Concerns About Stitches After Vasectomy: What to Expect? - Urology

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I had a vasectomy, and it's been 10 days since the procedure, but the suture ends are still present?


Hello, I underwent a vasectomy on October 7, 2005.
After the surgery, the doctor stitched the incision with absorbable sutures and mentioned that they would fall out in a week.
However, it has now been 10 days, and they have not yet fallen out.
Is this normal? Should I wait a few more days?

Xiao Zeng, 30~39 year old female. Ask Date: 2005/10/17

Dr. Xu Weikai reply Urology


Hello, generally, sutures will fall out in about 1-2 weeks.
However, some individuals take better care of their wounds, keeping them very dry, which can make the sutures less absorbable.
In some cases, they may not be absorbed even after 14 days.
At this point, I personally recommend visiting the outpatient clinic to have the sutures removed rather than waiting for them to dissolve on their own.

Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, Hsu Wei-Kai.

Reply Date: 2005/10/17

More Info


After a vasectomy, it is common for patients to have concerns about the stitches used during the procedure. In your case, you mentioned that the doctor used a type of suture that was expected to dissolve within a week, but it has now been ten days and the stitches have not yet fallen out.
Firstly, it is important to understand that there are different types of sutures used in surgical procedures, including absorbable and non-absorbable stitches. Absorbable stitches are designed to dissolve over time, typically within a few days to weeks, depending on the material used. Non-absorbable stitches, on the other hand, require removal by a healthcare professional. If your doctor indicated that the stitches were absorbable, it is possible that they may take longer than expected to dissolve, especially if they are made from a material that has a longer absorption time.

In general, if the stitches are not causing any discomfort, swelling, or signs of infection (such as redness, warmth, or discharge), it is usually not a cause for concern. However, if you notice any of these symptoms, or if the stitches remain intact for an extended period without any signs of dissolving, it would be advisable to follow up with your healthcare provider. They can assess the situation and determine if any intervention is necessary.

It is also worth noting that individual healing times can vary based on several factors, including the patient's overall health, the specific surgical technique used, and how well the body responds to the healing process. Some patients may experience a longer duration for stitches to dissolve or may have a different healing timeline altogether.

In the meantime, here are some general care tips for your surgical site:
1. Keep the Area Clean: Gently clean the area around the stitches with mild soap and water. Avoid scrubbing the site to prevent irritation.

2. Monitor for Signs of Infection: Keep an eye out for any unusual symptoms, such as increased pain, swelling, redness, or discharge from the wound. If you notice any of these signs, contact your doctor.

3. Avoid Strenuous Activities: It is important to avoid heavy lifting or strenuous activities that could put strain on the surgical site until you have fully healed.

4. Follow-Up Appointments: Attend any scheduled follow-up appointments with your healthcare provider to ensure proper healing and to address any concerns you may have.

5. Pain Management: If you experience discomfort, over-the-counter pain relievers may help. However, consult your doctor before taking any medication.

In conclusion, while it is not uncommon for absorbable stitches to take longer than expected to dissolve, it is always best to consult with your healthcare provider if you have any concerns. They can provide personalized advice based on your specific situation and ensure that your recovery is progressing as it should. If you have any further questions or if the situation changes, do not hesitate to reach out to your doctor for guidance.

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