Post-Varicocele Surgery: Is Left Testicular Pain Normal? - Urology

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Postoperative Issues After Varicocele Surgery


Hello Doctor: I recently had varicocele surgery a week ago, but I am still experiencing pain in my left testicle.
It hurts even when I walk and it gets touched.
Is this normal?

Niming, 20~29 year old female. Ask Date: 2014/05/21

Dr. Xu Weikai reply Urology


Hello, after varicocele surgery, it is indeed common to experience localized swelling and pain.
It is advisable to consult with your surgeon during your follow-up appointment.
If you have any further questions or need clarification, feel free to ask for more discussion and research.
Online responses should only be used as a reference; if necessary, it is important to seek medical care at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Ministry of Health and Welfare, who cares about your well-being.

Reply Date: 2014/05/21

More Info


After undergoing varicocele surgery, experiencing pain in the left testicle can be a common occurrence, especially within the first few weeks post-operation. It's important to understand that surgical procedures, particularly those involving delicate structures such as the spermatic cord and surrounding tissues, can lead to a variety of postoperative symptoms, including pain, swelling, and discomfort.

In the immediate aftermath of varicocele surgery, the body is in a healing phase. The surgical site, which may have involved ligation or removal of affected veins, can lead to inflammation and irritation of the surrounding tissues. This inflammation can manifest as pain in the testicle, which may be exacerbated by movement or pressure, such as walking or even light contact. It's also worth noting that the nerves in the area can be sensitive post-surgery, leading to sensations that may feel more intense than usual.

Typically, postoperative pain should gradually decrease over time. However, if the pain persists or worsens, it could indicate complications such as infection, hematoma (a localized collection of blood outside of blood vessels), or nerve irritation. In some cases, the pain may also be related to the healing process itself, as the body adjusts to the changes made during surgery.

For most patients, mild to moderate pain can be managed with over-the-counter pain relief medications, such as ibuprofen or acetaminophen, as recommended by your physician. Additionally, applying ice packs to the area can help reduce swelling and alleviate discomfort. It is crucial to follow your surgeon's postoperative care instructions, which may include recommendations for activity levels, rest, and follow-up appointments.

If you find that the pain is severe, persistent, or accompanied by other symptoms such as fever, increased swelling, or unusual discharge, it is essential to contact your healthcare provider promptly. They may recommend further evaluation, which could include imaging studies or a physical examination, to rule out any complications.

In summary, while some pain in the left testicle after varicocele surgery can be normal, it is essential to monitor the symptoms closely. If you have concerns about the intensity or duration of the pain, or if you experience any alarming symptoms, do not hesitate to reach out to your healthcare provider for further assessment and guidance. Your recovery is important, and ensuring that you are healing properly is a priority.

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