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So I have an appointment with a pain clinic

Posted: Mon Jul 14, 2014 9:39 am
by Wifflebender (imported)
To have nerve block injections done, although I always thought urologists do those procedures, he said the people at the pain clinic are better suited to do so. I also had a ct scan done because pretty consistently I have microscopic amounts of blood in my urine not enough to see with the naked eye but enough to warrant the doc doing a scope procedure into my bladder. The do. Said that if the nerve bloc goes well then it could be a sign that removal could stop the pain. I am pretty nervous about all of this as I have kind of reached the end of my rope with all the pain. I guess my back up plan is to see a surgeon such as dr arnkoff or dr bowers to have both testicles removed if my new doc doesn't do anything different.

Re: So I have an appointment with a pain clinic

Posted: Mon Jul 14, 2014 9:42 am
by tugon (imported)
I am glad you are receiving help with your pain. I am sorry I have not read your posts before but I feel like I am coming in late to the story. Are you having chronic testicular pain? I hope you find relief.

Re: So I have an appointment with a pain clinic

Posted: Mon Jul 14, 2014 9:48 am
by Wifflebender (imported)
tugon (imported) wrote: Mon Jul 14, 2014 9:42 am I am glad you are receiving help with your pain. I am sorry I have not read your posts before but I feel like I am coming in late to the story. Are you having chronic testicular pain? I hope you find relief.

Thanks, for about a year and a half now after suffering an injury to my left testicle where I had a hemotoma. The pain has. Virtually robbed me of enjoying my life I don't particularly want to become a eunuch but I also don't want to be in pain and would rather have no testicles than live in pain.

Re: So I have an appointment with a pain clinic

Posted: Mon Jul 14, 2014 10:42 am
by unencumbered (imported)
Wifflebender (imported) wrote: Mon Jul 14, 2014 9:39 am I have kind of reached the end of my rope with all the pain. I guess my back up plan is to see a surgeon such as dr arnkoff or dr bowers to have both testicles removed if my new doc doesn't do anything different.

Find a sympathetic urologist if the one you currently are using doesn't help you. They are out there. You just need to look a bit. A female surgeon seems to be the best bet.

Re: So I have an appointment with a pain clinic

Posted: Mon Jul 14, 2014 11:06 am
by Wifflebender (imported)
unencumbered (imported) wrote: Mon Jul 14, 2014 10:42 am Find a sympathetic urologist if the one you currently are using doesn't help you. They are out there. You just need to look a bit. A female surgeon seems to be the best bet.

Thanks I have heard that quite a bit my new doc seems to be sympathetic of course having my wife there helped a bit I think

Re: So I have an appointment with a pain clinic

Posted: Mon Jul 14, 2014 8:05 pm
by raymar2020 (imported)
As a guy who endured testicular pain for way way too many years, I can sympathize. Trust me once started , it tends to only get worse, never better. I reached the point where sometimes in a public place the pain would kick in with a vengence and actually bring me to my knees. For me, a dull ache was constant, with flares that came unannounced, and lasted for different lengths of time.

If you can deal with it, likely the best choice is to remove them. Living without testicles is different than being intact, but with some diligence regarding HRT , the changes are subtle. My personal feeling is that implants are a mistake, having known more than a few who had health issues related to them.

If you and your wife are thru with the whole making babies thing, and she is accepting and supportive about you having them removed, you have overcome the biggest battles. With the exception of full time nudists, how often after all will anyone see you undressed to discover you don't have them?

Good Luck with the nerve blocks, I had mixed results , but ultimately surgery cured the pain forever.

Raymar

Re: So I have an appointment with a pain clinic

Posted: Mon Jul 14, 2014 11:13 pm
by Wifflebender (imported)
raymar2020 (imported) wrote: Mon Jul 14, 2014 8:05 pm As a guy who endured testicular pain for way way too many years, I can sympathize. Trust me once started , it tends to only get worse, never better. I reached the point where sometimes in a public place the pain would kick in with a vengence and actually bring me to my knees. For me, a dull ache was constant, with flares that came unannounced, and lasted for different lengths of time.

If you can deal with it, likely the best choice is to remove them. Living without testicles is different than being intact, but with some diligence regarding HRT , the changes are subtle. My personal feeling is that implants are a mistake, having known more than a few who had health issues related to them.

If you and your wife are thru with the whole making babies thing, and she is accepting and supportive about you having them removed, you have overcome the biggest battles. With the exception of full time nudists, how often after all will anyone see you undressed to discover you don't have them?

Good Luck with the nerve blocks, I had mixed results , but ultimately surgery cured the pain forever.

Raymar

Thanks raymar I think the doc is just using the injections as a diagnostic tool to see if surgery would work. I guess I will find out when I have them.

