Scrotal hematoma: Definition, causes and treatment options

Symptoms | Treatment | Precautions | Summary

A scrotal hematoma is a collection of blood inside the scrotum. It occurs when bleeding fails to stop after a vasectomy, or when bleeding resumes at some point after the operation due to trauma or other conditions. Hematomas may also develop after a vasectomy reversal.

Scrotal hematomas occur in approximately 2% of vasectomies.1Adams CE, Wald M. Risks and Complications of Vasectomy. Urologic Clinics of North America. Published online August 2009:331-336. doi:10.1016/j.ucl.2009.05.009 A hematoma is a serious complication that can be very unpleasant, but it will rarely cause long term damage.

Symptoms of a scrotal hematoma

Scrotal hematomas typically occur shortly after the vasectomy procedure. They are often accompanied by swelling, bruising, and pain.

The symptoms are dependent on the location, size, and cause of the hematoma, so it’s possible to develop a hematoma without showing all symptoms. A small hematoma may cause minimal swelling and discomfort, while a larger hematoma could result in extensive bruising and pain.

Scrotal hematomas vary in size. They may be so small they aren’t even noticeable, or so large they feel like a third testicle. The reason for this is that the loose skin of the scrotum can expand greatly and may not immediately provide the pressure necessary to stop the bleeding. In these scenarios, the hematoma won’t stop growing until it becomes big enough to apply pressure to the source of the bleeding, or a spontaneous clot appears.

A hematoma will generally feel like a lump or growth in the scrotum. This hematoma mass will eventually harden as the blood forming the hematoma clots.

Treating a scrotal hematoma

Hematomas usually resolve on their own. In most cases, the hematoma will go away with a couple of weeks, but larger hematomas can take longer to dissolve. The clotted mass of blood that makes up the hematoma will slowly be absorbed into the body, so all you can really do is wait. Pain, bruising, and swelling may last for a similar amount of time, although these symptoms usually diminish as the hematoma shrinks and breaks up.

Your doctor may recommend hot baths, ibuprofen, and tight elevating undergarments as ways to alleviate discomfort and speed recovery. In extreme cases, surgical intervention may be necessary, but this is usually regarded as a last resort.

Avoiding a post-vasectomy hematoma

While it’s impossible to completely eliminate the risk developing of a hematoma after your vasectomy, there are steps you can take to minimize the odds it’ll happen to you

Have a urologist perform the procedure

While your general practitioner may be capable of performing your vasectomy, it’s generally best and strongly recommended to find a urologist to do the job. Urologists typically have much more experience in providing vasectomy services, and experience is a significant factor in predicting the likelihood of complications after a vasectomy.

Find an experienced doctor

In general, the more vasectomy operations a doctor has performed, the lower the chance of hematoma. One study found that “the incidence of hematoma was 4.6% for physicians performing 1–10 vasectomies annually, 2.4% for those performing 11–50 annually, and 1.6% for those performing more than 50 annually.”2Schwingl PJ, Guess HA. Safety and effectiveness of vasectomy. Fertility and Sterility. Published online May 2000:923-936. doi:10.1016/s0015-0282(00)00482-9

Do your research and find out how many procedures the doctor performs in a year. This may be on the doctor’s website, but it’s also something you can ask about during your initial consultation.

This doesn’t mean that a doctor who has done fewer vasectomies isn’t competent to perform your operation. The incidence of hematoma is minimal regardless of the number of procedures a doctor has performed, but statistically speaking, you’ll have better luck with a more experienced doctor.

Look into a no-scalpel vasectomy

The no-scalpel vasectomy method offers a number of benefits over the traditional technique, and one of those benefits is a lower risk of developing a post-vasectomy hematoma. A scalpel-free vasectomy uses sharp forceps to puncture the skin and doesn’t involve any cutting. With the no-scalpel method, there’s a lower chance of nicking a blood vessel, which means a lower risk for hematomas. Both procedures are currently standard of care, and a traditional scalpel vasectomy is also a great option if your surgeon prefers to perform it that way.


Scrotal hematoma is a rare, but a known complication of a vasectomy. A smaller hematoma may cause minor discomfort, while a large hematoma could result in severe bruising and pain.

You need to see your doctor as soon as possible if you suspect you have a hematoma. While a scrotal hematoma is usually not a serious issue, it could require special treatment or be related to another problem.

