Hello doctor, I had a scrotoplasty and liposuction on lower stomach and inner thighs for injecting of fat into the penis. I have had symptoms of pain as I stand. When blood rushes to the genitals, the pain starts to build to the point where I need to lie down. When I lie down the pain goes. While feeling my scrotum, I noticed that the left testicle has grown and is hard since the operation. Maybe two inches long by 1.5 inches wide. It is not painful to touch. I have had no fever or vomiting. I am on anti-inflammatory, antibiotics, and Endone. I am not sure about testicle whether it is edema, orchitis or something else. I am wondering what my next step should be?
Hello. Considering the absence of symptoms like fever, tenderness, and pain on touching, we can be certain that there is no inflammatory process going on. Likely cause for your pain can be altered anatomical orientation of structures which are causing stretch of skin and compression of testicles. This is probably the cause of pain. This should settle with time as you gradually resume your activities. However, next appropriate step is to get it examined by a doctor and confirm the cause of pain. If something is there on examination, then you may need an ultrasound. You should try to start gradually mobilizing yourself, initially just stand for some time, then walk for some time then stop and this should resolve progressively. So just get it examined once by the doctor to be assured. If the testicle is hard as you mentioned, then you need an ultrasound of the testes. For more information consult an internal medicine physician online -->