Though Vasectomy is regarded as a relatively minor surgical procedure, occasional
complications may arise (as with any operation)
1. Surgical wound infections occur from time to time and the wound
may be slow to heal. This may need to be re-checked by the doctor in case
it requires treatment.
2. Scrotal Haematoma occurs in about 1% of cases. It is caused
by some bleeding into the tissues around the testicle and gives rise to
pain and swelling. This is commonest during the first 2-3 days,
is likely to occur if stipulation regarding rest is not observed and can
be extremely troublesome. If any swelling occurs it is essential
to be checked by the doctor. (This is not as common as 1% in our experience
and relates almost exclusively to men who do not observe advice regarding
rest for 3-5 days post-op)
3. Epididymitis or Epididymo/Orchitis is a condition in which
part or all of the testicle becomes inflamed. This can occur following
a vasectomy. It can also occur in men who have not had a vesectomy. It
is rare and usually responds well to treatment.
4. Sperm Granuloma may occur in up to 5% of vasectomy cases. These
are small lumps which form at the end of the vas, particularly on the
side still carrying sperm. These are harmless and usually do not cause
any problems but if they become tender or painful it may be necessary
to remove them surgically. This procedure can be done under local anaesthetic.
5. Vary rarely men suffer from persistant pain in the testicle
or at the vasectomy site which does not have an obvious cause. Treatment
of this condition is difficult.
6. Sexual problems arising after a vasectomy operation may be
blamed on the vasectomy. However these problems are usually due to circumstances
or factors that are present before the vasectomy which makes it important
that any problem of this nature is discussed before the vasectomy. This
possibly will be addressed during the counselling.
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