PART 3 - 03 October 2013 – Mr N, Whangarei
Reason for Appointment
To get an assessment of my scrotum & to get proof of what Dr R had done.
Information conveyed to Urologist # 5
To ensure there would be no misunderstanding I gave Urologist # 5 a brief
1 ½ page summary of my condition & concerns.
The letter mentioned an incident on 17 April 2013. I did not say what this incident
was. He appeared to read the letter.
Then, when talking to him I mentioned the main points that were –
‘healing’ is occurring, there was slight improvement in movement , erections were
Improving and that changes in my perinneal area caused myself facial changes.
(I was actually referring to auto erections).
Examination
Urologist # 5 then proceeded to examine me.
He put his hand up & under my scrotum & started pulling in 2 distinct places.
I froze in terror.
After the examination he did an ultrasound.
After the ultrasound he said –
Mr N - you have had a vasectomy
Me: No I haven’t
Mr N : oh ! I thought you said you had
What was disturbing about this comment after the ultrasound was in the way
it was said. It was more of a statement. As though something had been done.
After the examination
1) The left testis starting curling & bending.
2) The attachment that was attached to the compromised tail of epididymis
now had a shredded end (to touch).
3) The support that held the left testicle down was gone. The left testicle
seemed to ‘pop’ up, like out of a socket.
4) It felt like my testicles had been cut off.
5) There was bruising of the scrotum & perinneal area 2 weeks after the
examination. That is after 2 weeks of healing.
6) The median raphe looked detached from the tail of epididymis.
7) The space the left testicle sat in became even more restricted.
What I believe happened
I believe Urologist # 5 -
1) Pulled the left gubernaculum from the detached tail of the epididymis.
He tore it.
2) He manipulated the lower appendage to such an extent that it resulted in
total reperfusion of the appendage. It reduced the size of the
appendage to such an extent that it was no longer detectable by an
ultrascan.
3) He removed the chord-like structure going down into the perinneal area.
(In July 2014, when looking at photos taken prior to Urologist # 5
examination; , Urologist # 6 said –
examination; , Urologist # 6 said –
(“it seems to be a chord like structure, I don’t know what it is”.)
4) I also believe he did something at the back of my left testicle in the centre,
near where is fused.. Subsequent events appear to have confirmed this.
One of the above caused bruising and a Haemorrhage.
From photos, taken 2 weeks after the examination, after 2 weeks of healing, several
medical professionals confirmed that I had had a bleed or haemorrhage.
Subsequent comments by Medical Professionals
Dr H said that I had had a haemorrhage.
Dr C said that bruising had occurred. After advising him that i had laid a complaint
to the HDC, he seemed surprised the HDC had done nothing.
Urologist # 9 admitted that it was not usual for bruising to happen following
an examination.
Dr F said that a haemorrhage had occurred. That probably a small blood vessel
had broken.
Urologist # 6 said that bruising was not large. But in that acknowledges that
bruising had occurred.
As a result of Urologist # 5 examination, I lost almost all feeling to the perinneal area.
It felt like my testicles had been cut off. I feel this was a clear indication that the
gubernaculum had been pulled from the epididymal tail. When i went to walk the
tightness created by the tail / gubernaculum had disappeared.
Several months later I got isolated feeling in a small piece of dartos composition
(Urologist # 9 indicated this is what probably was) under the left testicle.
After the examination, the tail of the epididymis came back to the inner bottom of
the left testicle. Not on top as before, but beside the inner bottom. During the day the
testicle would contract in at the bottom because of the disjunction of the tail. At night
when undressing the cremaster muscle would tighten & pull the testis upwards.
The testicle would auto compress to about 3/4 of its normal size.
However, it did not raise up completely as the testicle was still held down by the
gubernaculum part which was still attached to the testis.
Photos taken after the examination showed decimation of the perinneal area.
My testicle was ‘looser’ at the bottom. Improving auto erections were
Permanently lost.
After the examination , for the first time in my life, I had pain. Pain in my right
scrotum & referred pain in my left upper thigh.
As far as I am concerned I see Urologist # 5 examination as
wilful abuse to cause harm.
Complaint to HDC
I made a complaint to the HDC.
In his reply to the HDC Urologist # 5 said the gubernacular structures are fairly
strong & can not usually be torn. He also claimed he did a regular examination.
HDC’s decision
Main points of the HDC’s advice to myself –
“ I accept Urologist # 5 explanation that you claim he has caused are not possible
as a result of a medical practitioner doing a regular examination of the scrotum.”
“I acknowledge that you believe that Urologist # 5 destroyed your scrotal ligament,
However, I consider if any pathology or trauma was present, the scan results
would reflect this”.
Information suggesting that the HDC’s comments are not correct
(In June 2014, Urologist #6 advised me there are 2 ways a scrotal ligament could
be separated (see extract of taped conversation)
(In May 2015, Urologist # 9 told me (and on tape) that an Ultrascan will not pick up
a disjunction of the tail of the epididymis . He went further. He contacted a
specialist in MRI scans. Urologist # 9 advised me that it is possible but
very unlikely that an MRI scan will pick up a disjunction of the tail of the epididymis
(see extract of taped conversation).
How much harder would it be for a MRI scan to detect a detachment of the
gubernaculum from the tail of the epididymis ?
April 2013 to October 2014
I tried to lay a complaint with the NZ Police about 7 times, first in regard to
Dr R (about 2 times), then Urologist # 5 (about 5 times). The Police advised me
that could not Act without the HDC backing up my claims.
Jan 2014 – Middlemore Hospital
Because of pain in my right scrotum & upper left thigh following Urologist # 5
examination, my GP referred me to the hospital. However, this was not needed
as pain disappeared after about 2 weeks.
In January 2014, I received a letter from Manukau Health with a cc to Dr R
concerning 'reoccurrence of pain'. So it can’t be disputed that on 17 April,
2013 , Dr R thought I had pain.
June 2014 – Dr F
In June 2014 , a Dr F examined my testicle (without concern)& said my left testicle was
rising and unable to traction it down and have it stay down.
(The gubernaculum is what holds the testicle down).
The letter from Manukau Health and the referral from Dr F were sent to the HDC
No reponse received from the HDC.
