this is not intended as a forum for medical advice, only discussion.
Subject: Erectile dysfunction and autoimmune responses following
Hi- thank you for your web site! I had a vasectomy 3 months ago. Since
then I have experienced various episodes of erectile dysfunction. It gets
better, then, I get hit with it again. It's real hard to try to sort out
the psychological component. This has been extremely traumatic. I had no
idea that a vasectomy could cause autoimmune problems. I was told that it
was a 10-minute operation, I would feel a bee sting (pain killer) and some
tugging (surgery), and that I would need a few days to recover. I was also
told that my sex drive would remain intact. I was diagnosed 2 years ago
with Hachimotoís Thyroiditis (sp?). I am at a dose of Levothroid that has
been keeping my thyroid levels within the proper range. I have asthma and
allergies. I am 38 years old, very physically active, and in good physical
shape. I am very concerned about increased autoimmune problems down the
road- and I don't want this operation to increase my odds of a more
Question: I have an appointment to go into my doctor to talk about my
thyroid and this problem (though I have to talk around the "erectile
problems" or else the insurance won't cover it!). I am going to request a
new blood test for my thyroid levels. I want to test for the vasectomy
problems with this too- I'll ask for testosterone levels, but what else?
Mind you, this is your average HMO lab. I am still dealing with the trauma
and trying to gather resources to decide what to do next. Any advice would
be useful! Thank you very much
Response: Iím sure youíve read other portions of this web site by
now and know that autoimmune reactions after vasectomy are to be expected,
and are not just some occasional occurrence. Also, the higher your sperm
count before vasectomy (i.e. the more fertile you are), the more likely
you are to have an autoimmune response when sperm inevitably ruptures its
way into your bloodstream following the procedure. What isnít known is
exactly how your body will react to the barrage of sperm cells that the
immune system perceives as an infection. Some men claim no immediately
noticeable effect, while others become incredibly sick. What is certain is
that a vasectomy surgery is a trauma to the genitals which the body is not
very friendly towards. Doctors who state that this ďminorĒ procedure has
no effect on sexual function are either unfamiliar with the research on
the subject or lying to get your business. Doing tests to determine
hormone levels and the extent of the reactions your body is having to
sperm antibodies is a good idea, but is a lot like shutting the barn door
after all of the livestock run out. These are very difficult situations to
unravel. I know this from personal experience, which is why we all should
be told of these effects before the procedure. Now you must try to
determine what medical approach helps you to feel ďnormalĒ again, which is
a very trying process in which you will find few doctors who will give you
the time of day. Read Dr. Carruthers book Maximising Manhood for a more in
depth description of your options. You can access the book through the
Publications page of this web site.
Subject: Vasectomy against the wishes of a wife.
Can you please tell me why a wifeís opinion on her husband having a
vasectomy doesnít count? My husband had a vasectomy 2 weeks ago all the
doctor performing the operation offered was a quick 5 minute consultation
when I pointed out to the doctor that I was against this operation I was
told my opinion doesnít count and if my husband wanted the vasectomy then
that was all that mattered. I had to leave the consultation room in tears,
and at this point the procedure was carried out. This left me heartbroken
and suffering anxiety attacks that Iíve never had before. I think that a
wifeís point of view should count as it affects our lives to.
Response: I canít imagine why a doctor would carry out a procedure
where a couple is consulted about what is to be done but is not in
agreement. Even if the law might allow this, common sense says it is not a
good idea and is likely to cause problems for the couple and the doctor.
