scrotal mass after vasectomy (urgent)

On Nov 21st 2003 I had an in office vasectomy. The procedure was fast and easy. Approximately one week latter I felt a mass between my right testicle and my body cavity. It is very hard. It starts out small near the incision, increasing in size to about 3cm in diameter near my body cavity. I saw my surgeon on Monday December 1st 2003 and he did not seem alarmed.
He suggested it may be my bodies reaction to loose sperm. Everything I can to find regarding sperm granulomas says they are about the size of a marble. This is much larger than that. It is mildly uncomfortable. I am scared. I can urinate and ejaculate the same as I have always been able to(normally).
He prescribed cipro for 7days. He was not clear on whether this thing would go away. Have you heard of anything like this? Any ideas?

[Kevin Pho, MD]

Any scrotal mass needs to be further evaluated.  It is possible that it may be secondary to the vasectomy.  However, other causes such as infection, cysts, or tumors can also present as testicular masses.

I would suggest a scrotal ultrasound.  This would be the most reasonable test to make sure nothing more serious is going on.  This test should be discussed with your personal physician.

A urinalysis should also be considered to screen for infection.

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.

[chey101]

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