Post-Surgery Concerns: Hernia Recovery, Nerve Damage, and STD Risks - Urology

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Some questions?


1) It has been two weeks since my hernia surgery, and I couldn't resist masturbating and ejaculating.
The discomfort in the wound (including internally) has been worse for three days compared to before masturbation.
Could the force of ejaculation have injured the nerves? Is it likely that everything is fine? If a hernia recurs, does it happen gradually with the mesh and peritoneal sutures slowly tearing, or does it occur suddenly with a large tear causing the intestines to protrude immediately? If I don't see any bulging in the groin area, does that indicate that the mesh and peritoneal sutures have not torn?
2) I previously used a cock ring for a few hours at a time.
Could this have caused nerve damage to my genitalia and testicles? If I don't feel any discomfort, is it unnecessary to have a doctor check for potential nerve damage?
3) Three years ago, I had contact with an online friend, and I used his semen for masturbation.
On another occasion, I performed oral sex on his testicles and the lower part of his penis (without touching the glans).
Could these actions lead to sexually transmitted infections or other diseases (such as hepatitis)? If testing is needed, is anonymity important?

danxin, 20~29 year old female. Ask Date: 2020/04/03

Dr. Du Shixi reply Urology


Hello: 1) Is it possible for the force of ejaculation to damage nerves? → Unlikely.
2) If a hernia recurs, does it gradually tear at the mesh and the sutured area of the peritoneum, or does it tear suddenly and large, causing the intestine to drop out immediately? → It depends on the situation; during the one-month recovery period, it is possible for a large tear to occur because the sutured area has not yet healed.
In my experience, small tears usually occur afterward, but over time they can gradually enlarge.
Avoid straining the abdomen during the recovery period.
3) If there is no bulge in the groin area, does that mean the mesh and the sutured area of the peritoneum have not torn? → Small tears are difficult to observe.
A physician needs to perform a manual examination.
4) The chance of such damage is low, but it is also difficult to assess.
5) Anonymous testing is one of the screening methods, and the results are the same.
You can refer to the following for low-risk sexual behaviors: including mutual masturbation, mutual rubbing, deep kissing, bondage, protected deep foreplay, oral sex with condoms or dental dams, anal sex, and vaginal intercourse.
● Moderate-risk sexual behaviors: including withdrawal method, sharing sex toys, unprotected deep foreplay, oral sex before ejaculation, and oral sex during menstruation.
● High-risk sexual behaviors: including unprotected anal sex, vaginal intercourse, oral sex during menstruation, retaining semen in the mouth, sharing needles, syringes, and bleeding during sexual activity.

Reply Date: 2020/04/03

More Info


Post-surgery concerns, particularly after hernia repair, can be quite complex and often lead to anxiety regarding recovery, nerve damage, and potential risks of sexually transmitted diseases (STDs). Let's address your questions one by one.

1) Post-Surgery Discomfort and Nerve Damage: It is not uncommon to experience discomfort after hernia surgery, especially if you engaged in activities like masturbation shortly after the procedure. The discomfort you felt after ejaculation could be due to several factors, including muscle tension, irritation of the surgical site, or even nerve sensitivity in the area. Generally, if the pain is manageable and does not worsen over time, it is likely not a cause for concern. However, if you experience significant pain, swelling, or any unusual symptoms, it would be wise to consult your surgeon.

Regarding hernia recurrence, it can happen in various ways. A recurrence may start as a small area of weakness that gradually worsens, or it could be more sudden, leading to a significant bulge or the intestine protruding through the abdominal wall. The absence of visible swelling or bulging in the groin area is a good sign, but it does not completely rule out the possibility of a recurrence. Regular follow-ups with your healthcare provider are essential to monitor your recovery.

2) Effects of Wearing a Cock Ring: Wearing a cock ring for extended periods can potentially lead to issues such as numbness or tingling in the genital area due to restricted blood flow. If you did not experience any discomfort or unusual sensations during or after wearing the ring, it is likely that no significant nerve damage occurred. However, if you have any concerns or if you notice changes in sensation, it would be prudent to consult a healthcare professional for an evaluation.

3) Risk of STDs from Previous Encounters: Engaging in sexual activities, even if they do not involve penetrative sex, can carry some risk of transmitting infections. The use of another person's bodily fluids, such as semen, can pose a risk for STDs, especially if there are cuts or abrasions present. Oral contact with the genital area can also transmit infections, including herpes, gonorrhea, and chlamydia, among others. Hepatitis A and B can also be transmitted through sexual contact, particularly if there is exposure to bodily fluids.

If you are concerned about potential exposure to STDs, it is advisable to get tested. Many clinics offer anonymous testing, which can help alleviate concerns about privacy. Testing is crucial, as many STDs can be asymptomatic, meaning you could be infected without showing any signs.

In summary, while some discomfort post-surgery is normal, it is essential to monitor your symptoms and consult with your healthcare provider if you have any concerns. Regarding sexual health, being proactive about testing and understanding the risks associated with sexual activities is vital for maintaining your overall health. Always prioritize open communication with your healthcare provider to address any lingering concerns or questions you may have.

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