Subject: A painful success story
I'm a guy who views himself as always "doing the right thing." I agreed to
have a vasectomy in July of 1999, and share my story in the spirit of the
fact that I wish I had this information [from this web site] before making
an almost irreversible decision.... My symptoms over the last 2 1/2 years:
I had a vasectomy in July, 1999. I planned to leave my job in August to
join an internet start-up (I knew that my position was about to be
eliminated as a result of re-organization and downsizing), and figured
that I might as well have the insurance company that I worked for pay for
this. I followed all post-surgery instructions to the letter. I lay on the
couch for 2 days with an ice pack on. I didn't experience the post-surgery
discomfort of some men. Within a couple of weeks, I developed a lot of
discomfort related to what I felt to be pressure in my testicles which was
centered in the epididymis. I went back for my post-vasectomy checks and
the urologist told me not to worry about it, that the pressure would
"eventually" go away. I tried to find information about the pain I was
experiencing, but there was nothing in the local university's library, and
very little information on the web. The only references I could find to
post vasectomy pain on the web indicated that it was "extremely rare"
(that 1% number again) and "usually" went away after six months. Over a
period of months, this pressure developed into almost constant pain. The
epididymis on both testicles swelled to ~10 times their normal size - the
epididymis on my left testicle swelled to the point that it was almost the
size of the testicle itself. I felt that I had clamps attached to the back
of my testicles. In retrospect, this isn't surprising. We had taken a
healthy organ producing millions of cells per hour and closed off the only
outlet for these cells. One urologist admitted to me that they do this
surgery expecting that men's testicles will stop producing so much sperm,
and mine didn't. Nothing seemed to help. I took both over-the-counter and
prescription anti-inflammatories. I constantly felt like I had just been
kicked in the balls. On top of that, I would occasionally experience
intense flashes of pain that I speculate were the result of ruptures in
the epididymis as it became so pressurized that it couldn't cope, in spite
of its increased volume. It was especially "interesting" in that this
usually occurred in the midst of sex. Needless to say, that was the end of
that sexual encounter. I was definitely having the ruptures as I developed
granulomas, caused by sperm entering the body. Our sex life virtually
ended. I frequently found myself curled up in a fetal position with my
hands between my legs saying to myself, "I hate my life, I hate my
life...." I began to drink excessively late into the night - at least my
balls would quit hurting after 4 or 5 drinks - and I was unemployed - so
no reason to get up in the morning. I spent most nights on the couch in
the basement. After about six months, I finally found some relief - the
pain went away! The research I was seeing on the internet said that the
pain "usually" went away after 6 months or so - I felt that I had a new
lease on life. After about 2 weeks it came back - worse than before. The
pain settled into cycles where it would last months, then go away for a
week or so. At first, during the times when the pain went away, I felt
almost "normal," with virtually no discomfort. During most of 2001, even
in times when the cycle of pain was gone, I experienced a level of
discomfort that was constant. While it wasn't the intensity of the pain I
experienced before, it only went away after I went on testosterone
therapy. After about three months of testosterone therapy, I talked with
my doctor about a reversal. He agreed with me that, since I had responded
well to the testosterone therapy, that I would probably respond well to a
vasectomy reversal. I had the reversal in mid-January, 2002 - 2.5 years
after having the vasectomy. My doctor had warned me that, given my history
of pain, I might not respond well and have a lot of pain as a result of
the surgery. It was amazing. The pain I experienced after the first 3 or 4
days was no worse than the average day since the vasectomy. I was pretty
sore the first few days - a reversal is much more invasive than the
original vasectomy - but Percoset helped! The biggest problem I had is
that no one warned me that Percoset tends to cause constipation, and I
developed hemorrhoids - more painful than the post-surgical pain. I
recommend a Metamucil chaser with Percoset! I am now about six weeks
post-vasectomy reversal (March 4, 2002). Our sex life is good again - it's
more pleasurable than before the vasectomy! I am emotionally healing as my
body continues to heal. I still have a low level of pain in my left
testicle that is especially noticeable about one day after sex, but it's
something I can live with given the hell I've been through. I hope that
this goes away over time as I continue to heal. While I have done a good
bit of secondary research on vasectomies and post vasectomy pain over the
last couple of years, I am struck by the lack of primary research on the
subject. Most of the research that is being done is in Europe or Canada,
where the urologists aren't financially incented to continue to cut (I'm
in Atlanta, GA-in the US). Most of the articles you find are from the
British Journal of Urology. I am certainly not a fan of socialized
medicine - my career over the last 15 years has been in the HMO industry
-but the urologists in Europe have done some research while those in
America seem to refuse to recognize the problem and are not doing the
Research in the '80s and early '90s indicated that the incidence of
post-vasectomy pain (PVP) is about 15 - 20%. More recent studies find a
higher rate of incidence - closer to 30%. Conclusions in the later studies
I have seen is that of men surveyed 4 to 5 years post-vasectomy, about 1
in 3 have chronic pain, about half of these indicating that the pain
affected the quality of their life, with about a third (~10% of the total)
indicating they would not have had the vasectomy if they had the decision
to make again. This research, combined with other research published in
the medical journals, indicates that somewhere between 1 in 20 and 1 in 10
regret having had a vasectomy. If I had known this before my vasectomy, I
certainly would never have made the decision I made.