References and further reading has a strict sourcing policy. We rely on evidence-based medicine, peer-reviewed studies, reputable clinical journals, and medical associations. Learn more about how we ensure our content is accurate and up-to-date by reading our editorial policy.
  1. Cook L, Pun A, Gallo M, Lopez L, Van V. Scalpel versus no-scalpel incision for vasectomy. Cochrane Database Syst Rev. 2014;(3):CD004112. doi:10.1002/14651858.CD004112.pub4
  2. Schwingl PJ, Guess HA. Safety and effectiveness of vasectomy. Fertility and Sterility. Published online May 2000:923-936. doi:10.1016/s0015-0282(00)00482-9
  3. O’Leary B. Scrotal haematoma following vasectomy: an unusual surgical emergency. BMJ Case Rep. 2014;2014. doi:10.1136/bcr-2013-202421
  4. Risk of Bleeding After Vasectomy. A Personal Choice.

Medically reviewed by

Dr. Aaron Wiegmann, MD

Review date

May 16, 2021

Authored by editorial team

Last updated

July 7, 2020

Comments (195)

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  1. 3 weeks ago I walked out of the vasectomy clinic and did not even make it home before I was hurting and swelling beyond belief. Ended up totally black down there with 2 grapefruits… literally grapefruit-size. Horrible pain and bedridden basically for 2 weeks. For the last week, black blood has been draining from the incision on the left testicle. The pressure built up until it blew out the stitches. The right testicle is back to normal. I can walk quite a bit better now but still pain and the color is getting better. I cannot tell you how much this page got me through this! Really fortunate to have found it. Thanks!

  2. I got mine done on Friday, Feb 28, and stayed in bed all weekend and came to work on Monday feeling sore but ok. I woke up Tuesday with my left testicle looking like a black orange. Y’all know the deal. I’m 11 days in and don’t know how long this will last, but here is what I found that helps.

    • A long hot bath every day
    • Motrin every 6 hours
    • Baby powder
    • Wearing a jockstrap over boxer briefs
    • Hot and cold therapy regularly
    • Propping feet up
    • Also, my doctor prescribed an anti-inflammatory steroid

    I hope this helps fellas.

  3. Was anybody still in a lot of pain at 9 months post hematoma? I had bad bleeding after my vasectomy, and my hematoma mass/lump was very large initially (5x5x5cm) and has very slowly resorbed down to 1x1x1 cm after 9 months, but I still have a lot of hematoma pain when standing. And my legs ache and hurt whenever I stand so they think it may be nerve pain… it feels like the pain radiates down my legs so maybe the mass has pinched a nerve in scrotum?

    Various doctors have talked about removing the mass or a “de-nervation” procedure to cut the nerve to the testicle, but nobody seems to know or have confidence as to what the best move is given my leg pain to go along with scrotal/hematoma pain. I’m desperate for help but waiting it out for now.

    • I still have a lump left after 6 months, not sure if it is getting smaller, also about 1x1x1 cm. The doctor wasn’t all that sure if it was hematoma or scar tissue inside epididymis. I have it at the bottom of my testicle.

      • R – are you still in a lot of pain from that 1x1x1 lump you have? Mine is very painful all the time and keeps me from standing with leg pain, but perhaps it’s stuck to a nerve.

        Did your Doctor say to let it go at this point, or what did he recommend with the lump left? Just curious if your lump is still causing a lot of pain and getting in the way of your day to day activities.

    • Hi Trey, not a lot of pain, but it gives a burning sensation. The doctor can’t tell for sure whether it is a hematoma, blood clot (what he thought at first), or scar tissue within the epididymis (what he thought later). He said he couldn’t/won’t do anything about it because operating would eventually/probably create more irreversible damage. He told me last January to wait it out and see how it develops. I think it didn’t get smaller, though… I just want an ultrasound to confirm what it is. Did you have an ultrasound to confirm it is a hematoma? It is causing some pain/gets in the way.

      • I have had 3 ultrasounds to measure the mass and make sure it is getting smaller. I’ve done them every 3 months starting last August 2019 and most recently in Feb 2020. They call it a “hematoma Mass” on the ultrasound report, and it is resorbing and getting smaller, although very slowly. It’s gone from:

        5x5x5cm in June 19
        3.5×3.5×3.5cm in Aug 19
        2x2x2 cm in Nov 19
        1.4×1.3×1.3 cm in Feb 20.

