Vasectomy Questions...

Ian J · July 2nd, 2007, 22:02

So... painless right?

And what's this I read about "chronic vasectomy pain" after the surgery?

And why do some men still impregnate their wives after "successful" vasectomies?

Inquiring minds (who might be getting a consult tomorrow) want to know!

desertdog71 · July 2nd, 2007, 22:34

Quote:

Originally Posted by Ian J

So... painless right?

And what's this I read about "chronic vasectomy pain" after the surgery?

Inquiring minds (who might be getting a consult tomorrow) want to know!

NOT PAINLESS!!!

I have suffered ever since getting mine. 2 bouts of Epydidimitis and I am still not the same since. I guess my case is a bit rare but there is the possibility.

Doug Taylor · July 2nd, 2007, 22:36

Quote:

Originally Posted by desertdog71

NOT PAINLESS!!!

I have suffered ever since getting mine. 2 bouts of Epydidimitis and I am still not the same since. I guess my case is a bit rare but there is the possibility.

Did you have the laser or the old skool snip snippy?

Ian J · July 2nd, 2007, 22:37

Quote:

Originally Posted by desertdog71

NOT PAINLESS!!!

I have suffered ever since getting mine. 2 bouts of Epydidimitis and I am still not the same since. I guess my case is a bit rare but there is the possibility.

Ack!

desertdog71 · July 2nd, 2007, 22:40

Quote:

Originally Posted by Doug Taylor

Did you have the laser or the old skool snip snippy?

Had the grab and cut method on mine. I almost vomitted from the pain.

Ian J · July 2nd, 2007, 22:43

Quote:

Originally Posted by desertdog71

Had the grab and cut method on mine. I almost vomitted from the pain.

Okay.. I'm gonna quit now.

Condoms aren't so bad - right?

My Flight Surgeon · July 2nd, 2007, 22:45

Epididymitis after a completed vasectomy makes no sense to me. If the vas deferens in sucessfully divided (piece removed) the route of infection getting into the epididymis is removed.

I have performed hundreds of these and here are the facts: there is a 0.3% failure rate - there are normally 2 vas deferens but some people have an accessroy vas deferens (total of 3) and the third one will still function. Also, even though we look at the vas deferns at the surgery, we still need to have the pathologist look under the microscope since there are some neurvascular bundles that can appear like the vas when seen with the naked eye. There are also cases of the vas reanastamosing or reconnecting and functionign again. These are the reasons we do a semen analysis after the vasectomy. Total complication rate is acceptaed at 5% of cases.

The acepted complications are: bleeding, infection, failure. Shootin' blanks is better than raising too many kids

Ian J · July 2nd, 2007, 22:47

Quote:

Originally Posted by My Flight Surgeon

Epididymitis after a completed vasectomy makes no sense to me. If the vas deferens in sucessfully divided (piece removed) the route of infection getting into the epididymis is removed.

I have performed hundreds of these and here are the facts: there is a 0.3% failure rate - there are normally 2 vas deferens but some people have an accessroy vas deferens (total of 3) and the third one will still function. Also, even though we look at the vas deferns at the surgery, we still need to have the pathologist look under the microscope since there are some neurvascular bundles that can appear like the vas when seen with the naked eye. There are also cases of the vas reanastamosing or reconnecting and functionign again. These are the reasons we do a semen analysis after the vasectomy. Total complication rate is acceptaed at 5% of cases.

The acepted complications are: bleeding, infection, failure. Shootin' blanks is better than raising too many kids

Good to know, doc.

Now, what about the pain DDog made mention of?

Doug Taylor · July 2nd, 2007, 22:49

One of the outpatient treatments one of my friends had involved a small incision and a laser beam. Apparently, it was painless and he had to uhh, "shoot" about seven times over a few days and go back in for a count.

Would that be representative of what's done these days or are they largely still like the 'shot of scotch' and a dull knife method that desertdog went thru?

desertdog71 · July 2nd, 2007, 22:50

That is what the Urologists called it and antibiotics did the trick on the infection part.

I still have constant dull pain on my left side. It also flares up from time to time. Ejaculation is painful, and I don't care what the accepted complications are. I had a very bad experience and I would not recommend it. I kmnow plenty of men that had no trouble at all though. So its your choice in the end.

Doug Taylor · July 2nd, 2007, 22:51

Where the hell did you go DD, Radio Shack?

SeatClutcher · July 2nd, 2007, 22:53

Quote:

Originally Posted by desertdog71

I had a very bad experience and I would not recommend it.

What would you recommend? (I mean, do you know of any good alternatives? Do you not recommend the exact procedure you had, or ANY vasectomy, period?)

My Flight Surgeon · July 2nd, 2007, 22:59

Quote:

Originally Posted by Doug Taylor

, it was painless and he had to uhh, "shoot" about seven times over a few days and go back in for a count.

