was removed 7 days ago. I have/had no testicular pain. But plenty of normal inside pain when urinating due to the healing process.

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    • Posted

      I'm considering Holep. Do you know if holep is capable of removing the entire inner prostate in the same way that a simple prostatectomy can leaving only the capsule behind?

      I'm interested in having as much of the prostate removed as possible because in addition to BPH I have long term debilitating prostatitis and would think that removing as much of it as possible might help that.

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    • Posted

      Holep only removes about one third to one half of the prostate depending on size. The reason is that Holep is a laser procedure that goes through the penis so it is limited in time due to the amount of heat that is deposited in the urethra and surrounding tissue. You must ask your doctor if Holep would resolve your prostatitis issues. The Robotic Simple Prostatectomy removes the entire prostate up to the surgical capsule and it is not limited by time. Men with 1000 cc prostates have had them removed with this procedure.

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  • Posted

    No testicular issues since my Uro-lift in July/2018..... But my flow has been reduced to a trickle

    again and the pain in the penis itself is approaching unbearable again. I have had several scans, bladder and flow rate tests done and I'm simply told it didn't work for you.

    So now I'm considering going with the "Green Light Laser" to correct whatever the heck is causing this pain. I am at the point now where I'm not really concerned if I can use it for anything else but to pee!! I haven't been able to use it for anything else for a couple of years now anyway, but lets face it, having to pee is like needing oxygen, it's only important when your not getting any!!

    Anyone ever heard of a penal transplant?? I'd be willing to try a new one......In large if available.....

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    • Posted

      I am very sorry to hear about your pain and can really sympathize with you.

      I would like to recommend learning to do self-cathing (CIC) as an interim solution. If I can learn it anyone can - it is not so difficult and I can help you get up the learning curve as others here helped me. It gives you back control over your bladder until you sort out what is going on in there.

      Is your penis pain a burning sensation? Is your pee cloudy? Have you been checked for a possible urinary tract infection (UTI)? Also it could just be urethral irritation in the penis and not an infection. In that case taking a strong anti-inflammatory like NSAIDs with codein could help. Also try putting an ice pack on it. Let me know. Good luck.

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    • Posted

      I have been tested for everything they can think of, all negative... I was considering cathing but haven't brought myself to do it.....as uncomfortable as it is having the nurse do it, I'm afraid I'd screw it up and REALLY hurt myself....

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    • Posted

      That's not very reassuring......DR says couple 3 days and a catheter for a few days.

      But I do a TON of walking at work.....not sure how that will work.....

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    • Posted

      That is a very natural fear and we have all been there. I actually cried and then fainted the first time I tried it!! But honestly it is nothing more than just putting a tube into your bladder to drain it - as long as you take a few precautions to keep it clean.

      You should ask for a "continence nurse" who is someone who specializes in teaching self-cathing. Most nurses do not know how to do it and can cause a lot of problems. I use a lot of lube on the catheter to help it slide in so there is no pain. Some guys use a little lydocaine. At least it will help you right now so you can continue to find out where the problem is. You don't want to just try complex procedures that can have their own bad side effects until you know it is the CORRECT procedure. Believe me there is no greater coward in the world than me and I now CIC easier than i floss my teeth!

      Also try to find a special type of urologist called a "scrotal pain specialist" who deals with penis pain. He also may offer help that a regular urologist cannot do.

      Another suggestion: when I was in your position a few years ago I took prednisone to get me peeing until I could learn CIC properly. Prednisone is not a good drug but if you need it for a limited time to help you through this crisis then it is worth it.

      Good luck. Howard

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    • Posted

      Hey Howard

      Just look up the pill Prednisone that you had to take. Not good is a mild way of saying it. How long were you on it and did you end up with any side effects from it.

      I would suggest only a short while. Why do doctor tell men to take this pill. I have read many articles by doctors. And it is all ways the same. Some doctors will tell you that a procedure or medication is worth the risk of any side effects just to get you to pee better.

      The question is. "" IS IT WORTH IT ""

      That is the question every man has to ask himself....Take care Ken

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    • Posted

      Hi Ken - yes prednisone is a dangerous drug if taken over time. But I had an emergency situation when my PAE failed and I could not void at all. My urologist said my only hope was to have my large prostate removed by a robotic simple prostatectomy which he scheduled for me. He also said my only other option was to learn to do CIC which I fainted the first time i tried.

      But I was determined to keep my large prostate and learn CIC. That was when i found this forum 30 months ago and Jimjames who was mentor. He taught me how to self-cath. But during that learning curve which took a few weeks I still needed to pee so that was when took low-dose prednisone for 3 weeks. It enabled me to natural void enough to get through. The only side effects were night sweats. Take care. Howard

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    • Posted

      Howard

      Glad you did not have to take it that long. It does help with inflammation of the prostate and does help relax the area. But the other side effect can really suck.

      Take care Ken

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