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Urology (Expert Forum)
post vasectomy pain
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
post vasectomy pain
by alistair, Nov 22, 2003 12:00AM
I underwent an open ended vasectomy about 10 months ago. After a few months I noticed pain in my right groin area when about to ejaculate. Since then this condition has worsened, despite a course of antibiotics prescribed by my urologist who thought it may be some infection. Now the pain will arise even when I simply get an erection, but not always. Indeed during one week I can have virtually pain free sex and then suddenly the next night I have a very sharp pain in the right groin area which makes it impossible to continue with the sex or even attempt ejaculation. The pain will then remain, though at a much lower level, for days. Anti-inflammatories help but certainly do not completely eradicate the pain. Any thoughts or suggestions?
Doctor's Answer
by Kevin Pho, MD, Nov 23, 2003 12:00AM
, Nov 23, 2003 12:00AM
Here are the known complications for vasectomies. The complication rate is about 5%.
Mild Discomfort
Some men report a mild aching sensation to the scrotum for a few hours to a few days after the procedure.
Hematomas
Mild bleeding into the scrotum causing small tender swelling for a few days.(1/400). A major bleed into the scrotum causing a grapefruit sized scrotum which will take months to heal (1/1000).
Infection
Redness and pus from the healing site opening (1/100).
Epididymitis
Tender swelling of the epididymis, the tube connecting the vas deferens and the testes (1/100).
Sperm granuloma
A small, potentially uncomfortable, bead-like structure made of leaked sperm that may develop at the site where the tube was cut and blocked (1/500).
Post Vasectomy Pain Syndrome
A very rare complication of a persisting dull ache in the testicle where the inflammation does not settle down. It may resolve on its own or may need another surgical procedure 1/1000).
You may want to consider whether a scrotal ultrasound can help. This can evaluate any hematoma, masses or epididymitis arising from the procedure that may be contributing to your discomfort. Another option would be a pelvic CT scan to evaluate if any hernias or masses are present.
If post vasectomy pain syndrome is diagnosed, you may want to consider whether a repeat surgical procedure is an option.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Mild Discomfort
Some men report a mild aching sensation to the scrotum for a few hours to a few days after the procedure.
Hematomas
Mild bleeding into the scrotum causing small tender swelling for a few days.(1/400). A major bleed into the scrotum causing a grapefruit sized scrotum which will take months to heal (1/1000).
Infection
Redness and pus from the healing site opening (1/100).
Epididymitis
Tender swelling of the epididymis, the tube connecting the vas deferens and the testes (1/100).
Sperm granuloma
A small, potentially uncomfortable, bead-like structure made of leaked sperm that may develop at the site where the tube was cut and blocked (1/500).
Post Vasectomy Pain Syndrome
A very rare complication of a persisting dull ache in the testicle where the inflammation does not settle down. It may resolve on its own or may need another surgical procedure 1/1000).
You may want to consider whether a scrotal ultrasound can help. This can evaluate any hematoma, masses or epididymitis arising from the procedure that may be contributing to your discomfort. Another option would be a pelvic CT scan to evaluate if any hernias or masses are present.
If post vasectomy pain syndrome is diagnosed, you may want to consider whether a repeat surgical procedure is an option.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Member Comments
by HTGuy, Jan 17, 2004 12:00AM
To: Sexual Problem
0
