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Inguinal nerve dissection poll

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  • Inguinal nerve dissection poll

    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.
    5
    My inguinal nerve was dissected and I got normal feeling back eventually!
    40.00%
    2
    I had my inguinal nerve dissected and its still fairly numb after 3 or more years :(
    0.00%
    0
    I am still numb under the incision after alllll these years.
    0.00%
    0
    I eventually made a close-to-complete recovery under the incision. :)
    60.00%
    3
    Last edited by Michael112; 01-04-07, 02:16 AM.
    Aged 23 ;; 09/06 left I/O ;; Markers normal ;; 100% Seminoma Stage 1. ;; 10x8x16mm & 7x7x8mm ;; rete testis invasion. ;; no vascular invasion. ;; surveillance. ;; HRT.

  • #2
    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.
    Aged 23 ;; 09/06 left I/O ;; Markers normal ;; 100% Seminoma Stage 1. ;; 10x8x16mm & 7x7x8mm ;; rete testis invasion. ;; no vascular invasion. ;; surveillance. ;; HRT.

    Comment


    • #3
      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.
      Scott, [email protected]
      right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since


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      • #4
        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.
        Aged 23 ;; 09/06 left I/O ;; Markers normal ;; 100% Seminoma Stage 1. ;; 10x8x16mm & 7x7x8mm ;; rete testis invasion. ;; no vascular invasion. ;; surveillance. ;; HRT.

        Comment


        • #5
          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."
          Scott, [email protected]
          right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since


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          • #6
            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.
            Son Jason diagnosed 4/30/04, stage III. Right I/O 4/30/04. Graduated College 5/13/04. 4XEP 6/7/04 - 8/13/04. Full open RPLND 10/13/04. All Clear since.

            Treated by Dr. Rakowski of Midland Park, NJ. Visited Sloan Kettering for protocol advice. RPLND done at Sloan Kettering.

            Comment


            • #7
              Originally posted by Rover
              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?
              Scott, [email protected]
              right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since


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              • #8
                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.
                Brian, [email protected]
                left inguinal orchiectomy 9/21/2005 > seminoma, stage IIC 12cm x 12cm retroperitoneal mass> 3XBEP completed 11/30/2005 > residual 9cm x 7cm mass removed 3/29/06. All necrotic tissue found > Surveillance

                Comment


                • #9
                  Originally posted by 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.
                  ditto - except I'm only 10 months since I/O
                  Diagnosed March 2006, Stage IIB, 3cm RP mass
                  10% Seminoma, 90% Non-Seminoma (Embryonal, and a tiny amount of choriocarcinoma and teratoma)
                  Prechemo bHCG-2648, AFP-582
                  3xBEP March-June, markers normalised
                  3 months postchemo - 1.2cm residual RP mass
                  RPLND September 2006 - mostly necrotic tissue plus tiny amount of well differentiated teratoma
                  June 2009 - TRT commenced to help out my lefty
                  May 2011 - check-up, all clear

                  Comment


                  • #10
                    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.
                    "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
                    11.22.06 -Dx the day before Thanksgiving
                    12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! I consider myself cured.

                    Comment


                    • #11
                      Originally posted by Fed
                      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!
                      Scott, [email protected]
                      right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since


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                      • #12
                        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.
                        Aged 23 ;; 09/06 left I/O ;; Markers normal ;; 100% Seminoma Stage 1. ;; 10x8x16mm & 7x7x8mm ;; rete testis invasion. ;; no vascular invasion. ;; surveillance. ;; HRT.

                        Comment


                        • #13
                          Still gotta get a prosthesis put in, and gonna get the 10% off deal along with it too.
                          Aged 23 ;; 09/06 left I/O ;; Markers normal ;; 100% Seminoma Stage 1. ;; 10x8x16mm & 7x7x8mm ;; rete testis invasion. ;; no vascular invasion. ;; surveillance. ;; HRT.

                          Comment


                          • #14
                            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
                            Aged 23 ;; 09/06 left I/O ;; Markers normal ;; 100% Seminoma Stage 1. ;; 10x8x16mm & 7x7x8mm ;; rete testis invasion. ;; no vascular invasion. ;; surveillance. ;; HRT.

                            Comment


                            • #15
                              Originally posted by Michael112
                              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.
                              Scott, [email protected]
                              right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since


                              Your donation funds Livestrong services for people facing cancer now. Please sponsor my ride!

                              Comment

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