There is even less research about the treatment of post-vasectomy pain.
One study I saw indicates that approximately 1 in 100 men with a vasectomy
actually go through a reversal in an attempt to deal with PVP (as opposed
to those who go through a reversal for fertility reasons)- usually at
their own expense as this procedure is not usually covered by insurance.
That's quite a different message than any of the urologists (and I've seen
4 in the last 2.5 years) would admit until I saw the one I have seen for
the last six months. He said I had "classic" symptoms of PVP, and
suggested a rather structured treatment plan consistent with treatments
that I have seen in my own research. Interestingly enough, the majority of
his practice is in infertility. Quite a different message from "it's
mostly in his head" - what the third urologist I saw told my wife. Her
response was, "I think that the problem is a little lower than that." She
immediately went to work trying to find another urologist for me. She
called all urologists in Atlanta mentioned in one of the "best of ..."
books, including some at Emory. They all declined to accept me as a
patient. She found the current urologist I am seeing by talking with
Kevin, who referred her to someone he had talked with in the Atlanta area,
who had been treated by my current urologist.
The urologists in the US (and evidently other countries, based on the
stories I'm seeing on the web) continue to ignore this as a problem. The
guy down the street had a vasectomy a couple of months ago. He was on the
table and told the urologist that I was taking testosterone injections due
to PVP. The urologist laughed, said he had never had a patient with a
problem, could not imagine what the doctor was thinking that put me on
testosterone, and continued to cut. My neighbor went back a month or so
later with several problems - infection in his incision and testicular
pain. The doctor said that he could just remove the testicles and the pain
would "probably" go away... a commonly used scare tactic used by the
urologists mentioned by all four of those I have seen. The most unkind
interpretation of this is that they want us to quit "whining," go home and
keep our mouths shut.
Given my experience and the research I have found since having a
vasectomy, I cannot imagine a situation where I could in good conscience
recommend this as a risk any man should take. Once the cut is made, there
are very few options. While I appear to have a good result from a
reversal, the research indicates that only about 80% of those having a
reversal due to post vasectomy pain have a good outcome. While this sounds
positive, the Medical Director at my HMO (where I am the Marketing
Director) told me that you really want 90+% success rates for surgeries
like this...which underlines the fact that the decision to have a
vasectomy is a potentially life-changing one that is irreversible in many
cases. Other men who go through this see urologists who insist on removing
the epididymis, a surgery with even less success than a reversal and which
is even more disturbing - once the body parts are gone, they can't be put
back, and the resulting pain has virtually no resolution. Ultimately,
orchiectomy (the removal of the testicles) is the only treatment left for
some men - a surgery which brings about even more complications.
I hope that my story brings information to men who are considering a
vasectomy so that they can make a more informed decision than mine. If I
had known what I know now, I certainly would not have agreed to have a
vasectomy. I also hope that my story offers hope to men who are going
through the hell of post-vasectomy pain. Stick with it. Find another
doctor. Find one who will admit that post vasectomy pain is a problem for
some men. If your doctor recommends orchiectomy, run. Try testosterone
therapy. If you can't find a doctor who will prescribe this, keep looking.
