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Question:
I have had several prostate surgerys, and also
several hernia repairs. During the last hernia repair the
cord going to my right testicle got in the mesh and cut
the circulation off. I have had another surgery to
remove the right testicle. I sometimes have an
erection and it will stay, and other times I have an
erection and it does not stay but a minute or so. And
when I do have sex I have this burning affect in my
groin area on my right side. I would like to see what
could be done to help me out. I am 50 years old and
too young to give up on sex.
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Answer: by Annette Owens: (05/15/2004)
The burning sensation in your right side groin area
may be related to the surgeries you have had. Maybe a
nerve got injured or the problem is related to the
complications you had during surgery on that side. Is
there any way to check back with the surgeon who
performed your hernia repair? He or she may be able to
help you with that problem.
About your erectile problem: How were your erections
prior to surgery? Did you then have erections at night
and/or in the morning? Do you have morning erections
now? Are your erections different when you masturbate
than if you are with a partner?
If the answer to these questions is that your erections
in general (in ALL situations) have become less strong,
this may be related to the prostate surgeries you have
had. Even though surgeons do their best to preserve
nerves important for the erectile mechanism, it is not
always possible.
However, there are several ways for you to improve
your erections:
1) There are vacuum devices available, which will
create a vacuum around your penis. This way
blood enters the penis. By applying a tight ring at
the bottom of the penis it remains erect for a
while which enables you to have intercourse.
2) You can learn to inject a special drug into your
penis. This will cause an erection sufficient for
intercourse.
3) There are medications available to insert into the
tip of your urethra. This could work for you.
4) Have you tried viagra? I would recommend giving it
a try.
A urologist will be able to assess your situation and
give you specific advice and information.
Good luck!
Annette Owens, MD PhDReviewed by Sexual Health Editorial Team
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