Post-Operative Pain After Urological Surgery: A Patient's Guide

Q: Post-Operative Pain After Urological Surgery: A Patient's Guide

Mr. Li： Hello. 3. In terms of work, any posture that does not exacerbate the pain of the wound is acceptable. 4. Generally, a second surgery is rarely performed. As previously suggested, you may try local heat therapy. If there are any unclear points,

Preputial fold surgery with circumcision?

Hello Dr.
Hsu, I apologize for bothering you.
Previously, I asked you about the discomfort I have been experiencing since my surgery for phimosis and frenuloplasty at National Taiwan University Hospital in November.
I still feel uncomfortable, with persistent pain inside the penis.
I am certain it is not referred pain, but rather pain from standing or walking for long periods.
There is swelling and discomfort, and even touching the penis can cause sharp pain.
I have returned to the clinic, but the doctor could not identify the cause.

I would like to ask: (Question 1) What could be causing the pain inside the penis? The external appearance seems normal, as I have seen Dr.
Hsu at NTU Hospital before.
(Question 2) Is it true that the recovery period can take around six months? What is the average recovery time? (Question 3) Should I look for a job that allows me to sit more often to avoid discomfort? Will this eventually return to normal? I hope I won't need another surgery.
I would appreciate your insights on these matters.
Thank you.

Mr. Li, 20~29 year old female. Ask Date: 2015/02/17

Dr. Xu Weikai reply Urology

Mr.
Li: Hello.
3.
In terms of work, any posture that does not exacerbate the pain of the wound is acceptable.
4.
Generally, a second surgery is rarely performed.
As previously suggested, you may try local heat therapy.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is still important to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/02/17

More Info

Hello! Thank you for reaching out with your concerns regarding post-operative pain following your urological surgery. It's understandable to feel anxious about ongoing discomfort after such procedures, and I’m here to provide some clarity on your situation.

1. Understanding the Pain:
The pain you are experiencing in the penis after your surgery could be attributed to several factors. First, it's important to recognize that surgical procedures, especially those involving delicate structures like the penis, can lead to inflammation and irritation of the surrounding tissues. This inflammation can cause pain that may feel sharp or throbbing, especially with movement or pressure.
Additionally, nerve endings in the area may be hypersensitive post-surgery, leading to sensations of pain or discomfort even when there is no direct cause. This is often referred to as neuropathic pain, which can occur after any surgical intervention. Scar tissue formation can also contribute to discomfort as it may pull on surrounding tissues during movement.

2. Recovery Timeline:
Regarding your question about the recovery period, it is not uncommon for patients to experience discomfort for several months following urological surgeries. While many patients begin to feel better within a few weeks, complete healing can take longer, sometimes up to six months or more. The average recovery time can vary significantly based on the individual, the complexity of the surgery, and how well the body heals.
It’s essential to follow up with your healthcare provider regularly to monitor your recovery. If your pain persists beyond the expected recovery period, further evaluation may be necessary to rule out complications such as infection or improper healing.

3. Work and Activity Considerations:
In terms of your work situation, it would be wise to consider a job that allows you to sit comfortably, especially if standing or walking exacerbates your pain. Sitting can help alleviate pressure on the surgical site and may reduce discomfort. If your job requires prolonged standing or physical activity, it might be beneficial to discuss options for modified duties or temporary leave with your employer until you feel more comfortable.

4. Future Surgical Interventions:
As for the need for another surgery, it is generally not advisable unless there is clear evidence of a complication that requires surgical intervention. Most post-operative pain can be managed with conservative treatments such as pain management strategies, physical therapy, and time. If your symptoms do not improve or worsen, it’s crucial to communicate this with your healthcare provider, who may suggest imaging studies or further assessments to determine the underlying cause of your pain.

In summary, while post-operative pain can be distressing, it is often a part of the healing process. Monitoring your symptoms, maintaining open communication with your healthcare provider, and allowing adequate time for recovery are key steps in managing your situation. If you have any further questions or concerns, please do not hesitate to reach out for more personalized advice. Wishing you a smooth recovery!

Similar Q&A

Post-Surgery Discomfort: Understanding Urethral Pain After Urination

Two and a half years ago, I underwent laser surgery to address benign prostatic hyperplasia. One month post-surgery, I experienced discomfort after urination, specifically during the contraction of the urethra, which radiated to the urethral opening, resulting in a sensation of a...

Dr. Sun Hongshun reply Urology
Hello Mr. Chen: Regarding what you mentioned, the previous treatment at the hospital was thorough and comprehensive, but chronic prostatitis or pelvic pain syndrome cannot be completely ruled out. There is now a low-energy shockwave device available for both diagnosis and treatme...

Understanding Post-Surgery Discomfort After Urethral Surgery

Hello Doctor, I recently underwent a capsular folding procedure and I feel particularly uncomfortable (swelling and pain) when standing, but it returns to normal when sitting. What could be causing this swelling and pain? Pain relievers don't seem to help. How long does this...

Dr. Xu Weikai reply Urology
Mr. Jiang: Hello, it is difficult to determine if it may be due to a certain posture causing localized blood flow compression or nerve compression. Could you please describe in detail where the swelling is located, the extent of the swelling, and what positions may exacerbate or ...

Understanding Post-Surgery Urinary Symptoms: Pain and Discomfort After Circumcision

Hello, Doctor Hsu. I had a circumcision surgery on Tuesday, and it has been five days since then. For these five days, I have been following the surgeon's advice to wrap my penis with an elastic bandage. It might be because I wrapped it too tightly, but I feel some obstructi...

Dr. Xu Weikai reply Urology
Hello, Jiejie: Urinary tract inflammation can cause pain and is usually accompanied by discharge. A proper examination is necessary to determine the exact cause. If possible, please undergo tests for urine and urethral discharge. If you have any further questions, feel free to as...

Post-Surgery Concerns: Reduced Sensitivity and Urinary Issues Explained

I recently underwent a minor oral surgery under general anesthesia and received several days of anti-inflammatory and pain relief medications. Now that I am discharged and resting at home, I have noticed a decrease in erectile sensitivity (it feels dull), and the pleasure during ...

Dr. Xu Weikai reply Urology
A-Ming: Hello, you might be overthinking it. It should be the pain from the wound affecting your mood, which in turn leads to unsatisfactory erections. Generally, anesthetics are metabolized completely and rarely leave any residual effects. This is a response from Dr. Hsu Wei-Kai...