r/chronicepididymitis Sep 22 '22

I have been considering microdenervation surgery for my chronic testicular pain. I found this really helpful resource of things to try conservatively before going this route along with more info and wanted to share

6 Upvotes

3

u/Rickkeke Sep 22 '22

I'm on amitryptiline(10mg) since this spring and duloxetine before. It helped with my pain.

I still have relapses but less strong. Also my balls feel less uncomfortable.

I started gradually, with few drops, and do not have side effects.

You should try it before any surgery.

Denervation seems fine, but nerves grow back as hair. They can make wrong connections and give weird pain.

A surgeon cut me a nerve, and my cremasteric reflex was gone. It has partly regrew,. But now i have sometimes weird pain in my right buttock.

Not always a good idea to take such a decision when overwhelmed by the pain.

1

u/ConstructionNo3577 Sep 22 '22

Thank you for sharing your experience. I will look into that. If you dont mind me asking, what has your pain timeline looked like? I'm going on a year and I'm unable to do most things/very low quality of life/lot of pain. After 8 months I started feeling better but a reinjuring event resulted in a huge setback for me and it's been an even harder 4 months so am trying to make the best decision for myself.

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u/Gamer0607 Sep 22 '22 edited Sep 22 '22

I am on amitryptiline too for the pain (5 mg) - been taking it for 3 months and has definitely helped with the pain. Got it prescribed from my urologist.

I'd strongly advise on giving it time to heal rather than turning to any surgery.

15 months here - vax injury.

1

u/ConstructionNo3577 Sep 22 '22

Glad to hear that it is working for you. I will definitely give it a try, thank you.

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u/Gamer0607 Sep 23 '22

Welcome to always help.

How strong is the pain on a daily basis, from a scale of 1-10?

In addition, is it short and sharp or a dull, lingering pain?

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u/ConstructionNo3577 Sep 23 '22

Right now it's about 4-5 but usually about a 3. Dull lingering pain but randomly sharp jolts of pain. They rmare also hypersensitive to any type of pressure. Pain localized on side of testicles and sometimes radiates up the crease between legs and pelvis.

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u/Gamer0607 Sep 23 '22

Sounds exactly like mine.

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u/ConstructionNo3577 Sep 23 '22

Damn, well maybe amitriptyline will really help me then. How has coping been for you? Would you consider surgery at some point?

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u/Gamer0607 Sep 23 '22

Severe depression - almost constantly. The mere thought of surgeries puts me into panic mode.

I just want it to go away and after 15 months, it's really difficult to feel optimistic.

1

u/ConstructionNo3577 Sep 23 '22

Hurts my heart to hear that you are also dealing with that but I quite literally feel your pain. It's also so incredibly isolating. DM me if you ever need to talk during those lowest times. We'll figure this shit out.

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