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Urology (Expert Forum)
vasectomy reversal problems
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.
vasectomy reversal problems
by jim__0, Mar 08, 1999 12:00AM
I had a reversal shortly after having a vasectomy and ever since my left testicle hangs lower than the right.This is causing extreme embarassment to me to the extend that I refrain from meeting the opposite sex.I went back to the surgeon and he performed as he called it an orchidiopexy on me this has not cured the problem.What I cannot understand is when my body is cool put testicles hang ok but when my body is warm the left hangs lower,when I have an erection the same thing happens again.Can anything be done including having another vasectomy to cure this terrible problem.I am 43 years old and went through a bad time in my life ie separating from my wife .Looking back I thing that I was not thinking straight when I made that decision.I feel a lot calmer now but would wish this problem be rectified.Can someone help me.
Doctor's Answer
by HFHS M.D.-KR, Mar 08, 1999 12:00AM
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[Editor's Note: Though this question is not on a topic that we usually address in this forum, one of our staff did provide an excellent answer and therefore it is being posted.]
Dear Jim,
Vasectomy is a very common and safe procedure. It is highly effective at preventing pregnancy. The incidence of complications including bleeding, infection and/ persistent sperm are quite low. Estimates range from 1 to 5 %. Approximately 10 % of men that undergo a vasectomy desire reversal.
A low hanging testicle on one side may be due to postoperative changes secondary to either the first or second procedure that you underwent. I realize that this causes you some embarassment but in fact a large number of men have a discrepancy in size and/or position of the testicles. It is a normal response to warmth for the testicles to descend lower into the scrotum while they ascend when it is cold. This allows the testicles to remain at a constant temperature. I think a third surgery would not be a good idea for you. This would risk disruption of your vasectomy reversal. This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).
HFHS M.D.-KR
*keyword: vasectomy reversal
