Post-Surgery Concerns: Left Testicle Drooping and Nerve Sensations After Hernia Repair - Urology

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Post-surgery concerns, especially after a hernia repair, can be quite common, and the symptoms you are experiencing warrant careful consideration. Based on your description, it seems you are dealing with a combination of nerve sensations and physical changes in the position of your left testicle following the surgery.
Firstly, the tingling and prickling sensations in the area surrounding your left testicle and the left inguinal region may be indicative of nerve irritation or damage that can occur during surgical procedures. The inguinal region is densely populated with nerves, and during a hernia repair, these nerves can be stretched, compressed, or even cut, leading to sensations such as numbness, tingling, or pain. This phenomenon is known as neuropathy, and it can take time for the nerves to heal and for normal sensation to return.
The drooping of your left testicle, which you described as being lower than the right, could be attributed to several factors. After hernia surgery, the anatomical structures in the groin area may be altered, leading to changes in how the testicles are suspended. The cremaster muscle, which helps to raise and lower the testicles in response to temperature and other stimuli, may be affected by the surgery. If the muscle is not functioning properly due to nerve damage or surgical alteration, it may not respond as it did before, resulting in the left testicle hanging lower than the right.

Additionally, the discomfort you feel when walking, as if the left testicle is sticking to your thigh, could be due to swelling or changes in the tissue surrounding the surgical site. Post-operative swelling is common and can sometimes lead to a feeling of tightness or pulling in the area, which may contribute to the sensation of friction against the thigh.

Given that it has been two weeks since your surgery and you are still experiencing these symptoms, it is advisable to follow up with your surgeon or a urologist. They can perform a physical examination to assess the surgical site and the position of your testicles. They may also consider imaging studies, such as an ultrasound, to evaluate any underlying issues that may not be visible through a physical exam alone.

In the meantime, here are a few recommendations that may help alleviate some discomfort:
1. Supportive Underwear: Wearing supportive underwear can help keep the testicles in a more comfortable position and reduce friction against the thigh.

2. Avoid Strenuous Activity: Refrain from heavy lifting or strenuous activities that could exacerbate the discomfort or strain the surgical site.

3. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, may help manage any pain or discomfort you are experiencing.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including increased pain, swelling, or changes in sensation, and report these to your healthcare provider.

5. Follow-Up Appointment: Schedule a follow-up appointment with your surgeon or a urologist to discuss your ongoing symptoms and concerns. They can provide a more tailored assessment and recommendations based on your specific situation.

In summary, while some degree of discomfort and altered sensation can be expected after hernia surgery, persistent symptoms should be evaluated by a healthcare professional to rule out any complications and to ensure proper healing. Your health and comfort are paramount, and addressing these concerns early can lead to better outcomes.