If you're in the US, there seem to be only a couple of urologists whose
practice encompasses the treatment of post-vasectomy pain. Dr. Michael
Witt, in Atlanta, GA [see provider section of the web site] is my doctor.
I thank God for him, and recommend him to anyone who finds himself in the
unfortunate position I have been in.
Response: Couldnít have said it better myself.
Subject: Desperate after long-term post-vasectomy pain.
BRAVO!!! I am so glad to see a website informing of the possible dangers
of vasectomy. I had mine in September 2000 under local anesthetic and I
have been through some very painful experiences but the pain I suffered
during the procedure was indescribable maybe. P.O.W's who have been
tortured could understand. The local would not work no matter how much
they pumped in and it took nearly one hour to complete the surgery. I
still believe something went wrong on my left side 'cause I heard the
cauterizing machine used around 6 or 7 times (once on the right side)
I was in bed in terrible pain for around three weeks, eventually returning
to work where I found that most physical exertions aggravated and inflamed
my testis and vas. Each time I went to work I had to spend a few days in
bed! I was given various anti-inflammatories which did help some. After
around six months I saw a different urologist who said that the lumps were
sperm granulomas and booked me in for excision. In the mean time the pain
had gotten progressively worse a constant aching interspersed with sharp
sudden pains yet some days there was no pain. In November 2001 they
finally did the surgery by removing the left testis though the upper
groin. I was not allowed to see the surgeon afterwards and no-one would
tell me why I was only cut on one side. All they would tell me was that
they removed 2 granulomas which they believed were caused from a reaction
to the silk that was used to tie the vas. The surgeon who did the first
one says he has never used silk ever, also he does open end they said
there was a granuloma on each end. Any-way they cauterized it up closing
both ends with no stitches. So now my left side was OK but I had to wait
until Feb2002 to get the other side done. Well I didn't have to wait that
long for the pain to return to the left side- all I had to do was lift
something heavy. I was given nerve cell suppressants which has stopped the
sudden strong pain after ejaculation but hasn't helped with general pain.
FEB 2002 -Back to hospital for excision of r/h granulomas. This time they
cut down the centre of my scrotum to remove and I picked up an infection
which I am still trying to kick after two weeks. I think it has also made
my pain worse than before I now have a lump 3 times bigger than the one
that was taken out -it feels almost like I have 3 balls!! Also the
stitches in my scrotum dissolved nearly a week ago and there's a hole in
my sack that won't close up. So in summary, I desperately need some help.
The life that I had is over and as you well know it's a terrible feeling
looking down the barrel of a lifetime of pain and bullshitting doctors not
to mention years of hard work and training wasted if I can't get back to
work. What do you consider are my next options both surgically and/or drug
p.s.-I was against vasectomies for a long time but the more I looked into
it the more I was converted by the fact that apparently nothing ever goes
wrong. So keep up the good work in getting the word out-I warn everyone I
can and have put 4 or 5 men off it. If only I saw your website when I was
researching the subject. If I knew the risks there is no way in hell I
would have gone in. Can you recommend anyone in Australia that knows a lot
about this subject?
Response: (From Dr. Lou Zaninovich) I am a General Practitioner [in
Australia] who after 25 years in GP has spent the last 5 years
specializing in Men's Health. I am at present printing a 60-page book
titled: Vasectomy: Before & After, which you would find very interesting.
I am sorry to hear you are having so much trouble. I can't treat or give
you advice without seeing you professionally but can I say just to give
you some thoughts for your consideration: Sperm granulomas occur in more
than 70% of all vasectomies but in many men they donít cause any pain at
all. I don't know why this is but I suspect the painful ones are those
that get inflamed either because of inflammation due to the reaction with
Sperm Antibodies or because of infection. The anti-inflammatories you had
did help so perhaps it was just inflammation, but if you have infection as
well then this must be tackled vigorously and for a long period e.g.
minimum 6 weeks. If I can be of any help please email me,
Subject: Testicle the size of an orange.
