Talk to Urologist on Hydrocile
Asking For Self, Male 26, Lahore
i had varicocele and testicular pain and i got surgery for it from dr fawad nasrullah. the pain did not resolve but i developed hydrocele after surgery which increase the pain. dr fawad nasrullah kept telling me to wait and wait for it to resolve but it did not. now its been 2.5 years since my surgery and the hydrocile is not going away on its own.. i got it aspirated once and it was very painful. i paid 460k for surgery and i feel like i have been robbed. now he is telling me to get another surgery for the hydrocile caused by his surgery for varicocele which did not fix the pain kn the first place. i dont know what to do. i want to do aspiration under twilight anesthesia but i am unable to find a doctor for it.
I am sorry to hear about your problem. Aspiration is not going to resolve your problem permanently as it will recur again. You need to get it operated which will be a permanent solution. The surgery is small and can be done in like 30minutes.
For varicocele microsurgical is best...
i dont think so that he has performed that...
MBBS, FCPS Urology | Larkana | Book Appointment
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Asha...then its fine....
2 months ago
And for hydrocele aspiration is poor option....
other gold standard procedure are there dont go again for aspiration
I understand your frustration and discomfort. It's certainly distressing to experience persistent pain and develop a new issue after surgery, especially when you feel your concerns haven't been adequately addressed.
Let's break down your situation as a urologist would:
**Regarding the Hydrocele:**
* **Post-Varicocelectomy Hydrocele:** It is a known, though uncommon, complication of varicocele surgery, particularly with certain techniques. It occurs due to disruption of lymphatic drainage around the testicle.
* **Resolution Timeframe:** While some post-surgical hydroceles can resolve spontaneously, 2.5 years is well beyond the typical timeframe for spontaneous resolution. At this point, it's highly unlikely to go away on its own.
* **Aspiration:** Aspiration provides temporary relief but the fluid almost always reaccumulates because the underlying cause (impaired lymphatic drainage or fluid production) is not addressed. Your experience of it being painful is also common, as it's a needle procedure into a sensitive area. It is not considered a definitive treatment for a persistent hydrocele.
* **Surgical Correction:** The definitive treatment for a symptomatic and persistent hydrocele is surgical repair (hydrocelectomy). This involves removing or everting the sac that contains the fluid.
**Regarding Your Pain:**
* **Persistent Testicular Pain:** Chronic scrotal pain after varicocelectomy (post-vasectomy pain syndrome is similar, but this is post-varicocelectomy) can be challenging to treat. The varicocele itself is often asymptomatic or causes a dull ache, and surgery isn't always guaranteed to resolve pre-existing pain.
* **Hydrocele and Pain:** The developing hydrocele *can* certainly contribute to your pain due to increased pressure and mass effect in the scrotum. Addressing the hydrocele might alleviate some of your current pain.
**Your Options and Next Steps:**
1. **Seek a Second Opinion from another Urologist:** Given your dissatisfaction and lack of resolution, it is highly advisable to get an independent second opinion. A new urologist can:
* Review all your surgical records and imaging.
* Perform a thorough physical examination.
* Discuss the potential causes of your persistent pain (which might be separate from or exacerbated by the hydrocele).
* Discuss the best approach for the hydrocele.
* Provide a clear understanding of the risks and benefits of further intervention.
2. **Hydrocelectomy:** This is the standard treatment for a symptomatic, persistent hydrocele. It is typically a straightforward procedure with a high success rate in resolving the hydrocele itself.
* **Anesthesia:** Hydrocelectomy is commonly performed under general anesthesia or spinal anesthesia. While aspiration under twilight sedation might be an option if you could find a doctor willing, it's not a definitive solution for the hydrocele, and it's less common for aspirations to be done under twilight than for definitive surgery. For a hydrocelectomy, twilight might be combined with a local anesthetic, but often general or spinal anesthesia is preferred for patient comfort and surgical precision.
3. **Address the Pain Separately (if needed):** If the pain persists *after* the hydrocele is resolved, further investigation into the cause of chronic scrotal pain might be necessary. This can involve nerve blocks, physical therapy, or other pain management strategies.
**Regarding Your Concerns about Previous Care:**
* It's understandable to feel "robbed" when a surgery doesn't resolve the initial problem and leads to a new one. While post-surgical hydroceles are a known complication, the management and communication around it are crucial.
* The discussion about another surgery for a complication of the first surgery is a sensitive one. Focus on getting the best medical outcome for yourself now.
**In summary:**
Your hydrocele is unlikely to resolve spontaneously after 2.5 years. Aspiration is a temporary measure. The definitive treatment is surgical hydrocelectomy. I strongly recommend seeking a second opinion from another qualified urologist to discuss your options for both the hydrocele and your persistent pain. They can provide an objective assessment and guide you towards the most appropriate treatment plan.
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Post Owner
the surgery will cut open the sack and will cause permanent sensitivity and risk of infection
2 months ago