I had a radical prostatectomy 20 months ago. After the operation my left testicle felt "strange" odd tingling and sometimes stabs of pain during the night. My urologist told me it would settle down in a month, but it did not. The tingling disappeared but the night pain continued on and off. My testosterone levels fell and I went on HRT to help stop night sweats. I had ultrasound scans of the testicle but it did not show anything significant. The pain continued causing interrupted sleep at night, I tried antibiotics but they did not work, the only thing that helped was paracetamol. After 12 months I had another ultrasound and the testicle had shrunk 50% from its original size and it felt very soft. My urologist told me the testicle had basically stopped working. Out of frustration, I had the testicle removed 9 weeks ago. I am aware that after a prostatectomy testosterone levels can fall but usually recover. Mine did not and I am now permanently on HRT, Could anything else have been done?