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Vas Deferens attached to scrotum wall after a vasectomy

I'm a 52 yr old male, had vasectomy about 2.75 yr's ago and one of my vas deferens is attached to my scrotum wall, at the same site where my Dr. had performed the vasectomy procedure.  
I had somewhat of a tough time after my surgery with lumps in my scrotum.  One of the lumps seemed to be getting big and moving up the scrotum wall towards the base of my penis.  I did not think too much of it at first, but I did not like; it looked as if I have a lump on my scrotum, especially with an erection,  because of the vas deferens being pulled up.  A year ago I went to my Dr. to find out what it was as it was becoming more noticeable, this was a bit prior to the lump being fully attached to the scar site from the vasectomy, he said it was “x&@#$%” or something I did not understand, and he said it was not an issue.  Now the lump is so big with an erection it is bothersome during sex and the end of the vas deferens is directly attached to the scar on the scrotum at the surgical site.  Is this normal or typical?  Can a simple cut in the scrotum to make a small opening to cut to release the vas deferens be done?  How does this happen and how to prevent it from happening again if corrected?

My email is rdr.***@****
23 Responses
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Avatar universal
I have the same thing happen. The vesectomy was done just yesterday, so I went in to have the doctor look at it today.  The doctor told me that yes the Vas deferens felt is attached and said as they won't cut it open again until it heals up first.

Maybe it will unattach, but maybe not.  If it doesn't they just have to do Surgery and cut the vas deferans from the scrotum.  Then let it heal again to see how it heals.  If it attachs again, they will do Surgery again.

It is frustrating, but I guess this is apart of the complications that can occur.

Just stay on it and keep asking/ go see a different doctor if your doctor is not listening.  It can and does happen even if not very often.  It is a real thing and can be fixed.  Don't let the doctors pride or whatever reason they won't listen to you leave you living with a life long pain.

I am pretty sure mine happened because he was in a hurry to close me up because he was behind for his schedule.  The vesectomy lasted 1.5 hours but was only scheduled for 45 minutes.   So hurried and made a human mistake.  Now it is my problem to deal with it long term.

My advice though is to just stay with it and keep asking and having it looked at to get it corrected.  I know it is annoying and spending extra money for doctor visits is not ideal, but this is unfortunately how it does sometimes.  Be your own advocate because if you don't care enough to no one else will.

Unfortunately your recovery process just became a lot more painful and longer then everyone else's.  I wish you luck with recovery.
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1 Comments
Hi there. How did this correction go for you? I think the same thing just happened to me. Was the doctor receptive to this? Was recovery just as long as the first time? Having a follow
Up with my doc this week.
Avatar universal
Hello All. I seem to be having this same issue of vas deferen stuck behind the incision site. I have been back to the provider who performed the procedure. Basically said to wait a few more weeks to see what happens with it. I am 4 weeks out from my vasectomy.

Just curious to know if any others did end up having a second procedure to get the vas deferen released. If so, how did it go? Are you better now?
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Avatar universal
Any updates, do you have any other issues from this or have you had it fixed?
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Avatar universal
hello,
     I recently had a vasectomy and the top half of my left vas defens ( the one that enters the body) appears to attached to my healed incision site. its not really noticeable unless you pull the incision site up since the cord is basically running straight back behind the incision. I feel it pulling constantly.
     I tried to show my doctor but he was extremely rude and barely felt at it and said its fine. and when i tried to pull up the skin to show him where it is blatantly obvious he yelled at me and said you're just pulling skin, you're fine!
     I am working on seeing another doctor but it will be two months until i get in. I am assuming if he gives me the same answer i will try another, than another if needed.
     Did anyone who experienced the same issue have any problems with your prostate during this time? i feel like the cord is pulling my insides extremely tight and i am having issues with urination, ejaculation etc.
    The fact that I have read a few people went through what I'm experiencing and eventually got it released is reassuring, as i have had to give up many of my active hobbies because it irritates it and causes prostate inflammation.
    Any advice, words of encouragement, possibly doctor referrals who have dealt with this problem and realize it can happen would be greatly appreciated.
    Thank you so much
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Avatar universal
Left side.  Vasectomy 1 week ago.  I can feel the vas is attached to the incision. This side is still sore while the other side is fine. I will call dr
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Avatar universal
Any updates? Please
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Avatar universal
Did it unstuck itself after the hematoma was gone?
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Avatar universal
Had my vasectomy two weeks ago. I have a painful lump on the left side and seems to be the tube attached to the wall of the scrotum. It seems like the sutures nicked the tubes when the skin was closed.

