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Please we need help about post vasectomy!!!
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Please we need help about post vasectomy!!!

I feel so guilty because i asked my husband to have a vasectomy after our baby. Since that our sexual live has changed a  lot, he doesn't have the same sensation during the orgasm, i thought this will be better with time but not, so sad for him and for me i noted he doesn't want to have sex as before. His vasectomy was last dec 2009 and about 3 months he complained about a pain during sex , now pain is gone but less sensation stills. What could we do to improve this ???. Last night when he told me all this i was about to cry, sex is part of love and very important in a couple that love too much each other.
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647273_tn?1292094741
I don't think that you should feel guilty.

In 1999 after my wife and I had four children, I opted for a vasectomy for personal health reasons.
From 1994 up to about 2000 I used to come down with epididymitis and orchitis about every 3 to 4 months. I used to get wuite sick with it and ended up being hospitalized.

My vasectomy had major complications, a day after the procedure my scrotum swelled up to the size of a large orange. I went to see a locum doctor who was in place of our famliy doctor while he was on leave. She had a quick look at my scrotum, noticed that the suture had ripped open. She decided to put two more sutures in and sent me home.
The next day my scrotum was larger yet, dark purple and very painful. Again we went to see the locum, this time she sent me to the surgeon who performed the vasectomy.
After seeying my scrotum he immediatly scheduled emergency surgery to remove a left hematoma. I remained in hospital for the next 5 days.

The incission site of the scrotum nver really closed, there was a small hole that after about a year still did not close.

During a consultation with a urologist as a followup on a neurogenic bladder, I showed the small hole in the scrotum. The urologist told me not to worry about it.

Two weeks later I ended up in the local hospital due to my scrotum having swelled up to the size of a good sized grapefruit. After having been in the local hospital for about a week the scrotum split open and I was transferred to a city hospital where a colleque of this urologist worked. That same night at about 11:30 PM, I went in for emergency exploratory surgery of the left hemi scrotum. On the following day, being my birthday, I woke up in severe pain with a bangaged penis and scrotum. It appeared that I had a strep infection of the left testicle which had become necrotic. The left testicle, part of the scrotum, cremaster muscle, vas defference and tissue of the left scrotum was removed. The scrotum was left open and packed with salin soaked gauze. Every four hours I needed to have a sitz bath and have the packings and dressings changed. Water running over the open scrotum was very painful. After 8 days, I was discharged and my wife continued the routine for 4 hour packing changes for the next two months.
After several months I healed up well, however it is quite noticeble that I only have one testicle.

Even after this, orgasm or ejeculation sensation has not changed. I noticed a far larger change after I had prostate surgery at the age of 30. As a result of a TURP and resection of the prostate, I ended upi with a retrograde ejeculation for several years. Before my vasectomy, ejeculation had almost returned to normal.
As a result of loosing the testicle, I ended up needing monthly testosterone injections.

A vasectomy is a joint decission and both partners share equal resonsibility. My wife suggested it since we had the number of children that we wanted. I wanted the vasectomy in the hope that it would put an end to the infections in the testicles.

For me the sexual sensation had not changed. Since the last 3 years I have not been able to have intercourse or masterbation (masturbation) at all. I ended up with a fistula (hole) between my prostate and rectum. I had a penile catheter in for a year and a suprapubic catheter for the last 2 years.

I think that in the case of your husband, it is more a psychological problem than anything else. If this is something that both you and your husband really regret, than there is the possibility of getting the vasectomy reversed. It has only been 2 years since the vasectomy was done. The sooner that it is reversed the greater the success.

In my case being just short of 47 there is no hope of getting the remaining testicle reversed. Any surgery on the right testicle right now would run the risk of loosing the testicle. At 47, I'm at peace with my decission.
I would love to enjoy a good sexlife again, but know that this is not very likely. Needed surgery to correct the fistula, will only complicate problems with ED.

All the best.

Ron
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Avatar_dr_m_tn
Hello,
First of all this loss of sensations after vasectomy can be due to psychological effect after vasectomy. A vasectomy does not affect the blood and hormone supply to the penis. If the symptoms persist even after psychological counseling then nerve damage during the procedure needs to be checked.

I would suggest you to consult a urologist and get an ultrasound done. Other investigations which can be done are nerve conduction velocity, MRI or a cavernosogram (a test where a thin hypodermic needle is inserted into one area of the penis before a radio contrast solution is injected and X-rays taken).
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.


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Avatar_m_tn
Thanks for your response, looking for some more information i found this http://www.vasectomy-information.com/wordpress/?p=172 and please tell how many men can have the same situation if is psicological? ..........

here are some comments fron the link., our sexual live was good before this, Dr. Singh , do you think a reversdal can fix the problem?
If there is a damage on the nerve ?, there is a treatment?

