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Q: epididymitis pain after vasectomy
asked by: cella on June 30th, 2008
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Can anyone please help me with this. I am a 46 year old male. My urologist has taken me out of work for two weeks due to post vasectomy pain. I have been diagnosed with epididymitis about seven times in the last six years. Each time I was given antibiotics (cipro) and it cleared up in about a week. The only tests given were a urinalysis and a physical examination of the scrotal area. The last three months I have been low to high grade pain behind the right testicle. This pain always occurs after heavy lifting or intercourse. I am married and monogamous. My urologist says I have congestive epididymitis from a vasectomy eight years ago. He wants to perform an epididyectomy. I have read articles on this procedure and most articles say it is ineffective for pain relief. Currently my urologist has me on sulfamethoxazole for thirty days and methylprednisolene for one week. My question is, if the drugs, rest and ice don’t work what are the most successful options I have to relieve the pain and how do I find a surgeon with a successful record.
Note – I’ve already had a blow-out of the epididymitis area due to pressure build-up on the right side last month.
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bigdaddy7
replied on February 16th, 2009
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Did one side swell to several times it's size? I had this beginning 5 days post vasectomy. That side calmed down then the other side started. I recognized it and started on antibiotics quickly and anti inflams. the first episode caused a 103 fever as well.
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killerpain
replied on May 15th, 2009
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post vas chronic epididymitis
Im 3 weeks into a bout with post vasectomy chronic epididymitis and it is intense. I am making sure that any males that I run into and talk to, that I mention the risks involved in a vasectomy and that the % is way higher then the docs play it out to be.

I had mine done 3 weeks ago. If I would have done the research I did afterwards I would'nt have done it.
The pain is a 10 and swelling is taking up serious scrotal space. swelling has now turned like hard to the touch. Enduration? and now pain is in lower abdomen.

I emailed a doc in texas abt a reversal to deal with this and I am waiting reply.

Can I have a reversal with this problem.

Good luck to all and let us prey.
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jango
replied on May 31st, 2009
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This is frightening. I am a 28 year old male and experiencing the identical problem. I have had 4 bouts with this and the pain is literally flooring. Urologists and Docs play it off as I am just sensitive but the pain is far greater than anything I have ever experienced (compound fractures and broken collar bones). Will subscribe to this thread and hope for updates or others who have had success...
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rdsc4911
replied on June 13th, 2009
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post vasectomy pain
OMG!! one week post vasectomy, my right side is fine, the left side feels like somebody is pulling my insides with vise grips. I cant sit, have to lean on right side when on the john, the pain is overwhelming. what is it, what do i do?
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Perk
replied on July 3rd, 2009
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Guys, sorry to have to tell youthis, but I am a 53 year old male, had vasectomy 15 years ago & have recurring pain as stated above. I have just seen a urologist & he says that it is similar to "lover's balls" & is caused by the Vas being tied off & sperm building up, unable to relase. He says it can only be eradicated by surgery to remove the epididimis. There is some risk however that the nut will be lost as a result of lost blood flow. He says minor risk, I say NO WAY I am taking that chance. I now have to simply put up with the pain. I sympathise with anyone going through severe pain & swelling with this. Mine is mostly not too bad.
I wonder whether the vasectomy could be reversed by untying the know so that sperm can flow free? I didn't ask him that but will when I get a chance.
I do recommend not getting sexually aroused any more than is necessary & taking regular exercise - both help.
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LumpyNuts
replied on July 31st, 2009
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Epididyectomy
After 10 years of PVPS and seeing numerous doctors in Europe and the US, I had a Bi lateral epididyectomy just a month ago.
My main issue with the PVPS pain was the inability to take pain killers due to medication for Fibro-Myalgia.
So the epidiyectomy, at 4 weeks past the proceedure I have one very large odd shaped testicle that I cannot feel any affect only the pressure of squeezing, nothing else and a left one that is normal size, feels pointy and sharp at the top and bottom and hurts like a B*&)h. Still cant walk far, lift, stand sit etc. Pain in the stomach, pain in the upper thigh, pain in the back.
On revisiting the doc he says this is normal and could take 2 months, I'm not sure. The reoccurent swelling, has no pattern, sparoid tesicular bruising makes me think that, something is not right.
This was not explained prior to surgery, nor was the possible complication prior to the vasectomy, shouldnt have expected it.
The prognosis is supposedly normal, but I dont feel like it is.
Would I recommend it or let a surgeon near my nuts again... definatley not! unless there is a definate solution. From my experience which admittedly is subjective, ask loads of questions, feel comfortable that the doc will support your recovery and make sure he/she has done it before and can give testimony if possible.
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alphablock
replied on August 18th, 2009
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Hi guys,
I really feel your pain. I was diagnosed with epididymitis 6 years ago and suffered from the inflammations and pain for about 2 and 1/2 years. Several urologists just assumed that I had sexual relationships out of the wedlock (it was not the case!) and prescribed several bouts of antibiotics to no avail... Then, I finally traveled to the hospital of the University of Pennsylvania, and they diagnosed an enlarged prostate that was exerting pressure on an internal nerve. A simple course of alpha-blockers (Flomax), for about two months, took care of the problem! The pain and inflammation totally went away...
I was so angry that I had to live with this for almost 3 years given how easy the solution was, just because most doctors are ignorant of the origins of this problem!
Please have your doctors try and prescribe you alpha-blockers: I never have had any problems since then...
I hope this helps: please post back if you tried alpha blockers and they worked: I would like to know if an enlarged prostate (or similar inflammation of internal muscles) is a common cause of epididymitis and be able to help more people...
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6footseven
replied on August 27th, 2009
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Thank you, gentleman, for sharing your stories. I had a vasectomy in April of 2008 and now have epididymitis and an enlarged prostate. My urologist also suggested that STD's were the most likely source but I knew that chance was next to nill and subsequent tests ruled that out. Cipro has done nothing after 2 months and I am glad to learn of the success of one of you with Flomax. I'm certainly going to give that a try. I will definitely be back to share the results.
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seeksanswers
replied on September 9th, 2009
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Seek answers.........
Does anyone knowhow to go about convincing a doctor to write a prescription for Flomax? My husband has seen three doctors and two sent him home with tylenol. The third prescribed an antibiotic. I do not want him to continue going through this......
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soretesties
replied on October 2nd, 2009
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I have been dealing with chronic epidyimitis pain off and on for the last 12 years. The frequency of the events keeps getting closer and closer. Neither anti-inflammatories, antibiotics, steroids, sex, no sex... nothing helps for very long once it starts. I am scheduled for a consultation mid-October to have a vasectomy reversal. It is my understanding that an epidyimectomy just creates that same pressure (that is causing the pain) "further up the line". Ideas? Responses?
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nutsr4me
replied on November 23rd, 2009
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nuts
gimmie gimmie that nut....
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nutsr4me
replied on November 23rd, 2009
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gimmie that nut
awwwww yeah! looking nurse
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