Re: So I have an appointment with a pain clinic

Posted: Tue Jul 15, 2014 7:01 am
by jako9999 (imported)
I hope it all goes your way removal is the best option if there not there then the pain will be gone but after saying that you do get phantom pains every now and then. Good luck

Re: So I have an appointment with a pain clinic

Posted: Tue Jul 15, 2014 10:03 am
by Wifflebender (imported)
jako9999 (imported) wrote: Tue Jul 15, 2014 7:01 am I hope it all goes your way removal is the best option if there not there then the pain will be gone but after saying that you do get phantom pains every now and then. Good luck

Thanks jako, was that the reason you had yours removed?

Re: So I have an appointment with a pain clinic

Posted: Tue Jul 15, 2014 1:02 pm
by Philcheck (imported)
I'm also in a similar situation as you Wifflebender. I have had chronic testicular pain for the last four years after having numerous abdominal surgeries, where the inguinal nerve and other associated branches were damaged, or developed scar tissue entrapment around them. I was treated with medications, progressing to nerve blocks as the condition worsened. I was told an orchi would not help since my problem was occurring above them. The nerve blocks worked great for me but eventually worked less and less time for me. I eventually had a nerve stimulator implanted to block the pain signals. Sounds like your uro is going to use the blocks as a diagnostic tool to confirm the pain is coming from your testicles. The pain doc may also try some non narcotic medications that work on blocking the nerve pain such as Lyrica, and Cymbalta. My pain has recently worsened again and is not controlled as well with the implant. After a recent visit with my pain doc the orchi discussion is back on the table. Good luck with your pain doc.

Re: So I have an appointment with a pain clinic

Posted: Tue Jul 15, 2014 10:25 pm
by Wifflebender (imported)
Philcheck (imported) wrote: Tue Jul 15, 2014 1:02 pm I'm also in a similar situation as you Wifflebender. I have had chronic testicular pain for the last four years after having numerous abdominal surgeries, where the inguinal nerve and other associated branches were damaged, or developed scar tissue entrapment around them. I was treated with medications, progressing to nerve blocks as the condition worsened. I was told an orchi would not help since my problem was occurring above them. The nerve blocks worked great for me but eventually worked less and less time for me. I eventually had a nerve stimulator implanted to block the pain signals. Sounds like your uro is going to use the blocks as a diagnostic tool to confirm the pain is coming from your testicles. The pain doc may also try some non narcotic medications that work on blocking the nerve pain such as Lyrica, and Cymbalta. My pain has recently worsened again and is not controlled as well with the implant. After a recent visit with my pain doc the orchi discussion is back on the table. Good luck with your pain doc.

Thanks Phil I take amitryptaline at night for for possible neuropathic pain. I guess I will find out about the nerve blocks but if they did work on you wouldn't than mean that there was pain coming from your testicles? I hope they figure out your pain

Re: So I have an appointment with a pain clinic

Posted: Wed Jul 16, 2014 2:23 am
by Tante Wippen (imported)
Although Lyrica (also known as Pregabalin) can be an excellent drug to treat neuropathic pain, it can also be lethal! As a result of this I would advise anyone who plans to take Lyrica, to take the first few doses with someone around who can at least call for an ambulance, if not give CPR.

Re: So I have an appointment with a pain clinic

Posted: Wed Jul 16, 2014 9:18 am
by Paolo
Tante Wippen (imported) wrote: Wed Jul 16, 2014 2:23 am Although Lyrica (also known as Pregabalin) can be an excellent drug to treat neuropathic pain, it can also be lethal! As a result of this I would advise anyone who plans to take Lyrica, to take the first few doses with someone around who can at least call for an ambulance, if not give CPR.

Exactly.

This stuff nearly killed my Auntie with a pneumonia-like reaction, which caused a stroke as well.

Re: So I have an appointment with a pain clinic

Posted: Wed Jul 16, 2014 9:49 am
by Slammr (imported)
I was prescribed it once, but had to stop taking it. Felt like I had a bad case of the flu after taking it for a couple of days.

Re: So I have an appointment with a pain clinic

Posted: Wed Jul 16, 2014 3:55 pm
by Riverwind (imported)
I have been taking Gabapentin for the last couple years for nerve pain, its one generation back the only side effect I seem to have is it makes me tired so I only take it at bedtime.

River

Re: So I have an appointment with a pain clinic

Posted: Thu Jul 17, 2014 6:57 am
by Wolf-Pup (imported)
Riverwind (imported) wrote: Wed Jul 16, 2014 3:55 pm I have been taking Gabapentin for the last couple years for nerve pain, its one generation back the only side effect I seem to have is it makes me tired so I only take it at bedtime.