I find this very worrying and I don't understand how surgeons with experience in vasectomies can end up doing this.

After some struggle to convince he Doctor about my problem  a new procedure has been arranged to correct the problem in another two weeks. I hope everything goes fine.
Helpful - 0
1 Comments
Hi Mike. How did this correction got for you? I think the same thing just happened to me. Was the doctor receptive to this? Was recovery just as long as the first time? Having a follow
Up with my doc this week.
Avatar universal
I have had the same problem where the left vas attached to the scrotum wall at the location of the incision. It was very uncomfortable and when lifting my penis it would pull up my left testicle and pull on the vas. I consulted the doctor who performed the vasectomy and he said that this was interesting and I should take hot baths for the tissue to dissolve and let go of the vas and to come back in 2 weeks if not better. Well, needless to say, it didn't get better. I went back and he pretty much performed another vasectomy with a bigger incision and a lot of cauterizing. After a few days I could tell that the vas was still attached to the wall and that the vas had swollen to the size of my testicles. It looked like I had 3 testicles in my scrotum. The 2nd vasectomy was worse than the first and the situation became worse. It has been 3 weeks with no improvement. I don't want to go back to the same doctor and would love some advise from you guys that were able to actually resolve the problem.
Helpful - 0
Avatar universal
Went back to the doctor about it and he said it was attached and that it was normal but to come back in 2 months if it was bothering me and he would take care of it. We'll see how it's doing after 2 months.

He also said to take vitamin E to help breakdown the scar tissue. Mine bothers me a bit. Some discomfort on that side. Other side is fine.

4 weeks now and no change.

C.
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Avatar universal
Thanks for the thorough response. Appreciate it. Glad everything is all good for you now.

Heading back to the doctor to see what he says about it. Been 3 weeks now and figured if it would have released it would have by now if it was going to. It just doesn't look like it should. If it was attached to the incision site I would think it would scar up together. Figured if it is together the sooner the better. I'll update after the doctor visit.

Helpful - 0
Avatar universal
To all in this post... sorry for my late follow up.  When I posted this topic in June 2012, I was looking for answers to my condition and in he end, I had to get, what I believe to be, nearly a second vasectomy to fix my problem.

After several more moths the lump I had that seemed to be attached to the scar site on my scrotum from the original operation got bigger and than it develop a pimple like growth on the outside surface of the scrotum on the incision site.  

Although I am not  doctor, what my doctor did in his office seemed to be very much the same procedures as the original vasectomy.  I was injected with a lot of local anesthesia and the cutting and pulling began.  My doctor, the partner of the doctor that did the original procedure, cut into my scrotum at the original site and started to use obscure terms like, "that's interesting", "that's a lot of gunk", and several others as I remember.  For a doctor that spends his full time job doing just this, he seemed to be either ill-informed or playing dumb to cover up a botch up job from his partner's first attempted.  

All in all, he cut out a piece of something, again not very forth coming with information, tied up some knots and pushed it all back in and closed the opening. I had a pretty good size lump behind my testy from the new knotted up vasdif but the lump at the base of my penis was gone and the outside pimple was gone too.

This procedure heal up like all of my friends that had vasectomies before me had advised it would be, simple and painless for the most art.  a month later, scar sit is healed, lump is gone and all feels much better and no longer sensitive.  

I still have a bit of a lump behind my testies that feels like a bit of a third ball, but other than a physical hand check of them I am not aware of it.

My conclusion is that the first doc ****** up somehow.  He was in his late 60's at best and had a pretty good general old man motor skills mild shake that may been part of it or failing eye sight, but either way, something felt wrong from the first week later when all should have started to be getting better and never felt right.  The second procedure by his partner in the office, not in the special location for mass production of procedures, was about the same and healed up in a few weeks and solved all of the previous issues.

The real ****** part is that they billed me for the second operation for the full amount of the first operation and I should have refused to pay and threatened to sue..  After all of my pain and a second operation the doctor was looking for money... when he should have been happy that I did not sue them.  

That's my story... sorry it took me so long to post it to you all.

R.
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Avatar universal
Did you have anything done? To correct the issue.

I had a vasectomy 2 weeks ago and I'm pretty sure the vas is sutured to the incision site. Follows the skin of the scrotum around  not floating freely like the other side. Called the doctor he said probably swelling and wait 2 weeks. Pretty much that it couldn't be attached. But I am pretty sure that it is. I don't think I will wait 2 weeks. Maybe another week.
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Avatar universal
I had a vasectomy 2 1/2 weeks ago.  For the first week and a half I had very painful swelling on my right side.  My left side was fine after the 3rd day.  Figuring my right side wasn't normal, I went back to the dr that did my vasectomy.  He said that I had a sperm granuloma.  Most likely caused by me crunching my legs together or rolling over wrong while I was sleeping.  Saying that I had caused a small tear in the vas and had some sperm leakage into the scrodum.  Rest and ice would do the trick.  I took off 10 days from work for this.  Not good.
The major swelling went down about 4 days ago.  I now can feel that one end of the severed vas on my right side is attached to the back side of my incision.  I am starting to think that if the dr sutured vas while he was suturing the incision, that would have caused the leakage and swelling.  I am still sore in that area and there is some swelling, but not really in pain at the moment.  I do occasionally feel a tugging when moving my legs a certain way.  I looked around and found this forum.  Have any of you got any answers to your questions?   Is this OK and safe?  Should I address this immediately or will I most likely not have any issues with this vas/scrotum connection in the future?  
What did you guys do?
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Avatar universal
I had a Vasectomy @ the VA and it took them 2 hours and then a few days later I had a 1" suture sticking out. It was the kind that is there forever. My vas is now attached to my scrotum and it is pain full.
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Avatar universal
my vasectomy was 3 weeks ago, I only noticed today that I have the same issue, it appears that the end of the vas deferens (the tube) is directly attached to the back of the incision site. The tube itself appears to be swollen and is tender (not unusual in itself) and I believe in the future it has a good chance of causing issues. The senior surgeon in attendance at the operation told the acting surgeon to not stitch the incisions, but to just use spray adhesive instead, so my tube was clearly not stitched to the scrotum.

Anyone reading this who is planning on getting a vasectomy, I suggest you make sure they stitch it up. no stitches is a ridiculous idea in an area that has so much movement.

I will try to make a doctors appointment for tomorrow to get his opinion.


