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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.
Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.
Organizations
American Medical Association, American Urological Association, American College of Surgeons
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You are here: Experts > Health/Fitness > Urology > Urology > Vasectomy
Expert: Arthur Goldstein, M.D.
Date: 9/16/2008
Subject: Vasectomy
Question
I am a 37 year old male from Baltimore, MD who had a vasectomy on 8/29. The right side seemed to heal fine but the left side was quite painful in my lower abdomen even after 7-10 days. So painful it was hard to stand after sitting or laying down. While sitting or laying I felt minimal pain. I used ice regularly and took Ibuprofen and the swelling went down some but the left side is still not back to normal. I also feel a lump on the left side right under the incision. It feels like the vas deferens is somehow attached at the incision and the lump is directly below. Is this something that can happen during the procedure?
Answer
Jeff, as you are aware, a vasectomy is 2 minor operations done at the same sitting. It is quite common for the sides to heal differently and at different rates. Increased swelling & discomfort is usually due to more trauma and oozing of blood and serum at the operative site. Lumps under the incision are a common postoperative finding and are due to inflammation and scar tissue around the cut end of the vas (which may also be included in the mass you feel). However, this process gradually resolves over time but you may always note a mild lump in this area. The increased sensitivity at this site also dissipates. The findings you have experienced are neither uncommon or serious. Good luck.
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