Post-Vasectomy Concerns: Is My Testicle Redness Normal? - Urology

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Post-operative issues following a sterilization procedure?


Last week, I underwent a vasectomy and circumcision at the hospital.
Post-surgery, I didn't experience any issues, but today, on the third day, I've noticed that the epidermis of my left testicle appears red, resembling a bruise (about half the size of the testicle).
The right side does not show this condition.
Aside from the redness, there is no swelling or pain, so I'm unsure if this could be what is referred to as a scrotal hematoma.
Should I see a doctor? I'm concerned about the long wait times at the clinic, so I wanted to consult you first.

Peter, 30~39 year old female. Ask Date: 2005/06/08

Dr. Lai Ronghao reply Urology


Peter: Hello! It is best for you to consult your surgeon for an examination or a detailed discussion.
Otherwise, it is difficult to determine what issues you may have based solely on your brief description.
This is a response from Dr.
Lai Rong-Hao, Director of the Urology Department at Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/06/08

More Info


After undergoing a vasectomy and circumcision, it is not uncommon to experience some changes in the scrotal area, including redness and potential bruising. However, the specific symptoms you describe—redness on the left testicle that resembles a bruise, without swelling or pain—raise some important considerations.

Firstly, it is essential to understand that after surgical procedures like a vasectomy, some degree of bruising and discoloration can occur due to the manipulation of tissues and blood vessels during the operation. This is often referred to as a hematoma, which is essentially a localized collection of blood outside of blood vessels, typically resulting from the rupture of small blood vessels during surgery. Hematomas can appear as red or purple areas on the skin and may vary in size.
In your case, the fact that the redness is localized to one side and is not accompanied by significant swelling or pain is somewhat reassuring. However, it is still crucial to monitor the situation closely. Here are some points to consider:
1. Observation: Since you mentioned that there is no swelling or pain, it may be reasonable to observe the area for a short period. If the redness persists or worsens, or if you start to experience swelling, pain, or any other concerning symptoms (such as fever or discharge), it would be advisable to seek medical attention.

2. Blood Supply and Healing: The scrotum has a rich blood supply, which can lead to more noticeable bruising compared to other areas of the body. The healing process can vary significantly from person to person, and some individuals may experience more pronounced bruising than others.

3. Potential Complications: While it is likely that the redness you are experiencing is a benign hematoma, it is essential to be aware of potential complications. If the hematoma becomes large or if there are signs of infection (such as increased redness, warmth, swelling, or discharge), you should seek medical advice promptly.
4. When to Seek Help: If you notice any of the following, it is crucial to contact your healthcare provider:
- Increased pain or tenderness in the area
- Significant swelling or changes in size
- Fever or chills
- Any unusual discharge from the surgical site
5. Follow-Up Care: Even if the symptoms seem mild, it is always a good idea to follow up with your surgeon or healthcare provider for a post-operative check-up. They can assess the area and provide reassurance or treatment if necessary.

In conclusion, while the redness you are experiencing may be a normal part of the healing process following your vasectomy and circumcision, it is essential to remain vigilant. If you have any doubts or if your symptoms change, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and it is always better to err on the side of caution when it comes to post-operative concerns.

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