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Dr. Andrew Rynne

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What Causes Testicular Pain Post Vasectomy?

I had a vasectomy just over a year ago. I have had an uncomfortable pain in my right testicle and when I feel for lumps (which I don t think there is) I get a sharp very sore pain at the back. It is also higher in the sack than the other (more than I believe it usually is).
posted on Fri, 12 Jun 2015
Twitter Sat, 14 Nov 2020 Answered on
Twitter Tue, 17 Nov 2020 Last reviewed on
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General Surgeon,  's  Response
Hi,

The most probable cause of pain in testicle long time after Vasectomy can be elevated position of testis with pain that indicates torsion of testis as being the most common cause in your case. This is so because, after a vasectomy, there is no chance of retrograde infection from urinary tract to the testis as the tubes are now blocked.

I would advise you the following in such a situation:
- Give immediate scrotal support
- Rush to ER for proper ultrasound with colour Doppler examination of scrotum and abdomen for urogenital system.
- May need corrective surgery with fixation of testis as the diagnosis may be

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Testicular Pain Post Vasectomy?

Hi, The most probable cause of pain in testicle long time after Vasectomy can be elevated position of testis with pain that indicates torsion of testis as being the most common cause in your case. This is so because, after a vasectomy, there is no chance of retrograde infection from urinary tract to the testis as the tubes are now blocked. I would advise you the following in such a situation: - Give immediate scrotal support - Rush to ER for proper ultrasound with colour Doppler examination of scrotum and abdomen for urogenital system. - May need corrective surgery with fixation of testis as the diagnosis may be Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon