Post-Surgery Cough and Pain: Is It Normal After Testicular Exploration? - Urology

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Testicular exploration surgery


After the surgery, no torsion was observed.
Due to general anesthesia, there was excessive mucus and coughing after extubation.
On the first postoperative day, there was significant pain in the lower abdomen and scrotum during coughing, and both sides of the scrotum were swollen and hard.
Is this a normal phenomenon?

7612, 20~29 year old female. Ask Date: 2021/09/21

Dr. Du Shixi reply Urology


Hello: The information provided here is for reference only and cannot replace a doctor's examination or diagnostic tests.
After testicular surgery, there may be swelling and pain, which can take 1-2 weeks to fully resolve.
As long as there is gradual improvement after the surgery, it is acceptable.
If there is any redness of the skin, please inform your doctor.
Additionally, keep the wound clean and dry.
Wishing you good health.

Reply Date: 2021/09/21

More Info


After undergoing testicular exploration surgery, experiencing symptoms such as cough, abdominal pain, and swelling in the scrotum can be concerning. It is important to understand the normal postoperative course and what might indicate complications.

Firstly, coughing after surgery, especially under general anesthesia, is not uncommon. Anesthesia can irritate the throat and lungs, leading to increased mucus production and a cough reflex. This is often exacerbated by the presence of a breathing tube during surgery, which can cause throat irritation. If you are experiencing a productive cough with phlegm, it may be a sign that your body is clearing out secretions, which is a normal response. However, if the cough is persistent, severe, or accompanied by other symptoms such as fever or difficulty breathing, it is essential to consult your healthcare provider.

Regarding the pain in the lower abdomen and scrotum, some discomfort is expected after testicular surgery. The procedure can involve manipulation of the testicles and surrounding tissues, which can lead to inflammation and pain. It is also common for the scrotum to swell postoperatively due to fluid accumulation or hematoma formation. The pain you are experiencing, especially when coughing, may be due to increased intra-abdominal pressure during the cough reflex, which can strain the surgical site.

However, if the swelling in the scrotum is significant or if you notice changes in color, warmth, or if the pain intensifies rather than improves, it could indicate a complication such as a hematoma or infection. In such cases, it is crucial to seek medical attention promptly.

In summary, while some degree of cough and pain is normal after testicular exploration, it is essential to monitor your symptoms closely. If you experience worsening pain, significant swelling, or any signs of infection (such as fever or discharge), you should contact your surgeon or healthcare provider for further evaluation. They may perform a physical examination and possibly imaging studies to rule out complications and ensure proper healing. Always prioritize open communication with your healthcare team regarding any postoperative concerns to ensure a smooth recovery.

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