Extreme bruising with hematoma after a vasectomy

These pictures show a level of bruising after a vasectomy that is rather unusual. The first three pictures were taken on the fourth day following surgery via the scalpel method, and the later ones were submitted as the recovery progressed.

Contributor’s comments

I had quite a bit of pain (7 out of 10) for about 1.5 hours to 3 hours after the procedure, although it then subsided once the pain killers kicked in and the bruising and swelling was evident the following morning which was about 16 hours after the operation. The operation itself was absolutely fine with no problems whatsoever.

The swelling was at its worst 24 hours after the operation and was about 15% more than the photos show. The abdominal bruising showed up on day three. As you can see, my left side is much better than the right side. Not that I think it has anything to do with it, but just in case (and for reference) I am a serious amateur triathlete and cycle approx 15,000 km a year in addition to running and swimming regularly.

Four days after the vasectomy

Bruising on testicles, front of the penis and abdominal bruise
Bruising on testicles, front of the penis and abdominal bruise.
Another view of bruising on testicles, underside of the penis and abdominal bruise
Another view of bruising on testicles, underside of the penis and abdominal bruise.
Vasectomy incision above the right testicle, plus all the bruising and swelling
Vasectomy incision above the right testicle, plus all the bruising and swelling.

Six days after the vasectomy

Swelling and bruising 6 days after a vasectomy
Swelling and bruising 6 days after a vasectomy. Alternative angle.
Continued swelling and bruising of scrotum and abdomen.

11 days after vasectomy

Abdominal bruises are still a bit tender, but hardly any other pain. The hematoma has not yet reduced in size and is about one and a half times the size if my testicle at the moment. Hopefully it will start to get smaller! At least I am able to swim now.

Swelling and bruising 11 days post-op.
Swelling and bruising 11 days post-op. Alternative angle
View of the swelling and bruising 11 days after the vasectomy procedure.

Many thanks to our contributor for submitting these pictures and allowing us to use them.

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