Post-Vasectomy Hematoma: When to Seek Urology Care After Surgery - Urology

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After undergoing a vasectomy, it is not uncommon for patients to experience some degree of swelling, bruising, or hematoma in the scrotal area. However, persistent symptoms such as ongoing bleeding, significant swelling, or failure of the sutures to dissolve after a month warrant further evaluation by a urologist.

In your case, since you have been experiencing continuous bleeding and only partial resolution of the hematoma after more than a month, it is advisable to seek urology care. Here are several reasons why you should consider returning to your urologist:
1. Persistent Hematoma: A hematoma is a localized collection of blood outside of blood vessels, often caused by trauma or surgical procedures. While some swelling and bruising can be expected post-surgery, a hematoma that does not resolve over time may indicate that there is an underlying issue, such as a blood vessel that has not properly clotted or a complication that requires intervention.

2. Ongoing Bleeding: Continuous bleeding from the surgical site is concerning. It could suggest that there is an issue with the sutures or that there is a source of bleeding that has not been addressed. In some cases, a hematoma can become infected, leading to further complications. If the bleeding is significant or worsening, it is crucial to have it evaluated.

3. Suture Issues: If the sutures have not dissolved as expected, this could lead to irritation, inflammation, or even infection at the surgical site. Non-dissolving sutures may need to be removed or addressed by your healthcare provider.

4. Infection Risk: Any surgical site that continues to bleed or show signs of swelling can be at risk for infection. Signs of infection may include increased redness, warmth, swelling, or discharge from the wound. If you notice any of these symptoms, it is essential to seek medical attention promptly.

5. Pain Management: If you are experiencing pain that is not adequately managed with over-the-counter medications, or if the pain is worsening, it is important to discuss this with your urologist. They may need to assess the area for any complications that could be contributing to your discomfort.

6. Peace of Mind: Lastly, if you are feeling anxious or uncertain about your recovery, it is always better to err on the side of caution. A follow-up appointment can provide reassurance and allow your urologist to assess your healing process, ensuring that everything is progressing as it should.

In summary, given your symptoms of persistent hematoma, ongoing bleeding, and issues with the sutures, it is highly recommended that you return to your urologist for a thorough evaluation. They can perform a physical examination, possibly imaging studies, and determine the best course of action to address your concerns and ensure a smooth recovery. Remember, it is always better to seek care sooner rather than later when it comes to post-operative complications.