Must be single if he went back in a few days

I_Money · July 2nd, 2007, 23:00

The doctor that delivered me did his own with a mirror -

My Flight Surgeon · July 2nd, 2007, 23:02

Ian

You know what they call guys who use condoms . . . . . . . . daddy

After surgery there is a little pain that some Vicodin and a few beers can fix. The chronic pain and painful ejaculation are extremely uncommon.

Swen · July 2nd, 2007, 23:05

Quote:

Originally Posted by Doug Taylor

Where the hell did you go DD, Radio Shack?

My goodness Douglas! You are the funny man tonight.

desertdog71 · July 2nd, 2007, 23:05

Quote:

Originally Posted by SeatClutcher

What would you recommend? (I mean, do you know of any good alternatives? Do you not recommend the exact procedure you had, or ANY vasectomy, period?)

I would recommend something besides what I got.

Basically it went like this.

Incision in the side of the scrotum, reach in with foreceps. Pull out the Vas defrens, cut a section out of it. codderize (sp?) the ends and repeat on the other side. The toss a couple stiches in you and pack you full of gauze. You go home and sit on ice packs for the next week only to realize that you are still in pain. 3 years later I still have pain, so if there are other methods I would say explore those.

And Doc, don't get my wrong, I am not angry with you or the medical profession. I just had a very bad experience and I would hate to see Ian suffer the same as I do.

My Flight Surgeon · July 2nd, 2007, 23:06

DD

I would ask the urologist what can be done about the painful ejaculations. I just reviewed the literature on vasectomies and did not see any reference to painful ejaculations mentioned.

desertdog71 · July 2nd, 2007, 23:08

Quote:

Originally Posted by Doug Taylor

Where the hell did you go DD, Radio Shack?

Actually it was in Peoria, AZ. XXXX XXXX Urology in Peoria.

Ian J · July 2nd, 2007, 23:08

Quote:

Originally Posted by My Flight Surgeon

Ian

You know what they call guys who use condoms . . . . . . . . daddy

After surgery there is a little pain that some Vicodin and a few beers can fix. The chronic pain and painful ejaculation are extremely uncommon.

Quote:

Originally Posted by desertdog71

I would recommend something besides what I got.

Basically it went like this.

Incision in the side of the scrotum, reach in with foreceps. Pull out the Vas defrens, cut a section out of it. codderize (sp?) the ends and repeat on the other side. The toss a couple stiches in you and pack you full of gauze. You go home and sit on ice packs for the next week only to realize that you are still in pain. 3 years later I still have pain, so if there are other methods I would say explore those.

And Doc, don't get my wrong, I am not angry with you or the medical profession. I just had a very bad experience and I would hate to see Ian suffer the same as I do.

Well, crap you two.

At least tomorrow is just a consult. I'll talk it over with my doc.

(And if anyone can convince seatclutcher to get a hysterectomy or tubal ligation instead, you could save ol' Ian a bunch of trouble!)

My Flight Surgeon · July 2nd, 2007, 23:11

Quote:

Originally Posted by desertdog71

I would recommend something besides what I got.

Basically it went like this.

Incision in the side of the scrotum, reach in with foreceps. Pull out the Vas defrens, cut a section out of it. codderize (sp?) the ends and repeat on the other side. The toss a couple stiches in you and pack you full of gauze. You go home and sit on ice packs for the next week only to realize that you are still in pain. 3 years later I still have pain, so if there are other methods I would say explore those.

And Doc, don't get my wrong, I am not angry with you or the medical profession. I just had a very bad experience and I would hate to see Ian suffer the same as I do.

Your description of the procedure sounds correct. Ice for a week is not normal nor is chronic pain afterwards. I wonder if the urologist caught a nerve in the suture.

You should be back to normal in 3 days. My experience was certainly that and that is the experience I have had with the many vasectomies I have performed.

Sorry about the bad outcome. Talk to the guy to see what he says.

HRDiva · July 2nd, 2007, 23:12

Quote:

Originally Posted by My Flight Surgeon

Ian

You know what they call guys who use condoms . . . . . . . . daddy

After surgery there is a little pain that some Vicodin and a few beers can fix. The chronic pain and painful ejaculation are extremely uncommon.

So true, if it weren't for that, I would not have DH around! And as for the procedure, he had no difficulties after they kept him from running out of the room before the deed! LOL!

desertdog71 · July 2nd, 2007, 23:14

Quote:

Originally Posted by My Flight Surgeon

DD

I would ask the urologist what can be done about the painful ejaculations. I just reviewed the literature on vasectomies and did not see any reference to painful ejaculations mentioned.

Docs that I know say that it is likely that some nerves were cut in the process. The pain originates from the point that is tied off, I have been re-examined and the tie off is too close to the epydidimis, thus irritating the epydidimis.

My alternative is to let another doctor go in and see what can be done to fix it. I admit I am not wanting another surgery after the last one.

