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Painful ejaculate post open hernia repair
Your surgery involves mesh placement and suturing onto the pelvis muscles. Strong contractions of any kind early after surgery, such as with orgasm or certain exercises, may cause pain and even stress the repair in rare cases. Also, the mesh is typically adjacent to or wrapped around the spermatic cord, which includes the vas deferens, which carries sperm from the testicle to the prostate. There are nerves along this. Any extra tension or pressure in this area, which includes orgasm, may be perceived as painful because the area of the cord is already swollen from the recent repair, as evidenced by the swollen scrotum.
Perhaps reduce any stressors on the repair until the area is less swollen, which can be gauged by the scrital and incisional swelling.