painful testical

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bcc
Regular Member


Date Joined Oct 2009
Total Posts : 46
   Posted 3/2/2010 1:35 PM (GMT -6)   
i had a robotic 2 weeks ago but have suffered from the right testicle feeling as if its been kicked by a donkey since the op.anybody got any idea what it could be?
PSA Aug 07 was 3, Mid 08, 3.5, mid 09, 7.27

First biopsy july 09 - t2a on left . 11 samples taken from 6 blocks. 4 blocks show positive for adenocarcinoma. 1 block 10%, 3 blocks 5%, overall gleason 3 plus 4. No perineural invasion seen. Seminal vesicles clear.

End Oct 2009, bone scan all clear, MRI shows 6mm lesion on bottom left and rest of gland diffused image. Late Nov 2009, a template biopsy of 32 from 20 sites adenocarcinoma, gleason 3 plus 4 at 10 sites; unfortunately spread over both left and right.had planned hifu treatment but spread of cancer reduced possible benefits.robotic radical undertaken by prof r kirby at the london clinic 16/2/10 in hospital 3 days .cath out 25/2/10.pathlab report -margins clear,gleason now 4/3 .tumor weight 62g tumor vol 1.7. stage now pt3a as carcinom invaded left posterior aspect 2mm.first post op psa due 1/4/10


Im_Patient
Veteran Member


Date Joined Aug 2009
Total Posts : 665
   Posted 3/2/2010 2:05 PM (GMT -6)   
bcc, it could be referred pain from the surgery. It could also be related to all of the swelling that you have likely experienced - I recall I was so swelled you could not tell whether I was circumsized or not post-surgery for the first couple of weeks.

There is another possibility - and you should check with your uro on this. When I was 19, I had the same sensation - sort of like a vice grip on one of my testicles. An ambulance trip to the hospital and a consult with a uro turned up that I needed a bilateral orchiopexy for a torsion. The explanation that I have gotten is that the tissue that anchors the testicles to the scrotum gets dislodged (some of us are potentially genetically inclined), and when the blood supply to the testes becomes compromised, the result is extreme pain and an urgent need to get it fixed (to avoid losing the testicle). A minor surgery is all that is needed to repair the anchoring process (but literally having your balls in a sling is pretty dramatic!). I suppose with the swelling of the surgery, it could bring on this condition. I also expect this is quite rare.

Needless to say, it made me more sheepish than the average lad to get a vasectomy when it came time...

Hope your pain subsides quickly. As I will always advise, talk to your doc and get his take on your condition.
Best regards, Jeff
Gleason, 3+4; PSA, 7.9
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
pT2c, prostate 60.2g, margins: negative; perineural invasion: present; lymphatic invasion: present; 3 lymph nodes removed, clear; seminal vesicle invasion: absent; Gleason 4 comprises 5-10% of carcinoma
PSA consistently <0.1 since surgery until Oct 09, 0.1; retested Oct 09, <0.1,
Jan 10, 0.2
retest Feb 1 confirmed 0.2
CT scan, bone scan Feb 10 both clear


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/2/2010 3:24 PM (GMT -6)   
bcc,

sorry you are hurting there, but fairly common occurance with many of us surgery guys. I never had an swelling or bruising as some report, but had on again off again pain there for a good six months after surgery. My doctor said it would slowly go away over time and it did. hope you feel better soon

david in sc
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time


SubicSquid
Regular Member


Date Joined Oct 2009
Total Posts : 252
   Posted 3/2/2010 6:36 PM (GMT -6)   
I have had the same sore right testicle since open surgery in October. Doctor says it will go away. Hopefully it will. It does seem to be getting better.
*Age 63, PSA July 2009 5.66
*Diagnosed July 2009, Biopsy: 2 of 12 cores positive, Gleason 3 + 5 = 8
*MRI and Bone Scan Negative.
*open Surgery October 22, 2009
*Prostate, both nerve bundles, seminal vessels, and lymph nodes removed during surgery.
*Post surgery Biopsy, Gleason 4 + 3; 2 positive margins
*Still slightly incontinant after 3 months - 1 pad per day (light). Dry at night. 1-2 trips to toilet.
*ED - Yes (will start Levitra possibly in January)
*30 day PSA (ultra-sensitive) .07
*90 day PSA (standard) <0.15
*01/10 - bladder neck stricture. opened during cysto exam. Cath #2 in for 5 days.
*IMRT/IGRT delayed until April pending 180 day PSA result
* 03/01 - bladder neck stricture. Dilated during cysto exam. Cath #3 in place. Surgery scheduled for 03/11.


