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Urology/sperm granuloma?

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Question
Dear Dr. Leslie!
My husband, end 40, suddenly noticed a pea sized lump on what seems to be the vas deferens.
He had a vasectomy 11 years ago and he is absolutely sure this might be "only" a benign granuloma with no consequences. But I felt that there is no disconnection of this "cord"?!
I think I found the lump on a cord of the back part of the scrotum not on the testicle.
He also feels slightly pain in the groin area from time to time.
What do you think, is this dangerous?
Is it possible to be fertile again through rekanalization of the vas - omg this would be a deasaster for us?
Many thanks and best regards,
Elisabeth

Answer
Elisabeth:

The location you describe would not be an unusual location for a sperm granuloma which typically are not on the testicle.  To be sure, he'll need to check with his regular physician or consult a urologist.

Recanalization of the vas more than 10 years after a vasectomy would be exceedingly rare and unusual.  If it would make you feel better, just ask your husband's doctor to order a sperm count.  If it's zero, you have nothing to worry about.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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