The long-term safety of vasectomy is mainly threatened by cardiovascular disease, testicular or prostate cancer, long-term loss of sexual function after the operation, and the formation of antisperm antibodies (AsAbs) [10]. The frequency of complications of vasectomy is low.
A small number of men who get vasectomies develop chronic pain in their testicles after the procedure. Your healthcare provider may diagnose post-vasectomy pain syndrome (PVPS) if the pain lasts for three months or longer. The pain may develop immediately after the procedure or months to years later.
Luckily, medical studies have examined the long-term health impact of vasectomy and the evidence suggests there are no significant risks. In fact, men who have undergone vasectomy have basically the same risk of developing heart disease, cancer, or other health problems as those who have not.
Vasectomy has a low risk of problems, but some men develop post-vasectomy pain syndrome (PVPS). PVPS involves chronic pain in one or both testicles that is still present three months after the procedure. Pain can range from a rare, dull ache to sharp, constant pain that can interfere with daily life.
Post-vasectomy pain syndrome (PVPS) is widely known as either constant or intermittent testicular pain for greater than three months (4). This pain interferes with quality of life and requires some degree of medical treatment in approximately 1–2% of men who undergo vasectomy (5).
Neurogenic: Some chronic pain is triggered when the sperm build-up causes nerves that run along the vas deferens to become trapped in fibrous tissue, which then causes acute pain during any physical activity that agitates the scrotum, like running or cycling.
A spermatocele usually causes no signs or symptoms and might remain stable in size. If it becomes large enough, however, you might feel: Pain or discomfort in the affected testicle.
Conclusions: Vasectomy is associated with a statistically significantly increased long-term risk of prostate cancer. The absolute increased risk following vasectomy is nevertheless small, but our finding supports a relationship between reproductive factors and prostate cancer risk.
One of the most common questions about vasectomy is, “Will I gain weight after a vasectomy?” A vasectomy does not make you gain weight. What can affect your weight is if your lifestyle after the vasectomy changes and negatively impacts your weight. A vasectomy doesn't make a man feel less masculine or less productive.
Testing is the Key to Preventing Pregnancy after Vasectomy
The usual recommendation is to perform two (2) tests within 2-4 months following the procedure, and then once a year thereafter. The results of both tests should be negative.
Abstract. In more than 50% of men, vasectomy leads to auto-immune pathology. The auto-immune response to sperms following vasectomy is triggered by the phagocytosis of sperm in the epididymis.
Complications of vasectomy include hematoma formation, infection, sterilization failure, sperm granulomas, short-term postoperative pain (nodal pain, scrotal pain, and ejaculation pain), and chronic pain syndrome [9].
The most common risk with a vasectomy is infection, but those are usually minor and treatable with antibiotics. You may also have some pain, bleeding, bruising, or swelling after the procedure. Read more about vasectomy safety.
For most men, a vasectomy doesn't cause any noticeable side effects, and serious complications are rare. Side effects right after surgery can include: Bleeding or a blood clot (hematoma) inside the scrotum. Blood in your semen.
It's a rare complication that, if it occurs, usually hits during the first year following a vasectomy. Occasionally, however, it can manifest years after the procedure. Common symptoms of epididymitis include: swelling of the testicles.
During a vasectomy, a doctor cuts and blocks off the two tubes that carry sperm out of the epididymis. These tubes – one on the left and one on the right – are called the "vas deferens." After the surgery, sperm get reabsorbed into the body. The sperm do not come out during ejaculation.
Family planning experts say one of the major hurdles to promoting vasectomies is men's fear of emasculation. "There's a great deal of fear about having any kind of operation performed on the scrotum," Schlegel said. "It's a common misconception that vasectomy involves castration.
It is normally thick, sticky and clumpy on ejaculation due to the protein it contains as these help it to 'stick' higher in the vagina and slow down the rate it drips out, so increasing the chances of fertilisation occurring. Semen is normally thick, sticky and clumpy on ejaculation due to the protein it contains.
While there is no definite age at which male ejaculation ceases, it has been suggested that it may happen when a man reaches his late 40s or early 50s. It is important to note, however, that this is not a universal rule and some men may continue to ejaculate at a later age.
There is no specific frequency with which a man should ejaculate. There is no solid evidence that failure to ejaculate causes health problems. However, ejaculating frequently can reduce the man's risk of getting prostate cancer. Ejacu-lation can be through having sex or masturbating a few times a day.
Testicles feeling full – after a vasectomy, some men may develop the sensation that their testicles are “fuller” than normal. This is usually caused by the epididymis becoming filled with stored sperm. The epididymis is the long, coiled tube that rests on the back of each testicle.
“You will not experience any differences in your sexual function or pleasure. You will still be able to have sex and ejaculate, and everything will feel the same.” And that is probably a relief to men and women everywhere.
Some men get a lump in their scrotum many weeks after the vasectomy. The lump usually goes away on its own. If the lump hurts or doesn't go away in about six weeks, call your doctor. Pain may develop, caused by a condition called “congestive epididymitis.” It usually goes away on its own.