Post-Vasectomy Concerns: Pain and Swelling After One Month - Urology

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After a vasectomy, it is not uncommon for patients to experience some discomfort, swelling, and changes in the scrotum or testicles. However, the symptoms you're describing—specifically the presence of elongated lumps near the incision sites, pain upon pressure, and the left testicle appearing to have moved lower—are concerning and warrant further evaluation.

1. Post-Operative Pain and Swelling: It is normal to experience some degree of pain and swelling in the days following a vasectomy. This is due to the surgical trauma and the body's natural inflammatory response. However, one month post-surgery, while some residual discomfort may persist, significant pain or swelling that is worsening or not improving should be assessed by a healthcare professional.
2. Lumps Near the Incision: The elongated lumps you are feeling could potentially be hematomas (localized collections of blood outside of blood vessels) or cysts that can form post-surgery. These can sometimes resolve on their own, but if they are painful or increasing in size, they may require intervention.
3. Testicular Position: The change in the position of your left testicle is also a concern. After a vasectomy, the testicles should remain in their normal anatomical position. If one testicle has descended or appears lower than the other, it may indicate a complication such as a hydrocele (fluid accumulation around the testicle) or other issues that could require surgical evaluation.

4. Absence of Discharge: The absence of any discharge is a positive sign, as it suggests there may not be an active infection. However, it does not rule out other complications.

5. When to Seek Medical Attention: Given your symptoms, it is crucial to follow up with your surgeon or a urologist. They can perform a physical examination and possibly imaging studies to determine the cause of your symptoms. It is important to address these concerns promptly to prevent any potential complications.

In summary, while some discomfort and swelling can be expected after a vasectomy, the specific symptoms you are experiencing—especially the lumps and the change in testicular position—are not typical and should be evaluated by a healthcare professional. Early intervention can help address any complications and ensure proper healing. Please do not hesitate to reach out to your healthcare provider for a thorough assessment.