        But the pain and ability to stand has not improved one bit as it’s getting smaller, so there must be a lot of scar tissue as well. Pain shoots down my legs from the scrotum when I stand. My docs have also expressed fear of causing more damage by removing the mass with surgery.

        I would get a 2nd opinion or ask for an ultrasound from a trusted Urologist. Good luck! Keep up the hope.

        • Thanks for the feedback. Never had any ultrasound after reversal, planning on getting one. When I am sitting/lying down, I don’t have any issues. Standing sometimes…is that mass hard as a rock or more soft? I didn’t have any mass after vasectomy, though. Right after reversal, my right one was twice as big as the left one. So I am still ”hoping” that it is a hematoma rather than scar tissue/epididymal damage.

          Maybe I will take a 2nd opinion, good suggestion. I will keep you posted. Do you have any tips about decreasing the mass? Hot baths?

  4. So I had a vasectomy done on December 19. A day later, my balls were the size of grapefruits… my left testicle eventually went back to its normal size. The right did not. The urologist said we would drain it out. He drained it out and left a tube attached for a couple of days. He took the tube out, and the swelling went down but not completely. Tomorrow he wants to make a cut and squeeze the rest of it out. The testicle is now hard! What a nightmare this has been.

  5. Gentlemen (and some ladies),

    Thank you so much for your posts, reposts candor. I am 3 weeks post-vasectomy and have a “3rd nut” in the form of Hematoma. I cannot believe how this simple, common procedure has knocked me on my ass. I live for workouts and exercise. I am so glad to hear that care and patience will take care of this.

    Three weeks in and the pain has started to subside. I’m on about 2 Advil per day. I’ll report back soon. Thanks & Stay strong.

  6. Hello friends, tomorrow marks 4 weeks post-op. I had my vasectomy done on Friday, Oct 18th. Let me tell you: it does get better!

    I developed a third testicle (hematoma) about 1 week into my recovery. I thought it was standard – per the post-op recovery information provided by the urologist, “will have some bruising and swelling.” Funny… I reached out to a friend of mine who had the procedure done a few months prior to mine and asked him if he went through the same ordeal. He did not. He was one of the few lucky ones that just had minor bruising with minimal swelling and a quick recovery.

    Of course, I googled my symptoms and thought I was dying… FYI don’t google your symptoms – Call your doctor! I contacted the urologist who did the procedure and had explained what I had been dealing with – solid mass on the left nut, extreme pain, etc. His response was “hematoma,” he prescribed amoxicillin. I’ve been on it for 10 + days now, and it seems to be doing the trick.

    The following are a must: Stay off your feet, wear tight briefs or jockstrap, ice your sack, take warm baths (once given the ok 1-2 days after the procedure), and for the love of God, no heavy lifting! If you can follow those steps, you’ll find the road to recovery to be a quick one.

    Thanks again for everyone sharing their stories, it helped me out – A LOT!

  7. Had my vasectomy done Oct 2019, I felt no pain after the surgery. I got home about 3 hours after surgery, ate, into bed, and relaxed for a few hours until I needed to use the bathroom. Got up from the bed, and that’s where all hell broke loose. Felt like someone stabbed me in the lower abdomen. I checked down there, and the right side was swollen.

    Thought it was all part of the surgery, so gave it about 2 days, but the pain just got worse. I went to the back surgeon. He says I developed an infection. Put me on antibiotics and pain meds, which helped a bit, and swelling on the right side subsided to about half the size. Pain on right up till abdomen was still there but not as severe. I went for a 2nd opinion to my GP and told me a blood clot (Hematoma). Prescribed 2nd batch of stronger antibiotics, which has now affected my stomach ulcers so in severe abdominal pain.

    3 weeks in now, stopped all meds and just waiting it out. Have the odd discomfort and pain but gradually getting better. I had many friends do the procedure, and I’m the lucky one. Don’t just jump at this procedure, really have a good hard think about it.

  8. So. Just had my vasectomy done on Halloween morning. I walked out of the office, all good and numb. I went home, chilled out. Felt good. I walked around the house and BAM; my stuff started to swell. It blew up like a good grapefruit. Three days later, I went to urgent care here in Michigan. The doctor gave me the news: Hematoma.

    I have black balls and a black rod and a little hematoma on my mushroom too. Not too excited about this. But I’m still going deer hunting on November 15th.

  9. I had my vasectomy in March 2019, a large hematoma on my left side appeared within days. 7 months later, it is very slowly reducing, I have multiple seeping open sores on my scrotum and have been on 4 different antibiotics for the last 4 months.

