Tethering of vas deferens
Aug 9th 2009adminGeneral questions
I am wondering how common it is to have the vas deferens tethered and what is done to usually prevent this from occuring?
Tethering of the vas deferens after a vasectomy can occur and results from the scarring to adjacent tissues after the vasectomy. The biggest problems I have seen with tethering of the vas deferens is in patients where the tethering occurs to the scrotal wall. Patients describe a pulling sensation or pain, especially with ejaculation and certain activities. Treatment for this condition is usually surgical and requires mobilizing the vas deferens from the surrounding structures, wrapping the spermatic cord around the vas deferens or, alternatively, cutting back the vas deferns. The exact incidence of this occurrence is unknown but it is not a common finding after a vasectomy.