TL;DR: 2 weeks post vasectomy and I came literally blood this morning. Not a little blood in a lot of semen.
Basically pure blood shot out. Doc diagnosed it as prostatitis and prescribed antibiotics.
I’m 2 weeks post-vasectomy. I had a single-incision vasectomy from a respected urologist. The procedure was painful (not enough local anesthetic) but otherwise uneventful. Ice, bedrest, and percocet made the first 24 hours OK. By day 3 I had mild pain at the incision site and moderate pain in my groin but everything from the base of my penis south was on the mend with mild bruising and no noticeable swelling. I was taking 3 grams Tylenol a day and wishing I had more pain meds. I went back to work on day 4… it’s an office job but lots of walking and sitting in meetings made it suck by the end of the day. The groin pain was about a 6 or 7 by quitting time–enough to make me grimace and wince whether I wanted to or not. After a couple days of this I called the doc’s office. The triage nurse said it’s only been a week, keep up with Tylenol and/or Advil, and use ice in the evenings. OK.
Managed to have sex on day 8 and it was good (only a little discomfort during, and some blunt pain at orgasm but nothing intense.) There was some red-brown blood in my semen. Normal stuff. Had sex a couple more times over the last week and it was the same. Mostly normal semen with a little “old” blood. Not the best orgasms but I felt I was more “missing” some of the ecstasy and it would return in time. No acute pain to speak of.
Then this morning I had sex and I came basically pure blood. Fresh bright red blood… a lot of it. And it hurt in my groin (above my penis). I nearly passed out from the pain, but gained my composure enough to clean up and get dressed. The pain subsided to a dull ache with occasional stabbing pain over the next couple of hours. I called the urologist and they said to come in for an evaluation.
The doctor checked me out and said because of the sheer volume of fresh blood in the semen it was definitely not residual bleeding from the vasectomy itself. He diagnosed it as prostatitis. I’m on Cefuroxime now and already shitting my brains out (I always get wiped the fuck out by antibiotics).
Has anyone had similar symptoms and diagnosis? I know each case is different and I’m not trying to Dr Google this thing. I’d just like to know what I might be up against. I mean aside from the obvious diarrhea from the antibiotics.