    A visit to a Urologist was useless. He was pretty circumspect about it and basically told me, “it will heal eventually.” I am now packed with gauze to capture all the ooze. It is not painful (occasional sharp shooting pain). The real issue is my dick is now pointing down and towards the left when erect and makes sex impossible. I have my fingers crossed it will eventually return to normal… I did read quite a lot about how it went wrong (no-scalpel procedure), it seems that my doctor (not a urologist) should have stopped the procedure (urologist society guidelines) when my balls went really tight during the procedure, making it difficult to find the Vas deferens. However, he continued, and I felt a sharp pain at the time…

    So for anyone reading this, thinking a vasectomy is a straightforward and simple procedure without risk. Think again and do your homework… be especially careful if you are like me and have a tight scrotum or if your balls go really tight in your sack… it’s a much higher risk for you, and the procedure should be done by a Urologist, not your local doctor!

  10. So I had my vasectomy 9 days ago and practically been on bed rest and ice. The procedure went great, but then I swelled up to the size of an orange. The swelling also followed what I assume the vas tube up into the pubic area and to my left hip. I woke up completely bruised around my whole left side to my hip. VERY painful! Yesterday felt a little better, so I moved around the house a little and now waking up in more pain.

    Am I overdoing it and going backward? When will this progress? I really need to get back to work. My most severe pain is on my left abdomen, where it swelled. My Hemotoma goes from my left ball up the abdominal wall and about halfway to hip. It hurts to stand. Also, my ball sack feels like a fresh burning blister when I stand. Please someone help! I wish I knew what to do to progress this mess. If I felt I was making progress, I’d have A LOT more patience. I am feeling down! Also, I’m taking one to two Advil every 24hrs. While on my back, my pain is minimal. When I stand, it’s terrible. What do I do?!

    • Update:

      Tomorrow is my 2 week anniversary since the procedure. I’ve been taking baths 2 times a day, which seems to be helping. Today was the first day where I could stand and walk gracefully around the house. I even went for a drive… never knew how rough the roads are around here until today!

      Well, the next update is gross. For the last 3 days, my incision has been seeping. Tonight I was in the bath lightly messaging the large Hematoma when all of a sudden, my incision popped like a large pimple. It squirt out chunks of grape-like jelly. I didn’t taste it to confirm the grape part. So I kept squishing and couldn’t believe my eyes. This crap just kept squirting out. I wasn’t sure if I should keep going, but I did. Now not sure what to expect tomorrow after this, but I hope it speeds up the healing process. I’ll update as this progresses.

    • Try to stay off your feet as much as possible! My hematoma was 7 months ago, and it’s very slowly getting better, but I’m still in pain standing. Laying down is no pain, and sitting is manageable, but standing is rough.

      My hematoma lump was a tennis ball-sized at first and now down to golf ball sized. It’s still tender and sore and connected to my left testicle. I wear jockstraps and take a warm bath every night but haven’t found a cure for the pain.

      Have any of your Urologists talked about surgery to remove the lump? I’m curious if that has helped anybody.

  11. Unfortunately, Hematoma is a problem for vasectomy reversal as well. Had my reversal procedure and the next day, my scrotum swelled up like a hard pineapple. Very hard and sensitive on the side of the testicles instead of the front. The doctor said it could take several weeks to months for it to go down. I am limited to wearing basketball shorts, so my large bulge is not showing through my pants. Hard to bend over and walk for long periods of time. Have to eat prunes to avoid constipation as well. Very miserable, but it gets better every day.

    I should have just left my testicles the way God made them. My new slogan for vasectomy is “Never Again”!

  12. Same here, had my vasectomy last Friday, next day left side was bruised and swollen to baseball size, bruising had been moving up to my pelvis and hip. Swelling hasn’t increased. Do any pain meds help? I’m just about head out and debating asking for more. I take one Percocet a day. I will try the warm baths.

    • Man, I just had mine done last Wednesday, and what a terrible experience. The procedure went easy, but as soon as I got home, it took a major turn for the worse. Deep burning up the left side to the hip. Massive swelling up to hit and now terrible bruising around the left side and even down into my butt cheeks. We’re talking black. I have no clue what to do now. Just waiting it out. Balls are MASSIVE. Very depressing and a bad mistake.

