Brief account, plus resources
Posted: Fri Aug 16, 2019 3:37 pm
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 didnt 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. Ive now been seen by five different urologists, and amazingly #5 greeted me yesterday with, "I think its 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. Im 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 Id done on chronic pain that he saw before seeing me. Serious medical journals. He knew that I knew some of the research thats been done. For example, I asked about a cord block, and he responded with, "In my experience it only delays the inevitable. Its 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): S2S5.
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): 146155.
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
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. Im 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 Id done on chronic pain that he saw before seeing me. Serious medical journals. He knew that I knew some of the research thats been done. For example, I asked about a cord block, and he responded with, "In my experience it only delays the inevitable. Its 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): S2S5.
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): 146155.
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