Brief account, plus resources

[TrustyTrout (imported)]

Both of my testicles have been tender, sore, and painful for at least 30 years. I had more than ten UTI's that infected my prostate and gonads. I was hospitalized two days when a roto-tiller hit a buried concrete block and one handle aimed at my crotch. I didn’t know testicles could get that big! Had a vasectomy, then 4 years later a reversal. Neither helped. A bit of abuse, plus riding a skinny-tire road bike several thousand miles a year I suspect aggravated things. Eight years ago I documented all this and made sure it was part of my medical records. I’ve now been seen by five different urologists, and amazingly #5 greeted me yesterday with, "I think it’s time to consider removing them."

There are a few things that I think made the conversation with #5 immediately favorable towards a bilateral orchiectomy:

1. I had eight years in the same facility complaining about chronic pain. It was in the notes.

2. I’m 66 years old.

3. Uro #5 is about 60, and head of the department.

4. I gave Uro #5 several printouts of just a portion of the research I’d done on chronic pain that he saw before seeing me. Serious medical journals. He knew that I knew some of the research that’s been done. For example, I asked about a cord block, and he responded with, "In my experience it only delays the inevitable. It’s not worth doing."

I thought others might find the journal websites useful. Here you go. As always, "your mileage may vary."

Thanks for your patience. TrustyTrout...

A. One page diagram:

"Recommended algorithm for the evaluation and treatment of patients with scrotal content pain."

https://bit.ly/2MknX5F

B. Transl Androl Urol. 2017 May; 6(Suppl 1): S2–S5.

doi: 10.21037/tau.2017.03.37

PMCID: PMC5503920

PMID: 28725610

"Extirpative surgery for chronic orchialgia: is there a role?"

https://www.ncbi.nlm.nih.gov/pmc/articl ... rt=classic

C. World J Mens Health. 2017 Dec; 35(3): 146–155.

Published online 2017 Dec 19. doi: 10.5534/wjmh.17047

PMCID: PMC5746485

PMID: 29282906

"What Can We Do for Chronic Scrotal Content Pain?"

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5746485/

D. J Urol. 1990 May;143(5):936-9.

"Analysis and management of chronic testicular pain"

https://www.ncbi.nlm.nih.gov/pubmed/2329609