Should You See a Urologist for Right Scrotal Pain After Thigh Surgery? - Urology

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right scrotum


I underwent a procedure to correct my inner thigh on February 1st, and on February 2nd, I experienced severe pain in my right scrotum that made it difficult to walk.
I also felt a tubular structure next to the scrotum, but after a few days, the pain gradually subsided, and the tubular structure seemed to diminish as well.
However, my inner thigh still feels a bit sore.
Should I see a urologist, or is it possible that it will heal on its own without any issues?

An, 10~19 year old female. Ask Date: 2022/02/08

Dr. Du Shixi reply Urology


Hello: First, you need to seek medical examination to identify the issue with the tube.
Wishing you good health.

Reply Date: 2022/02/08

More Info


After undergoing thigh surgery, experiencing right scrotal pain can be concerning, and it’s important to understand the potential implications and whether you should consult a urologist. Based on your description, it seems that you had a surgical procedure on February 1st, followed by significant pain in the right scrotum the next day, which later improved. The presence of a palpable structure (which you described as a "tube") near the scrotum that subsequently diminished could indicate a few possibilities.

Firstly, it’s not uncommon for patients to experience referred pain after surgeries in nearby areas. The anatomy of the groin and scrotum is interconnected, and irritation or trauma to the thigh can sometimes lead to discomfort in the scrotal area. This is due to shared nerve pathways, particularly the ilioinguinal and genitofemoral nerves, which can transmit pain signals from one area to another.

The fact that the pain has subsided and the "tube" you felt has diminished is a positive sign. It may have been related to swelling or hematoma (a localized collection of blood outside of blood vessels) that resolved over time. However, persistent soreness in the thigh could suggest that there is still some underlying inflammation or healing process occurring.

Here are some considerations regarding whether to see a urologist:
1. Duration and Severity of Symptoms: If the scrotal pain returns or if you experience new symptoms such as swelling, redness, or fever, it would be prudent to seek medical attention. Persistent or worsening symptoms warrant a professional evaluation.

2. Associated Symptoms: If you notice any additional symptoms such as changes in urination, testicular swelling, or any unusual discharge, these could indicate a more serious issue that requires urological assessment.

3. Recovery Timeline: If the pain in your thigh continues to be bothersome or if you have concerns about your recovery, it might be beneficial to consult with your surgeon first. They can provide insights into whether your symptoms are typical post-operative effects or if further evaluation is necessary.

4. Self-Healing: While many minor post-surgical pains can resolve on their own, it’s essential to monitor your symptoms closely. If you feel uncertain or anxious about your condition, seeking a second opinion from a urologist can provide peace of mind.

5. Physical Examination: A urologist can perform a thorough examination to rule out any complications such as a hernia, infection, or other issues that may not be immediately apparent.

In conclusion, while it’s possible that your symptoms may resolve on their own, it’s always better to err on the side of caution, especially when it comes to pain in the scrotal area following surgery. If you have any doubts or if your symptoms change, consulting a urologist would be a wise decision. They can provide a comprehensive evaluation and ensure that any potential complications are addressed promptly. Remember, your health and comfort are paramount, and seeking professional advice is always a good step when in doubt.

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