Managing Post-Vasectomy Complications: Skin Inflammation and Suture Issues - Urology

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The sutures from a vasectomy are expelled through the scrotal skin?


Hello Doctor, I previously inquired about the stitches being expelled from the skin after a vasectomy.
Recently, I have experienced two occurrences of inflammation and swelling of the scrotal skin, with raised lumps.
The first time, squeezing resulted in pus discharge, and it later healed on its own (without any stitches being expelled).
Today, the second occurrence was similar, but there was a small wound with no pus upon squeezing.
Upon closer inspection, it seems to be something related to the stitches, and touching it is very painful, making it impossible to remove.
What would be the best way to handle this situation? Is there a way to prevent this from happening? Is it necessary to consult a surgeon to remove the stitches, or should I wait for my body to expel them naturally? Thank you.

Daming, 30~39 year old female. Ask Date: 2018/11/18

Dr. Du Shixi reply Urology


Hello: If there is severe pain upon touch, it may indicate the presence of pus.
You should return for a follow-up to address this, whether it involves drainage or at least ensuring that the pus is completely cleared.
Wishing you good health.

Reply Date: 2018/11/18

More Info


After a vasectomy, it is not uncommon for patients to experience complications such as skin inflammation, swelling, and issues related to sutures. The symptoms you describe—skin inflammation, swelling, and the presence of painful lumps—are concerning and warrant careful management.

Firstly, it is essential to understand that after a surgical procedure like a vasectomy, the body goes through a healing process. This process can sometimes lead to inflammation, which may manifest as redness, swelling, and tenderness in the affected area. The presence of pus or fluid can indicate an infection, while the painful lumps you mentioned could be related to the sutures used during the procedure.

In your case, the first episode of inflammation that resulted in pus suggests that there may have been an infection or an inflammatory response to the sutures. The fact that it healed on its own is a positive sign, but the recurrence of similar symptoms indicates that there may be an underlying issue that needs to be addressed.

Regarding the second episode, where you noticed a small wound and suspected the presence of suture material, it is crucial to approach this situation with caution. If the suture material is indeed still present and causing pain, it may need to be removed. Retained sutures can lead to chronic inflammation and may prevent proper healing, potentially leading to further complications.

Here are some steps you can take to manage your symptoms:
1. Consult Your Surgeon: It is advisable to return to the surgeon who performed the vasectomy. They can assess the situation and determine whether the suture material needs to be removed. They may also evaluate for any signs of infection that may require treatment.

2. Avoid Squeezing or Manipulating the Area: While it might be tempting to squeeze the lumps or wounds, this can exacerbate inflammation and increase the risk of introducing bacteria, leading to infection.

3. Monitor for Signs of Infection: Keep an eye on the area for any worsening symptoms, such as increased redness, swelling, warmth, or discharge. If you notice these signs, seek medical attention promptly.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult with your healthcare provider before taking any medication, especially if you have underlying health conditions.

5. Hygiene: Maintain good hygiene in the area to prevent infection. Gently clean the area with mild soap and water, and avoid using harsh chemicals or irritants.

6. Follow-Up Care: If your symptoms do not improve or worsen, follow up with your healthcare provider. They may recommend imaging studies or further interventions if necessary.

In summary, while some degree of inflammation and discomfort can be expected after a vasectomy, recurrent symptoms, especially those involving pus or retained suture material, should be evaluated by a healthcare professional. Early intervention can prevent complications and promote a smoother recovery.

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