Post-Vasectomy Concerns: Changes in Ejaculation and Erection Explained

After a vasectomy, issues related to ejaculation and erection may arise?

Hello, I underwent a vasectomy and circumcision at your hospital a few years ago, and I have a few questions for the doctor.

1.
After the surgery, my ejaculation is no longer like it was before.
Previously, it felt like a strong spray, but now the semen flows out like water overflowing from a container, and sometimes it has a jelly-like consistency.
At first, I thought this was normal after the surgery, but several years have passed, and it is still the same.
Is this normal?
2.
During an erection, the glans does not engorge or enlarge, but the shaft of the penis does become engorged and firm, although not excessively hard; it feels somewhat like a banana.
If I press down on the base of the penis, the glans will engorge and enlarge, and the penis will become harder.
However, once I release my hand, it returns to the previous state and becomes somewhat soft.
This condition has persisted for several years.
Although my wife and I have intercourse infrequently—about three times a year—it still somewhat affects our sexual experience.
Is this situation normal?
Thank you in advance for your response.

jimmy, 40~49 year old female. Ask Date: 2016/06/25

Dr. Fu Shizhang reply Urology

Actually, both symptoms are considered normal phenomena, but they are not due to the vasectomy; rather, they are caused by age-related degeneration.
The first is due to decreased contraction strength of the urethral muscles.
The second is related to erectile dysfunction.
Online consultations cannot replace an in-person evaluation and physical examination by a physician.
If there are any health issues, it is still recommended to seek medical attention at a healthcare facility.

Reply Date: 2016/06/25

More Info

Post-vasectomy concerns regarding changes in ejaculation and erection are common among men who have undergone this procedure. It's important to understand the physiological changes that can occur after a vasectomy and how they might affect sexual function.

1. Changes in Ejaculation: After a vasectomy, many men notice changes in the volume and consistency of their ejaculate. The procedure involves cutting and sealing the vas deferens, which is the tube that carries sperm from the testicles to the urethra. As a result, sperm is no longer present in the ejaculate, which can lead to a decrease in the overall volume. The sensation of ejaculation may also feel different. The description of the ejaculate being more like a "flow" rather than a "splash" is not uncommon. The presence of a jelly-like consistency can also occur, which may be due to changes in the prostate and seminal vesicles, which still produce fluid but may have altered their output post-surgery. If these changes have persisted for several years without any accompanying pain, discomfort, or other concerning symptoms, they are likely within the range of normal post-vasectomy experiences. However, if there are significant changes or concerns, it is advisable to consult a healthcare provider for further evaluation.

2. Erection Changes: The changes in erection that you describe, particularly the lack of engorgement in the glans (the head of the penis) during an erection, can be concerning. Normally, during arousal, blood flow increases to the penis, causing both the shaft and the glans to become engorged. If the glans does not fill with blood unless pressure is applied, this could indicate a vascular issue or a change in the way blood flows during arousal. It is also worth noting that psychological factors, such as anxiety or stress related to sexual performance, can impact erectile function. The fact that you still achieve an erection, albeit with some changes, is a positive sign. However, if this situation is affecting your sexual satisfaction or causing distress, it would be beneficial to discuss these symptoms with a healthcare professional. They can assess for any underlying conditions, such as erectile dysfunction, and suggest appropriate treatments or interventions.

In summary, while some changes in ejaculation and erection after a vasectomy can be normal, persistent or troubling symptoms should be evaluated by a healthcare provider. They can provide reassurance, investigate any potential underlying issues, and discuss treatment options if necessary. Regular follow-ups and open communication with your healthcare provider can help address any concerns and improve your sexual health and overall well-being.

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