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What are the Most Common Vasectomy Problems?

By Angela Crout-Mitchell
Updated Mar 03, 2024
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After undergoing a vasectomy, some men report common problems such as bruising near the incision site, swelling, and minor discomfort. These vasectomy problems are to be expected, and generally only last a few days. In some cases, more serious complications may arise, including post surgery infection.

Almost every patient will experience a few vasectomy problems in the days or week immediately following the procedure, including bruising and swelling of the testicles, as well as some pain and discomfort. It is common practice for the physician to prescribe an oral pain killer and possibly an anti-inflammatory medication for relief of these symptoms. Many patients find it useful to apply a bag of ice to the area for a short amounts of time to limit blood circulation and relieve pain. After a vasectomy, patients are typically instructed to notify the doctor immediately if more serious vasectomy complication manifest, such as fever or the formation of lumps in the testicles.

There are other more serious vasectomy problems that may manifest after surgery such as fever, infection, and a condition known as sperm granulomas, which refers to the back up of sperm in the testicles. In the event of any of these conditions, it is important for the patient to seek medical advice from his doctor as quickly as possible. A fever can most often be treated at home with over the counter medications and rest, but if an infection is present, the doctor will want to examine the area and act accordingly. It is unusual for sperm granulomas to cause problems, and most of the lumps will dissolve on their own within a year.

A few studies have introduced the idea of linking vasectomy and a greater risk of prostate cancer for patients that choose this procedure. Most medical professionals believe there is no connection between undergoing a vasectomy and an increased rate of prostate cancer. It is suggested that every man regularly see a doctor for prostate exams to ensure good health.

Though it is rare, vasectomy failure is a problem for a small number of patients. The cause of these types of vasectomy problems are often unknown and also part of the reason patients are advised to use alternate forms of birth control for the first three months following the procedure. As long as the patient adheres to the requested sperm sampling schedule, this issue can be resolved before any unplanned pregnancies occur.

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Discussion Comments
By anon353947 — On Nov 04, 2013

@serenesurface: It is going on 10 years now since my procedure done by scalpel. I have sperm granulomas and the pain radiates up into my groin where walking is even painful. Many days the slightest movement of the testes will cause severe pain like I've just been kicked there.

To answer your question in regards to chronic pain - yes it never goes away but from what I understand it doesn't happen to everyone. Due to the aforementioned pain, physical intimacy becomes less appealing because that of course involves the testes moving around. I miss intimacy but I became a philosopher and that's just as good.

By candyquilt — On Aug 10, 2013

@ZipLine-- I'm glad you mentioned the bruising. Most men have the procedure not knowing about this post-vasectomy problem and I was one of them. I was shocked when I saw how bruised up I was. But apparently, this is very common, in fact it's almost guaranteed with a vasectomy. The bruises heal in about a week. My doctor gave me a bruise cream to speed up healing and that helped.

By ZipLine — On Aug 09, 2013

@anamur-- I think those are rare problems. My doctor did mention that there is a risk of complications but he said that it's rare and that more than likely, everything will be fine.

There is some pain and soreness during a vasectomy recovery. It can last anywhere from a few days to a few weeks, this is normal. I also had some bruising and I do have a bit of discoloration around my incision site. These are also common and normal.

Pain that lasts longer than a few weeks and sexual dysfunction like erectile dysfunction are not common problems. They're rare, but of course, it's possible.

By serenesurface — On Aug 09, 2013

Is it true that a vasectomy procedure can lead to chronic pain and sexual dysfunction? What's the likelihood that this will happen?

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