![]() This method preserves the testicle’s blood supply and blocks the nerve transmission from the testicle. We cut the nerves under an operating microscope and keep the testicular arteries, lymphatics, and vas deferens intact. The spermatic cord contains arteries, nerves, the vas deferens, and lymphatic vessels. You can opt for local or general anesthesia before the surgery. If a hernia repair was already done, we go through the previous scar. We perform this surgery in the operating room and make a small incision in the groin, similar to where a hernia repair is done. If you have medication you need to take the morning before your surgery, only take them with a small sip of water.Do NOT eat or drink anything after midnight, including the morning of surgery.Eat like you normally would the evening before your surgery.Make sure you follow these rules before undergoing surgery: However, check with your insurance company before scheduling the surgery. Most insurance plans will cover this procedure. In fact, more than 90 percent of our patients have seen a 70 to 100 percent reduction in their pain. Cutting this nerve can successfully reduce the pain by 50 percent or greater. If the anesthetic temporarily relieves your testicular pain, then the pain is probably in your testicle and not your brain.įor this procedure, we dissect the nerve inside the spermatic cord because it supplies the testicle with nerves. To determine where your pain is coming from, we inject a local anesthetic and steroid into the spermatic cord (a collection of blood vessels in the scrotum that supplies blood to the testicles) in the area of the groin where you feel pain. We use this technique to see if the pain is in your testicle or is affected by your brain and nervous system. Pain can still continue even if the infection or painful part is gone. This type of miscommunication is often a result of old trauma, an infection, or neurologic problems like diabetic neuropathy (nerve damage caused by diabetes). Since pain can exist in any body part for a long time, your brain may misinterpret any stimulation or feeling in that area as pain. We may even run a urine test, scrotal ultrasound, or blood test to confirm the cause of your testicular pain.īefore we choose a treatment plan, we need to determine if the pain is local (in the testicles) or central (from something affecting your whole body). At your appointment, we ask you questions about the pain you're experiencing and examine your testicles for any abnormalities, such as swelling or lumps.
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