Post-Varicocele Surgery: Is Numbness and Swelling Normal? - Urology

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Postoperative non-viability of varicocele repair?


Hello Doctor, I recently underwent microscopic varicocele surgery.
The doctor diagnosed that there was varicosity on both sides, so surgery was performed on both sides.
Today is the second day after the surgery.
I am experiencing a tingling sensation in the left incision site (the doctor mentioned it is the spermatic cord area), which feels slightly numb and extends to the testicle.
Additionally, there is noticeable swelling in the foreskin.
Is the tingling sensation normal? Is the swelling of the foreskin also normal? Could it be edema? (The foreskin has folds.)

zzz0701, 20~29 year old female. Ask Date: 2023/12/03

Dr. Du Shixi reply Urology


Hello: These are common symptoms, but if there is increasing swelling of the testicles, redness of the scrotal skin, or symptoms such as urinary issues and fever, medical attention should be sought.

Reply Date: 2023/12/03

More Info


After undergoing varicocele surgery, experiencing numbness and swelling in the surgical area can be concerning, but it is not uncommon. Here’s a detailed explanation of what you might be experiencing and what to expect during your recovery.


Numbness and Swelling Post-Surgery
1. Numbness: The sensation of numbness or tingling in the area around the incision site, particularly in the spermatic cord region, can occur after varicocele surgery. This is often due to the manipulation of nerves during the procedure. The spermatic cord contains several nerves, and during surgery, these nerves may be temporarily irritated or compressed. This can lead to sensations of numbness or tingling, which may extend to the testicular area. In most cases, this numbness is temporary and should gradually improve as the nerves heal.

2. Swelling: Swelling around the surgical site is also a common occurrence following varicocele surgery. This can be due to several factors, including inflammation from the surgical trauma, fluid accumulation (edema), and the body's natural healing response. The swelling may be more pronounced in the first few days post-surgery and should start to decrease as you continue to heal.
3. Water Retention: The swelling you are experiencing, especially if it is localized and feels soft, could indeed be a form of edema. It is important to monitor the swelling; if it becomes significantly larger or is accompanied by severe pain, redness, or warmth, you should contact your healthcare provider, as these could be signs of complications such as infection or hematoma (a localized collection of blood outside of blood vessels).


What to Expect Moving Forward
- Recovery Timeline: The initial recovery period after varicocele surgery typically involves some discomfort, swelling, and changes in sensation. Most patients can expect to see gradual improvement over the first few weeks. Numbness and swelling should start to resolve within a few days to weeks, but complete healing may take longer.

- Pain Management: It is essential to manage your pain effectively during this recovery phase. Over-the-counter pain relievers, as recommended by your surgeon, can help alleviate discomfort. Make sure to follow your doctor's instructions regarding medication and activity levels.

- Activity Restrictions: It is advisable to avoid strenuous activities, heavy lifting, or vigorous exercise for a few weeks post-surgery to allow your body to heal properly. Follow your surgeon's guidelines on when you can gradually resume normal activities.

- Follow-Up Appointments: Keep all follow-up appointments with your surgeon. These visits are crucial for monitoring your recovery and addressing any concerns you may have. If you notice any worsening of symptoms or new symptoms arise, do not hesitate to reach out to your healthcare provider.


Conclusion
In summary, experiencing numbness and swelling after varicocele surgery can be a normal part of the healing process. However, it is essential to stay vigilant and communicate with your healthcare provider about any concerns. As your body heals, these sensations should improve, and you should gradually return to your normal activities. Always prioritize your recovery by following medical advice and taking care of your body during this time.

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