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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.

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 PhD

Reviewed by Sexual Health Editorial Team

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