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 3/2/2010 6:36 PM (GMT -6)   
bcc,
I had pain in my right testicle for several weeks after my robotic surgery. I called the doctor and he said not to worry about. After 6 weeks it went away.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm in circumference.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1
11.5 months test 1/21/10 result 0.004


English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2215
   Posted 3/3/2010 3:54 AM (GMT -6)   
bcc
I would not describe what I had as pain but both testicles ached for a while after the operation.
I didn't have any swelling but my scrotum was very very baggy and my testicles seemed to be hanging much lower, and I wondered at the time if this had had anything to do with the Vas Deferens being severed further up.

I also had a couple of occasions when things hurt after getting pushed around or squashed by a pad.

And I definitely had the "kicked by a donkey" feeling a couple of times after an orgasm, which made me think it had something to do with what they did to my nerves during the op.

Does any medication help?

Hope it goes away soon.

Alfred

bcc
Regular Member


Date Joined Oct 2009
Total Posts : 46
   Posted 3/3/2010 5:57 AM (GMT -6)   
FHi many thanks for all your help Barry
PSA Aug 07 was 3, Mid 08, 3.5, mid 09, 7.27

First biopsy july 09 - t2a on left . 11 samples taken from 6 blocks. 4 blocks show positive for adenocarcinoma. 1 block 10%, 3 blocks 5%, overall gleason 3 plus 4. No perineural invasion seen. Seminal vesicles clear.

End Oct 2009, bone scan all clear, MRI shows 6mm lesion on bottom left and rest of gland diffused image. Late Nov 2009, a template biopsy of 32 from 20 sites adenocarcinoma, gleason 3 plus 4 at 10 sites; unfortunately spread over both left and right.had planned hifu treatment but spread of cancer reduced possible benefits.robotic radical undertaken by prof r kirby at the london clinic 16/2/10 in hospital 3 days .cath out 25/2/10.pathlab report -margins clear,gleason now 4/3 .tumor weight 62g tumor vol 1.7. stage now pt3a as carcinom invaded left posterior aspect 2mm .dry at night from when cath out ,completely dry from 2 weeks first post op psa due 1/4/10.


zoot1
New Member


Date Joined Nov 2009
Total Posts : 14
   Posted 3/3/2010 3:52 PM (GMT -6)   
Jeez, is it coincidence that the right testicle always seems to be the painful one? I have had the same problem, although I've had it in years past as well. I also now have a hernia on the same side, not sure if it all relates somehow.
>52 years old, dad had PC at 72 (now 84 and going strong), he was treated with seed implants and radiation with great success.
>4.1 PSA at annual physical, 7/09/09.
>Visit to urologist, second PSA of 4.7.
>Biopsy, 8/19, back to urologist 8/24 to hear the awesome
news that a prostatectomy is recommended. Homework done (with RN wife),
RRP on 9/24.
>Uneventful surgery, except for a UTI and H1N1 virus, which set my recovery back a bit. No cancer involvement beyond the prostate, nerves not spared.
>I am now 5 months post-op, third PSA at zero, and have been continent for two months. I started acupuncture therapy at about 6 weeks; no concrete evidence that it worked, but I expected incontinence to go on for a few more months. I'll give the acupuncturist partial credit...
>ED basically what it was before this whole mess. Not good.


bcc
Regular Member


Date Joined Oct 2009
Total Posts : 46
   Posted 3/4/2010 4:53 AM (GMT -6)   
hi everybody .i went to see surgeon yesterday and he checked urine for infection and did an ultrasound scan ofgroin testicle area and found no hernia so just put it down to the op,well thats ok then barry.ps i did try viagra but nothing, probably too early
PSA Aug 07 was 3, Mid 08, 3.5, mid 09, 7.27

First biopsy july 09 - t2a on left . 11 samples taken from 6 blocks. 4 blocks show positive for adenocarcinoma. 1 block 10%, 3 blocks 5%, overall gleason 3 plus 4. No perineural invasion seen. Seminal vesicles clear.

End Oct 2009, bone scan all clear, MRI shows 6mm lesion on bottom left and rest of gland diffused image. Late Nov 2009, a template biopsy of 32 from 20 sites adenocarcinoma, gleason 3 plus 4 at 10 sites; unfortunately spread over both left and right.had planned hifu treatment but spread of cancer reduced possible benefits.robotic radical undertaken by prof r kirby at the london clinic 16/2/10 in hospital 3 days .cath out 25/2/10.pathlab report -margins clear,gleason now 4/3 .tumor weight 62g tumor vol 1.7. stage now pt3a as carcinom invaded left posterior aspect 2mm .dry at night from when cath out ,completely dry from 2 weeks first post op psa due 1/4/10.

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