Is Post-Vasectomy Abdominal Pain Normal After Six Days? - Urology

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Post-operative abdominal pain after sterilization?


Hello doctor, it has been six days since my sterilization, and I have been experiencing abdominal pain every day, with more noticeable pain on the left side.
Is this normal on the sixth day?

A-Hong, 30~39 year old female. Ask Date: 2021/10/27

Dr. Li Xinyi reply Urology


Postoperative issues still require a follow-up visit to discuss with the surgeon.
Only the attending physician is aware of the entire surgical process.

Reply Date: 2021/10/27

More Info


Post-vasectomy abdominal pain can be a common experience, especially within the first week following the procedure. It is important to understand that while some discomfort is expected, persistent or severe pain should be evaluated by a healthcare professional.

After a vasectomy, patients may experience various degrees of pain and discomfort as part of the healing process. This is due to the surgical manipulation of tissues and the body's natural response to surgery. The pain can be localized to the lower abdomen, and it is not unusual for patients to feel more discomfort on one side, particularly if that side was more involved during the procedure.
In your case, experiencing left-sided abdominal pain six days post-vasectomy is not uncommon. The pain may be due to several factors, including:
1. Surgical Trauma: The procedure involves cutting and sealing the vas deferens, which can lead to inflammation and irritation of surrounding tissues. This can result in localized pain that may persist for several days to weeks.

2. Nerve Irritation: The surgical process can irritate nearby nerves, leading to sensations of pain or discomfort. This is often temporary and should resolve as the tissues heal.

3. Fluid Accumulation: Sometimes, fluid can accumulate in the surgical area, leading to swelling and discomfort. This condition, known as a hematoma, can cause pain and may require monitoring.

4. Muscle Strain: Post-operative activity levels can also contribute to discomfort. If you have been more active than recommended, or if you have engaged in activities that strain the abdominal muscles, this could lead to increased pain.

5. Infection: Although less common, an infection can occur at the surgical site, leading to increased pain, redness, swelling, and possibly fever. If you notice any signs of infection, it is crucial to seek medical attention promptly.

While mild to moderate pain can be expected, it is essential to monitor the severity and nature of your symptoms. If the pain worsens, becomes unbearable, or is accompanied by other concerning symptoms such as fever, swelling, or discharge from the surgical site, you should contact your healthcare provider for further evaluation.

In general, post-operative care for a vasectomy includes rest, avoiding heavy lifting or strenuous activities for a period of time, and taking prescribed pain medications as needed. Ice packs can also be applied to the area to help reduce swelling and discomfort.

In conclusion, while some abdominal pain six days after a vasectomy can be normal, it is always best to err on the side of caution. If you have any doubts or if your symptoms change, do not hesitate to reach out to your surgeon or healthcare provider for guidance. They can provide personalized advice based on your specific situation and ensure that your recovery is progressing as expected.

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