      • Bro bro bro… I feel everybody’s pain on this site… had my vasectomy done August 26th, and I haven’t worked since. The first week after the procedure I woke up with my scrotum the size of a grapefruit, I went back to the urologist and the same thing, give it time for swelling to go down if you get a fever, or puss discharge come back.

        Swelling went down, but then a couple of days later, I woke up with this lump on top of my left testicle, and it just kept growing, stretching out my scrotum to a big orange with a cone-shaped extension at the bottom of it. I went back the following week again because the pain was unbearable, so they sent me to do an ultrasound on my scrotum, and long story short… I’m in the same boat as the rest of you guys. It’s a hematoma.

        Very annoyed, but… things could be worse in some strange, weird way. Just a waiting game now. I got an appointment on Monday with my primary, and she’s going to determine whether I’ll be fit for duty to go to work (which I know I won’t), or disability. Keep the blog posted, though… we had to be that 2% that catch the complications after a vasectomy.

        • Big Balls. I feel your pain—same story with my reversal on Sept 3, 2019. Swelling comes and goes. I was sore a couple of days ago, but I was working in my shed building shelves and lifting plywood and 2x4s. Noticed tonight that there is a hard mass on vas left side. This morning I had to masturbate and bring semen sample for testing, was shocked to see some blood or brown splotches in the sample jar. This raised my panic level, and here I am on google. Will start taking Alleve and Advil and maybe warm compress.

  13. My vasectomy was on Jun 7th, 2019, and 50 days later, I still have a hardened ball (clot) behind my left testicle (now golf ball size). The good news is the size was reduced from an “orange ball size” to “golf ball size.”

    Initially, the doctor said in 1-2 weeks, everything will be ok, but the reality was not like that. Every day I have been taken 20-30 min hot-warm water compress over the scrotum, then Lyrica and cream over the scrotum. The first month I was taking Advil. Like most of you, the first 14 days, it was difficult to stand up or even walk; now I am doing workouts to try to accelerate the clot dissolve; to be honest no much pain along the 50 days but discomfort; I prefer to wait than a surgery to drain or remove the clot.

    I hope in 30 days to be maybe 100% fine. This is the best blog that I found for reference about the symptoms after my vasectomy. I took pictures to follow-up. I did not mention that my left side is the worst; the right side is now good. What I remember is that the doctor injected anesthesia directly on the left testicle (he mentioned). It was different on the right side. For me, it’s a clue why the left side has been the worst, and I do not know if it’s a good practice; why left side yes and right no, strange.

    I asked the doctor how many vasectomies he did, he replied with thousands in a month, that kind of answers makes me some doubt but is too late now. There should be better/realistic available information before getting a vasectomy, but maybe it’s a business now, and nobody tells everything which is very sad. Take it easy and be patient. I will post again after 30 days more.

  14. Does anyone know if we are at risk of getting blood clots elsewhere in the body from the scrotal hematoma? I worry about it, causing a pulmonary embolism.

  15. This forum has been very helpful. I’m just over 3 months removed from a bad hematoma. An hour after I got home from my vasectomy, my athletic support was soaked in blood, and I started swelling up the size of an orange and all purple/blue color. Bruising down legs and all over the midsection. The doctor said I just had to “wait it out.”

    The swelling went down after a month to a reasonable size, and that’s when I noticed the egg lump. I take a warm bath every night. After 3 months, the swelling and bruising are mostly gone, but I have an egg-sized hematoma lump directly under my left testicle. The hematoma and lump still hurts but not as bad as the first month. The lump feels like it is attached to the left testicle and is hard as a rock. I’m hoping it goes away on its own so I can avoid another surgery… did others have a lump this large still at 3 months, and did it go away over time? How long until close to normal?

    The biggest issues I’m having now are leg and back pain. My legs ache and are sore all day, whether standing or sitting, and it’s hard to be on my feet for more than 5-10 minutes before my legs and back hurt and feel like I need to sit… legs are really tight/sore and haven’t been normal since the procedure. I haven’t had a pain free day in 3 months! I wake up sore every morning as well in legs/back/hip. I’ve been seeing a Chiropractic but hasn’t helped. Urologists say these are not normal symptoms of a hematoma, but I can’t help but think it is related as I had no issues prior to vasectomy… Anybody else has these similar leg/back symptoms linger after their hematoma? It makes everyday life being on your feet with a family a daunting task. Hang in there and try to stay positive!

