I've noticed that one testicle feels unusually hard, small, and positioned higher than usual. Concerned about potential blood flow issues, I explained my concerns to the doctor. Despite their assessment that my testicles appeared normal, I persisted in expressing my belief that I may have ischemic orchitis. I also mentioned that the affected testicle felt significantly cooler than the unaffected one, leading me to believe there might be a circulation issue. The doctor replied that testicles are generally cooler to the touch, but I pointed out that this one was noticeably colder than the other.

The doctor explained that severe pain would be associated with loss of blood flow, which seemed inconsistent with my current level of discomfort. They then kindly provided a detailed explanation of the hernia surgery process, including the sepeeration and temporary repositioning of the spermatic cord during mesh placement. Before the surgery, I was unaware that the spermatic cord would be manipulated at all. I believed that the procedure would only involve closing the hole in the muscle.

I asked about the possibility of the cord being secured with a stitch in the incorrect position as the testicle felt higher than usual, but The doctor assured me that the cord was not stitched and it was free to move.

The doctor mentioned he had been doing hernia surgery for 20 years, without anyone return to him after surgery with post-operative complications.

The doctor mentioned that before the surgery, they said about potential circulation issues that can occur after the operation. I responded by reminding them that they had only previously mentioned the risk of fertility problems if a laparoscopic approach was used, which could potentially put pressure on the spermatic cord. The doctor then acknowledged a misunderstanding, clarifying that any type of mesh implant, regardless of the surgical method, could potentially lead to fertility issues and circulation issues. They also reassured me that since I already have a child, this shouldn't be a significant concern.

I requested a Doppler ultrasound to assess blood flow to the testicle, but this was denied. The doctor argued that such a scan would be pointless, as there would be no immediate course of action regardless of the results.

Given the doctor's assessment that there was nothing that can be done, I had accepted the potential loss of my testicle. I returned home, shed some tears and was a little disolusional that this wouldn't effect me and impact my overall well-being and ability to live a fulfilling life.