Pain and Erectile Issues After Organ Implant Surgery - Urology

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Hello Doctor: I have been troubled by this issue for a long time.
I experience pain near my implanted device close to the testicles, which occurs inexplicably every 1-2 months.
Taking Tylenol alleviates the pain, but it returns once the medication wears off, lasting for about a week.
This cycle has been ongoing for quite some time.
Additionally, I am unable to achieve an erection; even if I do manage to get one, it only lasts for a few seconds before becoming flaccid.
I have consulted a doctor, but they said everything appears normal.
However, I still cannot achieve a normal erection.
I even took my wife on a trip to relax, but the situation remains the same.
What could be the cause of this? Furthermore, the issue with the pain from the implanted device has not been resolved.
I kindly ask for your guidance.
Thank you.

Kang Kang, 40~49 year old female. Ask Date: 2016/01/30

Dr. Xu Weikai reply Urology


Kang Kang: Hello, I suggest starting with local heat application to improve circulation and see if it helps.
If there is no improvement, I recommend undergoing a penile Doppler ultrasound to check for any circulatory issues.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Please note that online responses should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/30

More Info


Experiencing pain and erectile dysfunction after organ implant surgery can be distressing and complex. It is essential to understand the potential causes and management strategies for these symptoms.

Firstly, the pain you are experiencing near the implant site could be attributed to several factors. Post-surgical pain is not uncommon, especially in the initial months following the procedure. This pain can be due to inflammation, nerve irritation, or even scar tissue formation around the surgical site. The fact that the pain resolves with over-the-counter pain relievers like acetaminophen (Tylenol) suggests that it may be related to inflammation or irritation rather than a more severe underlying issue. However, the recurring nature of the pain every 1-2 months may indicate a chronic pain condition or a specific trigger that exacerbates the discomfort.

One possible explanation for the recurring pain could be related to the healing process. After surgery, the body undergoes a healing phase, which can involve the formation of scar tissue. This scar tissue can sometimes adhere to surrounding nerves or tissues, leading to intermittent pain. Additionally, if the implant is causing any mechanical irritation to nearby structures, this could also result in pain. It is crucial to follow up with your healthcare provider to rule out any complications such as infection or implant displacement.

Regarding erectile dysfunction (ED), this can be a multifactorial issue. After surgery, especially if it involves the pelvic region, there can be nerve damage or changes in blood flow that affect erectile function. The nerves responsible for erections can be sensitive to surgical trauma, and if they are compromised, it can lead to difficulties in achieving or maintaining an erection. Psychological factors, such as anxiety about the surgery or performance anxiety, can also contribute to ED. It is essential to address both the physical and psychological aspects of erectile dysfunction.

If you are experiencing erectile dysfunction, it may be beneficial to discuss this openly with your healthcare provider. They can evaluate your situation more thoroughly and may suggest treatments such as oral medications (like PDE5 inhibitors), vacuum erection devices, or even penile injections, depending on the underlying cause of your ED. Additionally, counseling or therapy may be helpful if psychological factors are contributing to your symptoms.

In summary, the pain near your implant and erectile dysfunction are interconnected issues that require a comprehensive approach to diagnosis and treatment. It is crucial to maintain open communication with your healthcare provider, who can guide you through the necessary evaluations and treatment options. Regular follow-ups and possibly referrals to specialists, such as a urologist or pain management expert, may be warranted to address these ongoing concerns effectively. Remember, you are not alone in this, and there are solutions available to help improve your quality of life.

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