  16. Having read about all of your issues, I am so scared. It has only been 2 days since my vasectomy, and within hours of getting it done, I had swollen up significantly and could feel a testicle sized lump on my right side. Now two days later and the pain is almost unbearable, and my sack is the size of a pineapple.

    I see you all saying the scrotal-hematoma takes many weeks to months to heal, but how long before my sack starts to return to a more reasonable size? How long was it before you were able to walk again and resume some normal functions? I can’t be out of work for 6 months. My work will let me do an office job once I can manage.

    Any advice would be greatly appreciated. This is the only site I’ve found that covers this kind of thing. So you all are my only hope.

  17. Hi all. Great resource and thanks for sharing your stories. I’m still a bit confused about my situation because I’m unable to feel any definitive “egg” or “grape” or “avocado” at the moment, but something is wrong for sure. I’m 10 days post-op. I did a no-needle no-scalpel that had the amazing pamphlet with “you can resume physical activity if you feel up to it after 3-5 days!” Well, I did feel good, so I made some activity—a big mistake.

    After things felt a bit worse the two days after that, my wife said she’d take a look. It turns out the entire bottom and underside of my scrotum (basically up to where it meets the anus but not quite) have that very intense purple/black/(and some dark/mid red as it branches out) bruising. The situation looks very much like some of the purple balloon scrotums that you see on google image searches for “scrotal hematoma,” but it’s only on the backside/underside again, no lump. The frontside actually looks relatively normal and healthy in color. My left testicle is hanging significantly lower than the right and feels slightly “warm” or swollen, and I’m wondering if I’m literally walking around with a scrotum-bag of blood that is either still leaking out or just hasn’t “lumped” yet? I will say that the last three days have looked relatively the same (the “bruises” or whatever are not massively growing or anything).

    Could someone clarify the bruising situation pre-“lump” / or shed some light on this for me?


  18. 18 days post-vasectomy here. Same old story, first few days were as expected, but the swelling on my right side never went down and became unbearable to stand or walk. I went to Dr. and was told I had a hematoma, and it would be better with ibuprofen in a few weeks.

    The pain got worse after another couple of days, and I went back again at which point they did an ultrasound and said that the hematoma was around a cord above the testicle so they couldn’t drain it and prescribed me rest, heat, and tramadol for the pain. The pain had become so unbearable I was prescribed Vicodin the next day, which is only taking the edge off when I’m lying just like the tramadol.

    Nice to see I’m not alone, but I’m going out of my mind with pain as apparently, my hematoma is compressing a nerve.

    • I’m with you, I’m 18 days post-vasectomy today and can’t walk 10 feet without lifting my right leg and holding onto something. The doctor doesn’t seem too concerned. I have to get back to my life. Sucks.

  19. These comments have been a great read. Seriously. I was really nervous and couldn’t find much about the egg-sized hematoma I have 16 days post-vasectomy. The doctor assured me that it happens. But I just couldn’t find anything that talked about it. I at least feel a bit better now.

    The pain was bad for the first week. It’s finally getting better pain wise. And now I know that the next few months won’t be as awful as my mind made me believe.

    Good luck, guys. So long as I’m actually sterile at the end of this, and I never have to do it again, I don’t regret it lol.

  20. I had my vasectomy operation on 1st March under general anesthesia. Everything went okay, woke up fine with a little bit of discomfort. The next few days, balls looked like plums coupled with a purple shaft, but I thought that was normal. The biggest issue was stinging from the incision.

    However, 10 days in, I noticed a lump of the top of my left testicle, bloody kills, as it rubs my grown, it’s annoying. Silly me though, I have been the gym about 4 times in the last 5 days, no CV just weights. Today did 10 minutes on the bike and 10 mins with a cross-trainer. Now the lump I thought was just the tube being tied, I think, is a hematoma. It’s about the size of a walnut and just aches. The other side is fine… I told the wife I didn’t want it done 5 weeks before our holiday! The doctor will tomorrow try to find out what it is. Great comments from you all though, I don’t feel alone 🙂

  21. I have a massive (small watermelon) hematoma of my scrotum/testicles due to the leaking artery in the groin after an abrasion. That was two weeks ago, and I can’t help but figure it’s getting worse and not better.

    Everything in hardening up, but it all seems to be getting bigger. I’m sitting here in rehab because I can’t take care of my bodily functions. Into rehab, late Friday night, and have not seen a doctor since I left the hospital due to Christmas, etc.