I am a new victim. Just had surgery two weeks ago no problems at all until
now. My left testicle is swollen up to the size of an orange. My urologist
was out of town and the nurse just said "that is just part of the side
effects, take a couple of Motrin and it will go away in a couple of days."
I really did not like that answer so I made an appointment with another
urologist and they did a CBC and ultrasound. Determined that I had an
infection. Drained the site for fluid to use for a culture and gave me
antibiotics and told me to sit it out for a couple of days. My question:
Is this typical? Does this forecast trouble down the road? They said that
it would take 2-6 weeks to clear this up. Anyone out there who can relate
to this? Thanks.
Response: Many, many men tell stories like this, which makes the
claims of a 2-3% complication rate laughable. When surveys are actually
done, complications rates of all kinds are much higher. I only hope that
your more severe symptoms subside and that you have no residual problems.
The lack of sensitivity to these kinds of issues that abounds after the
procedure is done astounds me.
Subject: Blood in semen after vasectomy
I am curious. I had a vasectomy four years ago and now occasionally have
almost, what appears to be nothing but blood in my seminal fluid.
Quantities have been reduced in volume of fluid and occasional pain in my
right testicle occurs. I have spoken to my Dr. about this and since no
blood has been detected in urine, he seems unconcerned. Is this what you
would believe is correct procedure, or should I be concerned. Just asking.
Response: From Dr. Lou Zaninovich, ďI have read the question sent
in by GK.
We do see blood in the seminal fluid (Hemospermia) every now and then. In
most cases, about 60% no cause is ever found and nothing needs to be done
about it. However, occasionally it may be a marker for other problems, in
fact the following article by Kochakarn W, Leenanupunth C, Ratana-Olarn K,
Viseshsindh V in the J Med Assoc Thai 2001 Nov;84(11):1518-21 is a study
of the problems. I quote:
"Hemospermia: review of the management with 5 years follow-up.
Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol
University, Bangkok, Thailand.
OBJECTIVE: To review our experience with hemospermia and a long-term
MATERIAL AND METHOD: Medical records of patients with hemospermia treated
at the Division of Urology, Ramathibodi Hospital between 1993 and 1995
were reviewed. Clinical presentation, investigation, diagnosis, treatment,
outcomes and long term follow-up were noted. RESULTS: Sixty-eight patients
were found and completed follow-up to 5 years. The mean age was 40 years
(range 28-62). Physical examination including DRE [Digital Rectal Exam]
and urine examinations were done in all of the cases. Special
investigations such as PSA, TRUS, IVP and cystourethroscopy were performed
in selected cases. Prostatitis was found in 27.9 per cent, tuberculosis in
4.4 per cent, sexually related causes in 5.8 per cent and idiopathic [no
known cause] in 61 per cent. No malignancy was found in this study.
Hypertension was found in 7.3 per cent of the patients. Thirty-two per
cent had recurrent episodes of hemospermia. Specific treatment was used
only for prostatitis and tuberculosis. No specific treatment was used for
the idiopathic group.
CONCLUSIONS: Hemospermia is a benign condition. Most of the causes were
from idiopathic and inflammation. Only simple investigation was needed and
treatment was recommended depending on the diagnosis and no specific
treatment was needed for idiopathic cause."
In GK's case, seeing he has had a vasectomy, I would not be surprised if
the problem is chronic prostatitis [inflammation of the prostate gland].
He should have the seminal fluid examined microscopically and cultured to
determine if there are any bacteria.
