Vasectomy - Patient Experience

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Published: October 19

I had a vasectomy on Friday 10-13-17 at 11 am. There was some slight pain and tugging during the procedure, but nothing outrageous. That day was spent on the couch, basically no movement. After the novocaine wore off I was very sore, but I expected that. Next day I felt a bit better. I went outside in the afternoon and moved some tools around in the shed, 2 to 3 hours of activity. I was still sore, so I went back to bed. Sunday, I feel better still and I decided to mow the lawn in the afternoon. Nothing over the top, just pushed the mower around for 30 minutes or so. Still sore, not terrible, but still couldn't walk normal. The next day I went to work as instructed by my doctor. I work on factory equipment for a living. I was on ladders, under machines, pulling cables, moving heavy machinery, on lifts running air lines. This is all every day stuff in my profession. Three fourths of the way through my shift I couldn't move. I had debilitating pain in my scrotum. I took 4 Advil tablets, and I could barely drive home. I went to the doctor the next day, and he told me I had a hematoma (internal blood clot), very painful! He tells me I shouldn't have been doing those things at work. But that's my job! He ordered me out of work for the next week. I'm currently on my back in bed with pain radiating through my pelvis and scrotum! Hematomas happens in 5 percent of patients! And after sharing my story with other vasectomy victims, I have realized that out of the 8 guys I know who have now had vasectomies 4 of them have had 'abnormal' and painful complications; 50 percent! Can 50% still be considered abnormal! Everything from hematomas to inflammation of the epididymis, to undiagnosed PVP (post vasectomy pain). And in bad pain longer than that! Burned all my vacation time, and just got informed that the ultrasound and radiology reading I was required to do for the hematoma is not covered by my insurance and could be up to USD 3,000. Don't do it! Huge mistake!.

Published: July 20

I had a vasectomy two months ago by an experienced urologist who had performed over 3,000 of the no-scalpel procedures. Despite what you read on the web and the information given to you by physicians, this is not a benign, painless procedure. My experience was excruciating. The initial injection of local anesthesia directly into the scrotum and spermatic cord was an easy 8 out of 10 on the pain scale. Stick and a burn and huge kick in the testicles. I could feel the instruments cutting and the vas being dissected and pulled through the opening. The tugging yanked at the testicle and pulled on the bladder, all with extreme testicular pain radiating into the abdomen. I had to be reminded to breathe by the physician as the sweat poured down my face. It was awful. After gutting out the left side, I caved in and asked for more local. The doctor prodded around and I indicated each poke. He hit me again with local. I should have done that at the beginning. The valium they give you beforehand does nothing. Ask for two. The recovery is straightforward until you get to the massive epididymal swelling and pain which started on day two. The congested, impacted epididymis swelled to the size of a pack of Life Savers on each testicle. The scrotum was bright pink, hot and three times its normal size. This got progressively worse for the next several days until I couldn't stand it any longer, and went in for a follow up visit five days post-operation. Things were deemed normal by the doctor, but none of this grotesque, painful, swelling was ever mentioned by him or any other source I read before the procedure. The doctor even mentioned he went jogging four days after his vasectomy. The side effects of a vasectomy are painful and debilitating. I missed an entire week of work because walking was a shuffling, bow-legged struggle of kicking yourself in the impacted testicles with every stride. After another week of ibuprofen and heat directly on the testicles for several hours a day, the swelling abated and things were 90 percent back to normal. Another week later (four weeks post-operation) I had my first pain free day, and although the left epididymis is still swollen and sensitive, had what I would call enjoyable sex. The scrotum is still off limits because of tenderness on the left side. My left side is still swollen, I spend the evenings with heat on it, and I'm taking 1800 mg of Ibuprofen a day. In another month I will most likely have to start taking steroids. If that doesn't work, well, it's a lifetime of pain unless I consider surgical alternatives: reversal, epididymectomy (removal of epididymis), cutting nerve to testicle. I am in pain, swollen, disinterested in sex, unable to exercise, grumpy with the children..