    I don’t know if it is worse or getting better, the hardening was expected but not the addition swelling. Can someone comment on the stages of healing, there is so little information online, I have suffered and know I am in for a long recovery, I just don’t want it getting any worse.

  22. I had a vasectomy 10 days ago. During the procedure, the left side went fine, but on the right, it really felt like the Doctor jabbed something in my testicle with a needle. I asked him to stop and give me something more to numb the pain, and that helped during the procedure, but the cauterizing still felt a little like getting a light static shock on that side. The two sides are like night and day. The left is fine, but the right is not. I don’t have a lump in the testicle, but the spermatic cord on that side is really swollen. It’s like a hose with too much pressure in it that has expanded.

    At least I don’t have the pain some of you are having. Anybody else has anything like this? This is a real mess. Good luck to all who are posting.

  23. I had a vasectomy done on October 12th, and within 4 hours of getting home, my scrotum had swollen up to the size of a personal watermelon. Roughly six inches in diameter. I was admitted that night after driving myself to the hospital and was immediately in the or room to drain as much as possible and to put a drain in.

    Now, after 2 weeks my right side is back to normal, but the left side, I believe, is starting to harden. I’ve been doing two 30 minute warm soaks morning and night. And I’m massaging the area each time. I can barely walk more than 50-75ft and have constant pain in my groin on the left side of my scrotum—It hands down the worst experience of my life. And it makes me deeply regret getting this done.

  24. Hello, I’ve been lurking through this forum, any every other forum, for about five days now. I had a single point incision NSV on August 23, 2018. Like at least one other poster on this forum, I did not ever get fully numb on the right side during the procedure and almost jumped off the table when I was cauterized on the same side. The left side went very well with only minor discomfort.

    I religiously followed the post-op procedures (generally stayed off feet, no lifting, Tylenol, and icing) for fear of a longer recovery. After 72 hours of feet up couch time, I decided I would return to work the next day. My job mostly consists of desk work with minor walking here and there. The first day back at work was reasonable, and I didn’t experience significant discomfort. However, the second day at work ended with extreme pain and swelling, so much that I opted to take the next day off. At this point, I was switched from Tylenol to Advil (800mg 3-4x daily). All of my pain was on the right side, and it was very swollen. After many hours of information searching, I was able to deduce that I had a hematoma. However, it wasn’t quite as solidified as it is now.

    Currently, I have a hematoma that is roughly the size of another testicle that is on the right side above the testicle, close to my inner thigh. Warm compresses help significantly, as does the Advil. I have some pain, mostly when moving around or if I have to take off my supportive underwear for any reason. A lot of the swelling is starting to slow down/dissipate, but the hematoma itself is still very present. I am 9 days post-op and 6 days post hematoma. I am hoping that this all starts to get better soon.

    The one topic I haven’t found much information on is intercourse with a hematoma when have others of you returned to intercourse? Was ejaculation painful, or did it cause additional soreness? Thanks for your time, if I remember I’ll update this thread later on with progress, I know I found the previous entries helpful — a thread going since 2008 impressive and is clearly still relevant, thankful I found this site.

  25. I had my single, center incision, Vasectomy, on August 6th. My hematoma kicked in about 3 days later on the right side. That same day, I went from being able to walk without issue to almost keeling over every time I tried to stand up. I returned to work the day before at a desk job, but I feel that is what probably caused the hematoma as I had no issues before while I was resting on the couch after the procedure.

    My hematoma got up to about the size of a 3rd testicle. It’s now 14 days after my procedure, and my left side is pretty much completely healed up and never had any issues. The sutures are almost completely dissolved, and the hematoma is shrinking very very slowly.

    Two urologists said to just wait it out, and that’s what I’ve been doing. After the first day of hematoma, I had no pain really, just the swelling. I was able to be sexually active after about 7 days post-op. The first ejaculation had a little blood, but nothing to be alarmed about. All ejaculations since have been totally normal.

    I can’t wait to start exercising again! I’ve been going crazy being so sedentary at home.

  26. Thanks for your stories, gents.

    I had a vasectomy 6 days ago. Procedure on Wednesday, and went on a holiday on Friday. Not a good idea. I was under the impression it would be healed after 3 days, and I’d be able to rest. Instead, I got a hematoma on the left of my sack, and I am spending the whole holiday in bed with a black and blue swollen mess where my table used to be. I saw a local doctor who said it’s all normal and will take time to heal but was still really worried it’s something more serious. Lots of stories on here sound similar to my pain, so maybe it will just take time.

