Hey guys, just wanted to share an update with you. I am now 5 months post-op, and still in pain. At 3 1/2 months post-op, my doctor (who has been very supportive) confirmed the presence of a sperm granuloma, and prescribed antibiotics to rule out infection as the cause. I took the antibiotics, but did not improve. Also, at the same time, I started to connect the dots with other symptoms that I might be having issues caused by low testosterone (not related to surgery), and discussed it with my doctor. After his referral, I was tested and began testosterone replacement therapy.
At 4 months post-op, the granuloma had not changed, so the doctor put me on prednisone to see if it was effective. After a week, the granuloma had shrunk by a third, and after two weeks, was almost gone, and I was pain free. This lasted about a week and a half. The doctor told me to come back after 30 days for follow up. About week three, I was feeling so good I almost cancelled the appointment. As week four began, the granuloma grew in size, equal or a bit larger than before (I would say about the size of a lima bean), and the discomfort was back with it. The pain was mild, with a constant feeling similar to “blue balls”, if that makes any sense.
I went back to the doctor today, knowing from our previous discussions what the next step would be. When he examined me today and saw the return of the granuloma, he determined the next step was steroid injections directly into the granuloma. The injections hurt, not so much the needle as the added pressure of the injected steroid. What I didn’t expect was that I would be in more pain as the day went on. By the time I went to bed, I had to take a Vicodin to have any hope at sleeping. Seeing it is now 2:30 am, we know how that turned out.
Have any of you had the steroid injections into a granuloma? How long should I expect this pain to be worse before going back to the full ache before the injection?
If this doesn’t result in completely clearing up the granuloma, the doctor said that in 30 days he would surgically remove the granuloma with another scalpel-free procedure almost identical to the original vasectomy, but only on this left side. What experiences have any of you had with this? Is this worth doing?
Thanks in advance for your input. I have been so grateful to everyone for their openness in sharing their experiences on here through the last five months as I have been hoping for answers.