Post-Surgery Bleeding After Vasectomy: Causes and Concerns

Bleeding after the ligation of an internal hemorrhoid?

Hello Doctor: One week after undergoing a vasectomy, I experienced a feeling of diarrhea while using the restroom, resulting in the toilet being filled with blood.
Could frequent sitz baths and high water temperature be a contributing factor?

Xiao Ke, 20~29 year old female. Ask Date: 2016/07/24

Dr. Ke Fangxu reply Surgery

After hemorrhoid ligation, it is possible to experience bleeding.
As long as there is no continuous heavy bleeding, it is not a concern.
The temperature of the sitz bath should not be too high; it is generally recommended to be at a temperature similar to that of water used for bathing infants.
It is advisable to take sitz baths four times a day.
Most patients will see improvement within two to three days.
However, if bleeding persists daily without improvement, it is important to consult a physician for further evaluation and treatment.

Reply Date: 2016/07/24

More Info

Post-surgery bleeding after a vasectomy can be concerning, and it’s important to understand the potential causes and implications of such symptoms. Vasectomy is generally considered a safe and straightforward procedure for male sterilization, but like any surgical intervention, it can have complications, including bleeding.

Firstly, it’s not uncommon to experience some bleeding or spotting after a vasectomy. This can occur due to the surgical manipulation of tissues and blood vessels in the scrotal area. However, significant bleeding, such as what you described—where the toilet is filled with blood—should not be taken lightly. This could indicate a more serious issue, such as a hematoma (a localized collection of blood outside of blood vessels) or a disruption in the surgical site.

Regarding your specific concerns about the effects of sitz baths and water temperature, it is generally recommended to avoid very hot water immediately after surgery. Hot water can cause vasodilation (widening of blood vessels), which might increase blood flow to the area and potentially exacerbate bleeding. While sitz baths can be soothing and help with discomfort, excessive use or using water that is too hot could lead to increased swelling or irritation, which might contribute to bleeding.

If you are experiencing significant bleeding, it is crucial to contact your healthcare provider immediately. They may want to assess you for any complications that could require intervention. In some cases, if a hematoma develops, it may need to be drained or treated to prevent further complications.

In addition to bleeding, other symptoms to watch for include severe pain, swelling, or signs of infection (such as fever or pus). If you experience any of these symptoms, seek medical attention promptly.

In summary, while some bleeding can be expected after a vasectomy, significant bleeding is not normal and should be evaluated by a healthcare professional. It’s essential to follow post-operative care instructions, including how to manage sitz baths and monitor for any concerning symptoms. If you have any doubts or if your symptoms worsen, do not hesitate to reach out to your doctor for further evaluation and guidance.

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