Post-Hernia Surgery: Discomfort Around the Penis - Urology

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Hernia surgery completed?


I had hernia surgery on November 25th (left-sided hernia), and I can walk normally now.
However, the area at the base of my penis on the left side feels like it's chafed, and it feels prickly and uncomfortable when touched.
Is this normal? (There is no redness, swelling, or abrasion.)

BB, 20~29 year old female. Ask Date: 2008/12/09

Dr. Yan Dawei reply Urology


After undergoing hernia surgery, the area on the left side of the base of the penis feels like it has been scraped, and touching it causes a prickling discomfort.
This may be due to nerve involvement, and it is advisable to monitor the situation for a while.
If any other discomfort arises, a visit to the urology clinic for evaluation is recommended.

Reply Date: 2008/12/09

More Info


After undergoing hernia surgery, it is not uncommon for patients to experience discomfort in the surrounding areas, including the groin and even the base of the penis. This discomfort can manifest as a tingling, prickling, or even a sensation akin to chafing, particularly if the surgical site is still healing.

Understanding Post-Surgical Discomfort
1. Healing Process: After surgery, the body goes through a healing process that can involve inflammation and nerve regeneration. The sensation you are describing may be related to the healing of the tissues and nerves in the area. It is important to remember that surgical trauma can lead to temporary changes in sensation, including heightened sensitivity or discomfort.

2. Nerve Sensitivity: During hernia repair, nerves in the area may be manipulated or affected. This can lead to sensations that feel unusual, such as tingling or a prickling feeling. As the nerves heal, these sensations may gradually diminish over time.

3. Scar Tissue Formation: The formation of scar tissue is a normal part of the healing process. Scar tissue can sometimes cause discomfort or a pulling sensation, especially if it is near sensitive areas like the base of the penis. This discomfort may feel like a tightness or a rubbing sensation.

4. Infection or Complications: While you mentioned that there is no redness, swelling, or visible injury, it is still important to monitor for any signs of infection or complications. If the discomfort worsens, or if you develop any additional symptoms such as fever, increased swelling, or discharge, it would be advisable to consult your surgeon or healthcare provider.

5. Time Frame for Recovery: Recovery from hernia surgery can vary significantly from person to person. While some discomfort may be expected in the weeks following surgery, most patients find that their symptoms improve over time. It can take several weeks to months for complete healing and for sensations to normalize.


Recommendations
- Monitor Symptoms: Keep an eye on the discomfort. If it persists or worsens, or if you develop new symptoms, reach out to your healthcare provider for further evaluation.


- Pain Management: If the discomfort is bothersome, over-the-counter pain relief medications like acetaminophen or ibuprofen may help. However, consult with your doctor before taking any medication, especially if you are on other medications or have underlying health conditions.

- Gentle Activity: Continue with gentle activities as tolerated. Avoid strenuous activities or heavy lifting until you receive clearance from your surgeon.

- Follow-Up Appointment: Ensure you attend any scheduled follow-up appointments with your surgeon. These visits are crucial for assessing your recovery and addressing any concerns you may have.


Conclusion
In summary, the discomfort you are experiencing at the base of the penis following hernia surgery may be a normal part of the healing process. It is likely related to nerve healing, scar tissue formation, or the body's inflammatory response. However, if you have any concerns or if your symptoms change, do not hesitate to contact your healthcare provider for advice and reassurance. Your recovery is important, and maintaining open communication with your medical team will help ensure the best outcome.

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