Hello, new here and wish I would have found this website before getting a no-scalpel vasectomy.
My health background: very healthy, daily active, and fit. I’ve never had any health issues. Just turned 33 years old.
I’m 1-month post op. During the surgery, doctor performed the right side of scrotum with ease. However, on the left side the doctor pulled and cut the wrong vessel. After cauterizing it and putting “several” titanium clips on the mistake, he dug around for the vas which he found, cut, cauterized, and clipped. This means I have at least 5 titanium clips on the left side and 2 clips on the right.
He said he did not realize it was not the vas until he cut it and it did not have “lumen” characteristics of the vas (meaning the hollow space within the vessel did not look like he expected). Do other vessels within the spermatic cord really look so much like the vas that the doctor would not know it was not the vas until cutting it?
On the 4th day after the procedure, the overall swelling of my scrotum had gone down except for one area which was near the top third of my left scrotum. I felt the area and was surprised to feel a lump. By feel, it was approximately the size of a large grape, 2-3cm in diameter and 4-5cm long. It was very firm near the top and became softer as it resolved toward the bundle of vessels going into my left testicle. I messaged the doctor that performed my vasectomy right away and he told me that he was not worried and he thought it was probably a hematoma, even though my skin did not look bruised. It was not painful unless I was touching it or if I was walking or sitting in the same position for about 30 minutes. His advice was to just keep waiting and monitoring.
I got an ultrasound around the 2-wk post op mark. The summary of the findings were:
- Solid mass (not a hematoma but more likely scar tissue) of 14x14x11mm found on left side. No mass found on the right.
- Vessels on left side engorged, measuring 3mm. They can also be seen easily through my scrotum’s skin. This is considered a varicocele grade 2/3.
- My actual testicles looked healthy.
When I reviewed the results with the doctor who performed the vasectomy, he said:
- Cause of lump may be specifically due to the additional work he did on the left side.
- The first (incorrect) cord he cut on the left side was either connective structure or a bundle of little veins and that he expected no negative side effects from it.
- He called the mass a granuloma or the extra tissue he cut during the vasectomy coming together.
- He wants me to monitor the lump for the next 1 to 3 months to see if it decreases in size. He also said that 14mm is big and it may be too tangled up with other structures within the spermatic cord to be fully removed.
- I asked him if the lump, since it’s in the spermatic cord, would be causing pressure on the other structures and he said not to worry about it because the cord sleeve is more like a “stocking” in that it should stretch and prevent too much pressure on the other structures inside the cord.
- As for the varicocele, he said that during my consultation which was the day before my surgery, he did not feel symptoms of varicocele (the engorged vessels). He said that I just need to monitor it over time.
As I noted, I’m now 1-month post op. I haven’t noticed any change in the lump. The vessels beneath the lump are still fat. By feel, I’d say they’re about 50% fatter than the right side. The part of the spermatic cord beneath the lump that goes into my left testicle feel nothing like the right side. It feels more like a semi-firm cord, like a muscle that’s not being flexed.
I still feel a dull ache on the left side. When I sit down without carefully positioning myself so that no pressure is put on the left scrotum, I feel a sharper pain. This is with and without non-steroidal anti-inflammatories (NSAIDs), although it does seem to be less uncomfortable when I take something.
Has anyone else experienced this and how did it turn out for you? Any advice on what to do next?