My Flight Surgeon · July 2nd, 2007, 23:15

Understandable but it may be the only option to try to get rid of the pain.

desertdog71 · July 2nd, 2007, 23:18

Quote:

Originally Posted by Ian J

(And if anyone can convince seatclutcher to get a hysterectomy or tubal ligation instead, you could save ol' Ian a bunch of trouble!)

Complications are far more common with those procedures Ian. Sorry man.

July 2nd, 2007, 22:02	#1
Ian J Old Skool Join Date: Jan 2006 Location: Nashville Posts: 5,998 Blog Entries: 7	Vasectomy Questions... So... painless right? And what's this I read about "chronic vasectomy pain" after the surgery? And why do some men still impregnate their wives after "successful" vasectomies? Inquiring minds (who might be getting a consult tomorrow) want to know! __________________

July 2nd, 2007, 22:45	#7
My Flight Surgeon Sr. Aviation Medical Examiner Join Date: Aug 2006 Location: Phoenix, AZ Posts: 2,320	Re: Vasectomy Questions... Epididymitis after a completed vasectomy makes no sense to me. If the vas deferens in sucessfully divided (piece removed) the route of infection getting into the epididymis is removed. I have performed hundreds of these and here are the facts: there is a 0.3% failure rate - there are normally 2 vas deferens but some people have an accessroy vas deferens (total of 3) and the third one will still function. Also, even though we look at the vas deferns at the surgery, we still need to have the pathologist look under the microscope since there are some neurvascular bundles that can appear like the vas when seen with the naked eye. There are also cases of the vas reanastamosing or reconnecting and functionign again. These are the reasons we do a semen analysis after the vasectomy. Total complication rate is acceptaed at 5% of cases. The acepted complications are: bleeding, infection, failure. Shootin' blanks is better than raising too many kids __________________ Walter Forred, MD PHX 602-368-5633 www.myflightsurgeon.com

July 2nd, 2007, 22:49	#9
Doug Taylor Agent Smith Join Date: Dec 1969 Location: KSDL Posts: 41,164 Blog Entries: 1	Re: Vasectomy Questions... One of the outpatient treatments one of my friends had involved a small incision and a laser beam. Apparently, it was painless and he had to uhh, "shoot" about seven times over a few days and go back in for a count. Would that be representative of what's done these days or are they largely still like the 'shot of scotch' and a dull knife method that desertdog went thru? __________________ Doug Taylor http://76school.flyblog.com (old!) http://30west.flyblog.com (updated 11/28)

July 2nd, 2007, 22:50	#10
desertdog71 Old Skool Join Date: Feb 2006 Location: KIDP/KCNU Posts: 3,007	Re: Vasectomy Questions... That is what the Urologists called it and antibiotics did the trick on the infection part. I still have constant dull pain on my left side. It also flares up from time to time. Ejaculation is painful, and I don't care what the accepted complications are. I had a very bad experience and I would not recommend it. I kmnow plenty of men that had no trouble at all though. So its your choice in the end.

July 2nd, 2007, 22:51	#11
Doug Taylor Agent Smith Join Date: Dec 1969 Location: KSDL Posts: 41,164 Blog Entries: 1	Re: Vasectomy Questions... Where the hell did you go DD, Radio Shack? __________________ Doug Taylor http://76school.flyblog.com (old!) http://30west.flyblog.com (updated 11/28)

July 2nd, 2007, 23:00	#14
I_Money Moderator Join Date: Jul 2000 Location: Socal Posts: 5,674	Re: Vasectomy Questions... The doctor that delivered me did his own with a mirror -

July 2nd, 2007, 23:02	#15
My Flight Surgeon Sr. Aviation Medical Examiner Join Date: Aug 2006 Location: Phoenix, AZ Posts: 2,320	Re: Vasectomy Questions... Ian You know what they call guys who use condoms . . . . . . . . daddy After surgery there is a little pain that some Vicodin and a few beers can fix. The chronic pain and painful ejaculation are extremely uncommon. __________________ Walter Forred, MD PHX 602-368-5633 www.myflightsurgeon.com

July 2nd, 2007, 23:06	#18
My Flight Surgeon Sr. Aviation Medical Examiner Join Date: Aug 2006 Location: Phoenix, AZ Posts: 2,320	Re: Vasectomy Questions... DD I would ask the urologist what can be done about the painful ejaculations. I just reviewed the literature on vasectomies and did not see any reference to painful ejaculations mentioned. __________________ Walter Forred, MD PHX 602-368-5633 www.myflightsurgeon.com

July 2nd, 2007, 23:15	#24
My Flight Surgeon Sr. Aviation Medical Examiner Join Date: Aug 2006 Location: Phoenix, AZ Posts: 2,320	Re: Vasectomy Questions... Understandable but it may be the only option to try to get rid of the pain. __________________ Walter Forred, MD PHX 602-368-5633 www.myflightsurgeon.com

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