Testicular Pain, Prostate Health, and Vasectomy Myths

Testicles + Prostate + Vasectomy

Hello Dr.
Pan: I would like to ask three questions that have been troubling me for a long time.
I hope you can provide some clarity.
Thank you!
1.
I had mumps complicated by orchitis ten years ago, and since then, my right testicle has atrophied.
Even slight touch still causes pain.
What should I do about this?
2.
Some people suggest that regularly performing Kegel exercises can help improve sexual function.
However, could doing this over a long period lead to prostate enlargement?
3.
Is male sterilization completely free of side effects? I heard that if someone has a hereditary condition (like thalassemia), they can apply for free sterilization.
How can I go about this?

Laki, 40~49 year old female. Ask Date: 2001/02/14

Dr. Pan Zhenqin reply Urology

1.
Since the testicles have been atrophied for ten years, there should theoretically be no major issues.
Therefore, the pain may be caused by chronic inflammation or nerve hypersensitivity.
You might try vitamin B complex and heat therapy, or short-term analgesics.
Of course, the best approach is to avoid any physical contact with the area.

2.
The practice of Kegel exercises theoretically aids sexual function, but there are no formal studies confirming this.
Additionally, Kegel exercises do not affect the prostate.
3.
Male sterilization theoretically has no significant side effects, except for some believing it may lead to weight gain; however, there are no formal studies to support this, and it might just be a case of feeling more relaxed and therefore gaining weight.
There is also a notion that the absence of pregnancy concerns may enhance sexual performance.
As for whether thalassemia is covered under assistance programs, I apologize, but I truly do not know.
Please consult your local health department or family planning office for more information.

Reply Date: 2001/02/14

More Info

Hello! Thank you for your questions regarding testicular pain, prostate health, and vasectomy myths. Let’s address each of your concerns in detail.

1. Testicular Pain After Orchitis: It’s unfortunate to hear about your ongoing discomfort following your history of mumps orchitis, which can indeed lead to complications such as testicular atrophy and chronic pain. The pain you experience, even with light touch, may be due to nerve damage or chronic inflammation in the area. This condition is often referred to as post-orchitis pain syndrome. Management options include pain relief medications, physical therapy, and in some cases, nerve blocks. It’s essential to consult a urologist who can evaluate your condition and recommend appropriate treatments, which may include imaging studies to rule out other causes of pain, such as hernias or varicoceles.

2. Kegel Exercises and Prostate Health: Kegel exercises, which involve the contraction and relaxation of the pelvic floor muscles, can indeed be beneficial for improving sexual function and urinary control. However, there is no direct evidence to suggest that performing these exercises excessively would lead to prostate enlargement. In fact, strengthening the pelvic floor can help alleviate some urinary symptoms associated with prostate issues. It’s important to perform these exercises correctly and not overdo them, as excessive contraction may lead to muscle fatigue or discomfort. If you have concerns about your prostate health, regular check-ups with a healthcare provider are advisable.

3. Vasectomy and Its Side Effects: Vasectomy is generally considered a safe and effective form of permanent contraception with a low incidence of complications. However, like any surgical procedure, it can have side effects. Some men may experience chronic pain, changes in sexual function, or psychological effects related to the perception of fertility loss. It’s crucial to have a thorough discussion with your urologist about the potential risks and benefits before proceeding with the procedure. Regarding your question about genetic conditions like thalassemia, it’s true that some health insurance plans may cover the cost of a vasectomy for individuals with certain hereditary conditions. You would typically need to provide documentation from a healthcare provider confirming your diagnosis to your insurance company to initiate this process.

In summary, your concerns about testicular pain, prostate health, and vasectomy are valid and deserve careful consideration. It’s essential to seek personalized medical advice from a qualified urologist who can provide tailored recommendations based on your specific health history and current symptoms. Regular follow-ups and open communication with your healthcare provider will help ensure that you receive the best care possible. If you have any further questions or need clarification, feel free to ask!

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