River

I take that 3600mg a day (aka A LOT). It gave me back some mobility after being bed ridden for almost 3 years. Without it I couldn't do a lot of things like driving very far, shopping, laundry.

As far as side effects, it seems to combine with the morphine in my system (I have an intrathecal morphine pump to control pain) and makes ejaculation difficult. I also have ED, probably medicine related as well as physical reasons...so it can be a one two punch...getting close but not getting over the hump as it were..

Re: So I have an appointment with a pain clinic

Posted: Wed Jul 30, 2014 1:02 pm
by Wifflebender (imported)
My doctor has talked about doing an epidectomy on the left side because my left epididymis is what he believes is getting inflamed and causing swelling and pain. Anyone have any experiences with this procedure?

Re: So I have an appointment with a pain clinic

Posted: Tue Aug 12, 2014 7:23 am
by Wifflebender (imported)
So I'm at my appointment right now and I'm pretty nervous

Re: So I have an appointment with a pain clinic

Posted: Tue Aug 12, 2014 9:51 am
by Wifflebender (imported)
Pain doc is trying a topical cream that has a buch of stuff that I cannot pronounce that he has to order from the east coast. Does anyone else have any experience with topical creams for testicle pain? He said if those don't work then he will try gabaphentin

Re: So I have an appointment with a pain clinic

Posted: Tue Aug 12, 2014 10:19 am
by kristoff
Wifflebender (imported) wrote: Tue Aug 12, 2014 9:51 am Pain doc is trying a topical cream that has a buch of stuff that I cannot pronounce that he has to order from the east coast. Does anyone else have any experience with topical creams for testicle pain? He said if those don't work then he will try gabaphentin

I've not used topicals, so I can't speak to it. Gabapentin, on the other hand, is "supposed" to be good for neural pain (it rarely is), and is generally worthless. There are a few others (e.g., Lyrica) that he might try to pawn off on you - generally worthless. Don't give trials long time periods. If stuff doesn't work, press the issue.

Re: So I have an appointment with a pain clinic

Posted: Tue Aug 12, 2014 11:01 am
by Wifflebender (imported)
kristoff wrote: Tue Aug 12, 2014 10:19 am I've not used topicals, so I can't speak to it. Gabapentin, on the other hand, is "supposed" to be good for neural pain (it rarely is), and is generally worthless. There are a few others (e.g., Lyrica) that he might try to pawn off on you - generally worthless. Don't give trials long time periods. If stuff doesn't work, press the issue.

He also talked about nerve block injections and a patch that you can out on to numb things if those don't work. I guess it is just what I have to do if I want to have it removed so the drs can say they tried everything

Re: So I have an appointment with a pain clinic

Posted: Tue Aug 12, 2014 3:21 pm
by boingboing (imported)
It sounds like the doc wants to find out where the pain is really coming from. I think this is a good thing. It could be coming from the testicle (in which case removing it is probably the best thing), or it could be coming from something near the testicle, or a nerve going to the testicle, in which case removing the testicle may not help anything.

Re: So I have an appointment with a pain clinic

Posted: Wed Aug 13, 2014 9:48 am
by Wellesley (imported)
Topical cream is often rough on the scrotal tissue.

It does give a different sensation I will admit.

Lyrica just made me high. It was not a great choice.

Never did get nerve blocks. I read that they are diagnostic tools mostly. I was offered lower spinal nerve blocks but chickened out and went with the orchiectomy. (I heard about the spine blocks leaving the entire groin area numb)

Re: So I have an appointment with a pain clinic

Posted: Wed Aug 13, 2014 10:27 am
by Wifflebender (imported)
Wellesley (imported) wrote: Wed Aug 13, 2014 9:48 am Topical cream is often rough on the scrotal tissue.

It does give a different sensation I will admit.

Lyrica just made me high. It was not a great choice.

Never did get nerve blocks. I read that they are diagnostic tools mostly. I was offered lower spinal nerve blocks but chickened out and went with the orchiectomy. (I heard about the spine blocks leaving the entire groin area numb)

Did the cream make the pain go away? I hope the orichectomy worked for you

Re: So I have an appointment with a pain clinic

Posted: Wed Aug 13, 2014 1:50 pm
by micdavi24 (imported)
I too had problems for a long time and in the end had them out on 03/15 this year, no more pain and feeling great.

I took a different route to cause the removal, I injected with calcium chloride, which DOES cause pain and swelling, but ultimately causes inflammation like scars in the testes and this persuaded my urologist to suggest removing them immediately he saw the results of my ultrasound scans.

If you do decide to go this route to bring about their removal, read the entire thread on calcium chloride before doing anything. There are several of us who have used this method to bring about removal of our testes.