Postoperative tenderness is common at the incision site after high ligation of varicocele?
Hello, I underwent a left high ligation of the spermatic cord on May 9th (due to simultaneous treatment of the same incision with a hernia).
The hernia was also repaired using traditional methods (non-mesh).
It has been 14 days, and I still experience sudden tenderness at the incision site that lasts quite a while.
Is this normal? It is quite painful...
(The surface of the wound appears to be healing well with no signs of inflammation.) Additionally, there is fluid accumulation in the left scrotum that has not resolved after two weeks (it has not worsened, though).
Is this also normal? Thank you, doctor.
A Gan, 10~19 year old female. Ask Date: 2015/05/22
Dr. Xu Weikai reply Urology
A-Gan: It's normal for the surgical wound to be swollen after the operation, and it may take about 4 to 6 weeks to fully reduce the swelling.
In some cases, it can take more than 3 months.
You can apply local heat to promote circulation in the area.
Note: The wound is located at the level of the hernia incision, not at a true high position.
A higher ligation would be at a higher level.
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, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare, Taitung Hospital cares about you.
Reply Date: 2015/05/22
More Info
After undergoing a left-sided high ligation of varicocele on May 9, it is understandable to have concerns about post-surgery pain and fluid accumulation, especially given that it has been 14 days since the procedure. Let's address your questions based on the information provided and general medical knowledge.
1. Post-Surgery Pain: It is not uncommon to experience pain after surgical procedures, including varicocele ligation. The pain you are experiencing, especially if it is localized and described as pressure or tenderness, can be attributed to several factors. Surgical trauma to the tissues, inflammation, and the healing process itself can all contribute to discomfort. While some pain is expected, it should gradually decrease over time. If the pain is severe or worsening, it is essential to consult your surgeon to rule out any complications, such as infection or hematoma.
2. Fluid Accumulation: The presence of fluid accumulation, or seroma, in the scrotal area is also a common occurrence following surgical procedures involving the groin. A seroma is a collection of clear fluid that can develop in the space left by the surgical incision. In many cases, seromas resolve on their own as the body reabsorbs the fluid. Since you mentioned that the fluid accumulation has not worsened and there are no signs of infection (such as redness, warmth, or discharge), it is likely that this is a normal part of the healing process. However, if the fluid continues to persist or increases in size, it would be prudent to follow up with your healthcare provider.
3. Normal Healing Process: The healing process can vary significantly from person to person. Factors such as individual pain tolerance, the extent of the surgery, and pre-existing conditions can all influence recovery. It is essential to monitor your symptoms closely. If you notice any new symptoms, such as fever, increased swelling, or changes in the characteristics of the fluid, you should seek medical attention promptly.
4. Management of Pain and Fluid: For managing pain, over-the-counter pain relievers such as acetaminophen or ibuprofen can be effective. However, it is crucial to follow the dosage instructions and consult your physician if you have any underlying health conditions or are taking other medications. As for the fluid accumulation, your surgeon may recommend observation, or in some cases, aspiration (draining the fluid) if it becomes bothersome.
5. Follow-Up Care: Regular follow-up appointments with your surgeon are vital to ensure proper healing. During these visits, your surgeon can assess the surgical site, evaluate the pain and fluid accumulation, and provide guidance on activity restrictions and rehabilitation exercises to promote recovery.
In summary, while some pain and fluid accumulation can be normal after a high ligation of varicocele, it is essential to remain vigilant and communicate with your healthcare provider about your symptoms. They can provide tailored advice and interventions to ensure a smooth recovery. If you have any further concerns or if your symptoms change, do not hesitate to reach out to your surgeon for guidance.
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