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Avatar universal
I feel the vas attached to my scar and I only had a vasectomy 10 days ago. I googled this symptom and found this forum. I'll be talking to my gp and surgeon regarding my concern
Will keep you posted
Steve the one of the unlucky
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Avatar universal
This is nsanders92. I have not had anything done about my issue. I live with pain nearly every day. I wanted to have it released but no doctor in my erea will do it for me. I agree we are the unlucky few that have had to deal with this.
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Avatar universal
I've recently had the same thing happen.  I had my vasectomy in the last week of December.  The day after the procedure, it felt to me like the end of the cut tube (from the top) had attached to the incision site in my scrotum (left side).  My scrotum was "puckered" there and I could feel a tube and feel the tube holding at the incision site when trying to lift the skin around it.  After a lot of hassle trying to get someone to look at it immediately, and talking to the attending nurse- who stated strongly "there's no way it could have adhered already and he (the Dr.) didn't sew it in, I watched him close it up...", I finally got in to see my doctor 5 days later.  He said it may be swelling or a granuloma, but because of the swelling I should wait another 5 days for him to evaluate it.  The swelling went down and I went back in and he said "Yup, it seems to be attached".  He also said he didn't think it would "come down" or fix itself and could produce problems later (e.g. the tissue could break down and sperm could leak in).  I could wait a while to see what happens or I could have another surgery to cut it loose.  I opted to have another surgery.  That was 3 days ago.  Now there's so much swelling and bruising and a large lump in the same area, so I can't tell what is going on or if it is going to be better in the long run.  Right now, my wife and I are pretty pissed because, as the nurse said- there's no way it could have adhered in that amount of time.  The only way that it could have attached at that location in that amount of time was if it was accidentally sewn in when the incision site was stitched closed. The second surgery is going to cost me thousands of dollars (new policy year for insurance).  I think the dr. should cover the cost of the corrective surgery- and I still don't know if it's going to be alright in the long run.  We're going to speak with my dr. next week and see what he says.  We're prepared to speak with an attorney if necessary.  
Aside from my experience and the three of you with similar experiences, I haven't found anything about this on the web.  I'm sure it's not very common, as most of these go off without a hitch, but I think we're an unlucky few.
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Avatar universal
I've recently had the same thing happen.  I had my vasectomy in the last week of December.  The day after the procedure, it felt to me like the end of the cut tube (from the top) had attached to the incision site in my scrotum (left side).  My scrotum was "puckered" there and I could feel a tube and feel the tube holding at the incision site when trying to lift the skin around it.  After a lot of hassle trying to get someone to look at it immediately, and talking to the attending nurse- who stated strongly "there's no way it could have adhered already and he (the Dr.) didn't sew it in, I watched him close it up...", I finally got in to see my doctor 5 days later.  He said it may be swelling or a granuloma, but because of the swelling I should wait another 5 days for him to evaluate it.  The swelling went down and I went back in and he said "Yup, it seems to be attached".  He also said he didn't think it would "come down" or fix itself and could produce problems later (e.g. the tissue could break down and sperm could leak in).  I could wait a while to see what happens or I could have another surgery to cut it loose.  I opted to have another surgery.  That was 3 days ago.  Now there's so much swelling and bruising and a large lump in the same area, so I can't tell what is going on or if it is going to be better in the long run.  Right now, my wife and I are pretty pissed because, as the nurse said- there's no way it could have adhered in that amount of time.  The only way that it could have attached at that location in that amount of time was if it was accidentally sewn in when the incision site was stitched closed. The second surgery is going to cost me thousands of dollars (new policy year for insurance).  I think the dr. should cover the cost of the corrective surgery- and I still don't know if it's going to be alright in the long run.  We're going to speak with my dr. next week and see what he says.  We're prepared to speak with an attorney if necessary.  
Aside from my experience and the three of you with similar experiences, I haven't found anything about this on the web.  I'm sure it's not very common, as most of these go off without a hitch, but I think we're an unlucky few.
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Avatar universal
I've had the same thing. I had my vasectomy about two years ago when I was 39. The end of my vas deferens seems to have crept up over the first couple of months following the surgery, and has attached somewhere near the top right side of my scrotum. Now, when I get an erection, the knot, which is about the size of a pea, moves under the skin of the base of my penis. It isn't painful, and it makes my girth a little greater where it counts for my partner I suppose, but I have to say I don't like it being there. I sometimes wonder if I should consult with a doctor about this, but it is a little awkward to talk about, and, in order to show the doctor, I'd  have to get a boner :/
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Avatar universal
I had a vasectomy a few months ago and my vas deferen tube is attached as well in the same spot. I have had on and off pain from this. My doctor does not know the outcome of the surgery if it is done to release it. I don't know what to do. Any ideas.
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1711789 tn?1361308007
MEDICAL PROFESSIONAL
Hi there!

The lump is likely to be a haematoma and should not be an issue unless there are symptoms; when it can be surgically extracted.
Hope this information is helpful.

Take care!
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