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Urology  (Expert Forum)
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Pain with erection and ejaculation post vasectomy
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D. 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.

Pain with erection and ejaculation post vasectomy

by jtjb, Nov 27, 2006 12:00AM
I had a vasectomy just over 7 months ago. For about two months now I get slight pain during an erection which increases during ejaculation.  Originally my urologist thought it to be a possible hernia.  My urine test came back clean (no abnormalities).  I have seen him twice.  I just came back from him today.  He has scheduled me to now comeback in two weeks for an ultrasound.  I am assuming the worse.  Can this be prostate cancer or can this be a complication from the vasectomy.  He dosen't give me much in terms of what he thinks it might be.  Has anybody else had this problem months after a vasectomy?

by Kevin Pho, MD, Nov 28, 2006 12:00AM
Scar tissue from the vasectomy can be considered.



I would also rule out infections, such as STDs.  The prostate can be evaluated as well for inflammation or infection.  A digital rectal exam or transrectal ultrasound can be considered.  



If infection and prostate disease has been ruled out, anatomical abnormalities like a urethral stricture or urethral polyp can be evaluated via a cystoscopy.



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.



Kevin, M.D.

kevinmd_
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