I had a vasectomy in September 1997. I experienced pain immediately on the
right side, and 12 months later I had an exploratory op to try to find the
problem after what was thought to be a granuloma failed to clear up of its
own accord. The op produced no positive result. I was told nothing was
found that was thought to be causing the pain, apart from a slight
swelling, which was removed. For the next 2 years I was on Amitriptyline
pills which eased the pain, which has always been uncomfortable rather
than excruciating, now and again I thought it was easing only for it to
come back again. Finally, I went to my GP who referred me back to the
hospital. In March of last year I had an epididymectomy. It is different
now, there is a slight tender part which I feel when I drive and when I
lie in bed particularly on my right hand side. I saw the surgeon recently
and he has told me to see how it goes, he thinks it will heal but to come
back if it doesn't. I don't think it will heal; it's been too long now.
What I would like to ask you is - I am only 47, I do not want this to
disrupt the rest of my life, and as I live in the UK, do you have any
branch of your surgery in the UK or anyone you could refer me to for the
correct diagnosis and treatment. Also, reading through the forum, which I
wish I had known of all this information earlier even a fraction of it and
I would never have had this op in the first place, does the fact I have
had an epididymectomy mean that I canít have a reversal if this was deemed
the best action? If not, why? As I have read of people having an
epididymectomy who have not had a vasectomy how is this so? Thank you
Response: Once an epididymectomy is done, the parts are missing and
you cannot have a reversal done by nature of the anatomy. As far as
someone to see, Dr. Carruthers has a practice in the U.K. and has written
books on the subject. If I was there, I would go see him, and have
considered doing so even though heís on another continent. I truly hope
your situation improves. I know what it is like to have repeated harrowing
genital surgeries only to remain in constant pain.
Subject: Vasectomy-diabetes connection
I came across your website today. I can tell you much about my vasectomy -
but - probably what I am most interested in is the association between a
vasectomy and diabetes. If you know of a web address where this is dealt
with in detail, it would be appreciated!
Response: Check out the web site for the American Autoimmune
Related Diseases Association. They have information on over 80 autoimmune
diseases, how they tend to run in families, and what treatments are
available. Beyond that, you may want to read Dr. Robertsí book on the
subject of vasectomy. See the Publications page of this web site.
Subject: Vasectomy pain after testicular cancer
I had my vasectomy done 6 weeks ago. The vasectomy was performed in the
urologist office. The doctor was dressed in scrubs and the nurse, his
wife, was coming in and out during the procedure. She was not wearing
gloves, scrubs or washing her hands and was still assisting in the
procedure. At one point she grabbed a tool from the wall, a burning tool
and started to use it while commenting how fast that tip burnt: She did
not like that one. The doctor told her he preferred that one. While lying
there, this was going on and I didn't have the presence of mind to say
I was in intense pain from day one. Like someone is kicking me there and
the pain goes up into my abdomen. Also the whole left side of my testicle
hurts. I also have a lump the size of a pea in my scrotum. I was back at
the urologistís office 3 days post-surgery. He said he thought it was an
infection and I would be fine. He prescribed Cipro and Percocet. That did
not stop the pain. I went back to his office 4 days later for my week
follow up still complaining of the pain. He said the swelling was down and
I was fine (wrong). I went to my family doctor 2 days later and he was
astonished by the lump and swelling, sending me to another urologist who
was also astonished. This urologist was going to operate 4 wks
post-surgery if I was still in pain. But after talking with his colleagues
they agreed surgery was probably not the best course of action since a
year ago I was diagnosed with testicular cancer and had my right testicle
removed. Since I only have one, they are concerned. At this point I have
been diagnosed with PVPS and the 2nd urologist was able to give me little
to no info on a course of action and has referred me to a urologist at the
University of Maryland. I will be seeing that doctor this Thursday.
What astonishes myself and my wife is we were not informed of any risks or
complications prior to the procedure. We were just told - no big deal; a
couple days off your feet, and you will be back to work. I wish I had done
more investigation prior to surgery rather than after. Had we known all
the possible complications we would have decided not to have the surgery.