My husband don't show interest in the sex since he don't feel as before .
I'm really afraid this can be worse with the time.

Maria,

My partner had a vasectomy 4 months ago and has the same issue of not having as strong of an orgasm. He noticed this the first time we had intercourse after the operation. Sometimes, he says that he can’t reach the “point of no return” He also describes it as your partner does, “not being able to feel the rush from his scrotom.” This has been very frustrating for him and he says that he wishes he never had the vasectomy in the first place. He is considering a reversal in hopes of gaining this feeling back. I’ve been doing research on this topic and have found a few other posts related to this issue. Surely, it’s not all in their head?

2.Katherine on 26 Mar 2008 at 6:49 pm #

Maria and Christina,

My husband had a vasectomy a little over a month ago and is dealing with the same problems that you discuss. He explained it like this when he posted to another forum on a different website:

“After the surgery, there is very little intensity. By that, I specifically mean there is no buildup, I just seem to have an orgasm and the feeling I had from my testicles is no longer present.”

My husband is a clinical psychologist and is completed offended at the idea that it is “in his head”. He keeps himself in excellent shape both mentally and physically. It’s unfortunate that there are men who are expressing the same type of problem and we continue to get the same kind of response from physicians who say that it’s not possible that the vasectomy affected this.

If you have any luck finding out how to resolve the problem, please post again.

Thanks,

Katherine

3.John on 06 Apr 2008 at 7:15 am #

Hey everyone

I am just curious if anyone has had any luck with this?

I had a vasectomy late last year and essentially have the same problem. I start to get the sensation of my orgasm building but then I ejaculate before I get to the point I used to get to in a climax and it feels very different and disappointing.

At times I wish I hadn’t had the operation.

It’s not in my head, whatever anyone says!

I really don’t think anything can be done, so I do wonder what I have to do to get back to enjoying sex.

Any others got any news?

4.John on 06 Apr 2008 at 7:26 am #

Apologies if this is repeated but my comment dissaperead

Essentially I have exactly the same problem and it feels like I cant get to that ‘point’

It starts but I just ejaculated and it dissapears.

Any further ideas?

5.Dave on 06 May 2008 at 12:52 pm #

Hi Guys,

And here I thought I was all alone, I have pretty much the same problem as all of you….. The sex is great, here comes the orgasm, here it comes…wait for it….here we go!!! OK so it’s over what the hell happened? What a disappointment and all these extremely clever doctors can say is its all in your mind, meanwhile our sex lives are totally up to **** and I don’t see the point of having sex anymore, the end result is too disappointing. In all honesty I only have sex to keep the wife happy.
I had my vasectomy 3 years ago and sex has not been the same since…Great hey I’m only 30 now, what a future.
The problem these doctors have nowadays is: If a huge amount of people have a problem or want something done there is money to be made so it is worth while spending the money on research but if its just a hand full of people out there like us how much money is there in it? Conclusion what’s the point of researching it!

Pissed off Dave

6.Dave on 06 May 2008 at 12:54 pm #

Pissed off Dave here again..


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Avatar_m_tn
My wife told me to get a vasectomy in 1973, after I had it done my sex life great and continued until a couple of years ago when I started to lose interest in sex and when I have sex I get a burning sensation in my prostate when I ejaculate.  I am 76 now and still have a active sex life, the interest is not there as it was before.  There use to be a lot of fluid, but now only a trickle.  Any way for an old dude to improve in this area.  I have a very young wife now.
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Avatar_n_tn
Funny how when the wife says she's not in the mood, that's just fine.  Maybe she's tired or has a headache.  But if the husband isn't in the mood, something must be very wrong.  Maybe he doesn't love you anymore, right?  Or maybe, just maybe, it might have something to do with the vasectomy.  A great idea of yours, wasn't it?  You women want to take our manhood away from us, first figuralively, then literally!  I hope he never has sex with you again!  Maybe you shouldn't have forced him to do it, you think?  
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Avatar_f_tn
It been over 3 years since my husbands vesectomy (vasectomy) and my husband is  also experiencing the same. He has trouble keeping an arection, and the sensation is also not there anymore. There is no explosion, sometimes doesn't even realized he had a orgasm.
like what another man was saying it just ooozes out. Even with taking Viagra doesn't work for him. It's definitely having an impact on him, I find he's not interested In love making much anymore he's depressed. Its worrying me that its making an impact on our marriage. Please help if anyone has any suggestions. Thanks.
its defenitely affect
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Avatar_m_tn
For me it took a full 4 months to feel pain-free and 6 months to feel sexually normal, well beyond the one week recovery outlined in the brochure.
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