Inguinal nerve dissection poll

[Michael112]

The one way you can tell if you have a dissected inguinal nerve is loss of sensation on the top part of your scrotum or base&underneath of penis on the affected side.
Would just like to point out this is about numbness not pain.
Would really appreciate it if everyone who is 3+ years from there I/O can vote.

Thanks.

[Michael112]

40 views and one vote....?

I want to know what I should be expecting, I find it hard to believe that a numb area due to a cut nerve can eventually get feeling back, my dad has had a nerve removed from his arm for a bypass and its been over 3 years and its still numb!

Every doctor has said about the inscision numbness "its going to be numb for a very long time". This translates to me that its always going to be numb. So why would the inguinal nerve numbness recover in only a year. It all doesnt make sense to me, the only way I am going to get an answer is through this poll.

Every doctor has said that the inguinal nerve is purposly disected during an I/O so why is there only 2 people on this board out of everyone that has mentioned having this numbness.

[Scott]

This comes up all the time, and practically everyone who answers says the numbness goes away almost completely within a few months to a year.

[Michael112]

I will take ur word on it.

The reason I didnt believe it was cause I read a urology journal where they did a big long term study on I/Os.

They seperated the patients into 2 groups, one with inguinal nerve dissection, and one without.

1st couple of months the group wich didnt have there nerve cut complained about parasthesias.

After 1 year, like 99% of the group wich didnt have there nerve cut were fine with no pain anymore. And about 80% of the group that did have there nerve cut still had sensation loss.

There was a decent amount of subjects in the study.

The conclusion of the study was that routine inguinal nerve dissection should be reconsidered in I/O.

[Scott]

I wonder about this. Here's a source that advises, "Identify and mobilize the ilioinguinal nerve and separate it so as not to resect it during the radical orchiectomy," and warns, "Complications associated with this procedure include ... Ilioinguinal nerve injury, resulting in hypoesthesia of the ipsilateral groin and lateral hemiscrotum."

[dadmo]

Michael:
I don't know if this poll will get many votes. Most people who visit us are gone well before they hit the 3 year mark.

[Scott]

I hope to be done hearing the chatter out of Scott and Dadmo around the 1 year mark.

What chatter? You don't find us fascinating conversationalists?

[indiana9]

16 months since left io and while I never experienced numbness of the scrotum or penis as you are describing, I am still VERY NUMB below the incision in the area of my pubic hair.

[Davie]

16 months since left io and while I never experienced numbness of the scrotum or penis as you are describing, I am still VERY NUMB below the incision in the area of my pubic hair.

ditto - except I'm only 10 months since I/O

[Fed]

I concur with Davie and indiana9 (although I'm only 4 weeks out).

Details on your personal case may be found if you get a hold of the operative notes. In my case it says, "We then opened the external oblique fascia and found the ilioinguinal nerve and dissected this off the cord." Although some loss of sensation is to be expected, I think it's still a small price to pay to get the renegade cells out.

[Scott]

I concur with Davie and indiana9 (although I'm only 4 weeks out).

Just four weeks after your surgery, I'd be amazed if you didn't still feel numb under the incision!

[Michael112]

The inguinal nerve isnt disected to help reduce the chance of spread.

The reason it is disected is because when they push the testicle up through the canal there is a lot of pushing and pulling, I think they actually try push it up as much as they can actually pushing the scrotum up into the start of the inguinal canal, they expect the nerve to be so iritated through this process that its gonna cause parasthesia wich is permanent "driving the patient nuts", but if so all that would require is a 2nd inscision to disect it, but based on studies the parasthesia settles after 2-3 months and goes away after 12 months, wich makes sense.

Its been a solid 3 months since my I/O and I got to admit some feeling has come back atleast around the inscision area but I expect this, what I was doubting was anything above 80% feeling coming back.

I still have a lot to look forward to, I plan to get cosmetic surgery on the scar in a year, something I am surprised no1 else has mentioned.

[Michael112]

Still gotta get a prosthesis put in, and gonna get the 10% off deal along with it too.

[Michael112]

Well goes to show its upto the surgeon if they want to do the inguinal nerve disection or not, I guess if you got a surgeon experienced enough to do a partial I/O then they would be upto date and know not to disect the inguinal nerve.


50% off? I am talking about circumsision. lol

[Scott]

I plan to get cosmetic surgery on the scar in a year, something I am surprised no1 else has mentioned.

My orchiectomy scar is all but invisible.