I am 33 and do HVAC for a living. It hurts to lift, sit, stand, walk and
move around in general. It is totally affecting my work and home life
because by the time I get home I hurt so bad I just want to lie down and
try not to move. I am having trouble picturing an end in sight especially
after reading your articles (no offense). I have a 2 and 4 year old at
home who don't understand why I can't play with them or they can't sit on
my lab. I am already 40% disabled from a previous back injury (been a bad
few years) this is just one more wrench in the works that I don't know how
much longer I can deal with it.
Any opinions or suggestions would be greatly appreciated.
Response: Wow!. First, I find it strange that a doctor would do a
vasectomy after you have already had one testicle removed because of
testicular cancer. Your system has already been traumatized numerous times
by the injuries you mention, and yet, they cut away. The later urologistís
decision not to do surgery sounds wise. Do whatever you can to take it
easy on yourself and let your body heal. That means diet, exercise, and
appropriate medications. Consider testosterone therapy since your levels
may be compromised by the missing testicle and reduced function of the
remaining one after the trauma of the vasectomy. I hope you can find a
male health specialist who can help. God Bless.
Subject: Six years of pain, especially during sex
I had a vasectomy about six years ago. The surgery went relatively well as
I experienced some nausea and the post surgery pain but it subsided after
about three days.
My first bad or unexpected experience occurred during intercourse about
three weeks after my surgery. What I experienced since was a sharp pain
when ejaculating for the next 3-4 four months. This too eventually
subsided, but then I began feeling an uncomfortable pressure in my
scrotum. I learned later that these were in fact what are more commonly
known as granulomas. When I discussed this with the doctor he told me not
to worry as that was normal and the pain would subside in time. This was
the second thing that I experience that the doctor neglected to inform me
about, and the first time I experienced anger.
To date I still have the ache on my right side near the spot of the
incision due to granulomas. My left side seemed to subside but recently I
have now been experiencing what is know as an enlarged epididymis and the
throbbing pain that goes along with it.
I realize that the pain is not going to go away. My sex life suffers from
my fear of holding back on ejaculation because the quicker I ejaculate the
less acute the throbbing will be later. My attention span suffers because
I cannot concentrate like I used to.
Now having said all that, my greatest frustration is that the urologist
and my physician do not recognize my condition as serious. The best offer
I could get from my urologist was that he could do a reversal and my
physician suggested that he might be able redo the vasectomy and do it as
an as the open-ended style. I am still trying to convince my HMO that this
reversal is not for the wish of more children but to relieve my chronic
pain symptoms. I am not sure what to do because my doctors are only saying
that a reversal or the open-ended vasectomy may help but there are no
guarantees. I just donít feel like I am getting the facts. Any suggestions
or advice would be appreciated.
Response: This is another tough situation. More surgery is risky.
Pain specialists have told me that surgery to relieve pain caused by
surgery has a 50-50 chance of working at best. That is not adequate
motivation to let someone cut on my genitals. Try as many non-invasive
options as possible; preferably ones that treat causes, not just symptoms.
See the other responses in this forum for ideas to ask for.
Subject: Dull ach for three weeks after vasectomy
I had a vasectomy three weeks ago. I still have a dull ach and am
concerned. How should I bring this to my doctor without looking like a
total idiot? Your advice would be appreciated.
Response: Take a copy of the information on this web site into him
and let him know that you are concerned that you may be developing
post-vasectomy pain syndrome. If you need copies of the medical research
articles to prove to your doctor that this problem exists, let me know and
Iíll get them to you. Most sources say that the longer you wait to deal
with this problem, the worse it gets. Try as many non-invasive approaches
as possible. You may eventually want to pursue having an open-ended
vasectomy to relieve congestion, pressure and ruptures if you determine
that is the cause, or consider a reversal. If your doctor makes noises
like he/she thinks youíre a complete idiot, find a new doctor. If you need
a name of someone who has dealt with this syndrome before, let me know.
Best wishes to you.