You may still wonder if a vasectomy hurts since it requires incisions in the scrotum. Like any type of surgery, there is the likelihood of some pain and discomfort.
However, vasectomy pain is usually minor, temporary, and easily treated. A vasectomy is usually performed with local anesthesia, but it may be done under full sedation. Prior to the surgery, your scrotal area will be prepped by shaving and cleaning it with an antiseptic wash. You may be asked to shave that area around the scrotum — but not the scrotum itself — the night before your procedure. You may be able to sense tension or movement during the surgery, but no pain.
During a conventional vasectomy, the doctor will make two small incisions in the scrotum to access the vas deferens. After the incisions are made, the urologist will cut the ends of each of two vas deferens and tie them off or place tissue where the cuts were made.
This blocks sperm from flowing up through the vas deferens. Another method, called cautery, may be used instead of dividing the vas deferens. The surgeon will burn the inside of the vas deferens with a special tool to promote scar tissue formation.
Dissolvable stitches may be used to close the incisions. In some cases, no stitches are used and the scrotum is allowed to heal on its own. The entire procedure takes about 20 minutes, and after a brief recovery period, you can go home the same day.
Once the anesthesia wears off, you can expect some pain in your scrotum. You may notice some slight swelling and bruising. These reactions should last only a few days. After that, your scrotum should look as it did before your vasectomy. To help treat the pain, wear snug but not too tight underwear to restrict your testicles from moving too much.
An ice pack may also help. Many people opt for something more flexible that will fit around the scrotum, such as a bag of frozen peas. Over-the-counter pain relievers may also help during those first few days. A vasectomy should not decrease your sex drive , nor should it negatively impact your ability to have an erection or orgasm.
Only five to 10 percent of the ejaculate comes from the testicle. The remainder comes from upstream structures such as your prostate and seminal vesicles. Thus, ejaculation will still look and feel the same. Just microscopically, there will be no sperm in the semen. If you experience any changes in your sexual drive or functioning after the procedure, contact your physician. You will need to continue to use other birth control methods until your semen sample comes back completely sperm-free and you get the okay from your physician.
This usually takes about two months or 20 ejaculations. They may have a second marriage. Whereas a vasectomy takes 20 minutes, a vasectomy reversal can take four to six hours. This is classic congestive epididymitis where increase in sperm production which can be cyclical is at its peak and thus there is distension in the epididymis.
Ice, ibuprofen and time help the most. We encourage the use of heat baths to reduce sperm production and ice for comfort. Ibuprofen to reduce the inflammation.
Very rarely, a vasectomy reversal is required to relieve this phenomenon. So there you have it! The top causes of pain after a vasectomy — remember, virtually all of my patients heal just fine but some men will invariably experience some of the findings above.
If its you, do not panic and do not start getting advice from Dr. Google — we are always here to help. Vasectomy No-Scalpel Vasectomy.
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