    Thanks for the reassurance.

  27. I’m back to check-in. I’m glad this page and the comments seem to be revived since I posted several months back! I’m seven months post-vasectomy, and I can finally wear boxers again!

    Just a few weeks ago, I noticed that my left nut was finally starting to drop down to it’s (mostly) normal position, so I tried out the boxers and… no discomfort! It still doesn’t quite hang 100% normal (until recently it always stayed up high like it was cold but without any pain… just got uncomfortable if I went for a long period without support) but as far as I’m concerned I’m basically fully recovered.

    I can lay on my side with no issues at all. I can be as aggressive as I want with sex without any issues. I just wanted to come back and let everyone know, and it does actually heal up completely! I expect over the next several months that even the slight abnormalities in its position will eventually resolve completely as well.

    Thanks again to everyone that posted, these comments really helped me deal with this, and it looks like it has helped a ton of other guys too.

  28. Time for my story. Mine isn’t quite so bad as a lot of stories on here. But when I was desperate for answers and I couldn’t wait to hear back from my doctor, reading stories online was helpful, so maybe some of you will have a similar one.

    I don’t fully understand the medical terminology, so I’m not 100% sure what I had was a hematoma (my doctor never called it by a technical term), but I think it was. Either way, here’s what happened. My doctor said I was fortunate because he saw the issue while he was operating. I was put under for my vasectomy. When I woke up, my doctor said there was some internal bleeding that he caught while I was under. So the procedure took longer than expected, but he took care of it then and there. He said the healing process would probably be longer than a normal vasectomy, but that I was very fortunate that he caught it there. Otherwise, it would have probably shown up at the ER within a couple of days with significant swelling.

    That was all I had to go on. No specifics. Just expect maybe a longer recovery. I noticed one testicle had significantly more swelling than the other. After my left testicle’s swelling had subsided completely, about a week in, the right side had not shrunk at all. The right side was at least 2.5x the size of the left, maybe 3x. I saw my doctor a week after for him to check it out. He said it would take some time, but the swelling would go down. I was tender to the touch down there for a while. Also, any sustained activity beyond normal amounts of standing or walking for me brought increased soreness and dull pain that stayed there for maybe about 24 hours. So I could stand to do the dishes for about 15 minutes. But if I was standing or walking around for 30 minutes or more, I could feel the pain coming back. It took probably about 3-4 weeks before I could go back to the gym and do sustained physical activity without bringing about that pain. It took a while, but I think my testicle finally shrunk to normal size about 3 weeks in.

    One of my big concerns was sex. The doctor’s normal recommendation was to wait one week after the procedure. He told me to wait for two, just in case. So two weeks in, we tried it. It wasn’t painful during, but the following day, there was definitely increased pain/soreness. So we decided to give me a little extra time to heal before more of that, as I didn’t want to risk further injury. I tried again at three weeks—the same story. At four weeks, we were in the clear. Phew.

    At four weeks, I could do most physical activities with little problems. Anything with a lot of up and down (tennis) was not good. By six weeks, though, I could do everything without noticing anything. Only two problems from then on out. First was that I absolutely needed to wear supportive underwear: briefs or a jockstrap. If I wore boxer briefs or boxers for just one day, soreness started to return. Second, there could be no erm… fondling… from wifey of the testicles (everything else was A-okay) as it was too sore to the touch. Those two things lasted quite a while. They finally went away at five months, and I have been back to normal since then. Longer recovery than planned, but it was still worth it, in my opinion!

  29. Hi everyone, thanks for posting, and thank god I found this site. I’m afraid I have just joined this club. Had a vasectomy last Monday under general anesthetic, rested on Tuesday wearing a jockstrap taking painkillers – felt ok on Wednesday, so went back to work – mostly desk-based but quite a bit of walking – slight discomfort but just kept taking painkillers. Thursday at work was starting to feel a bit delirious and had a pretty huge swollen ball bag. I spoke to the wife and my mum, and they both said that it doesn’t sound right and to contact the hospital – thank god they did!

    I contacted the hospital, who advised me to go to their A and E department – waited 4 hours to be seen. They examined ‘it’ and took some blood to test… It turned out I had some crazy blood infection. I was admitted to the hospital for 3 days on an IV drip and antibiotic course. I had an ultrasound, and doctors seemed not to worry but didn’t communicate much, so I took this as good news. Swelling went down a bit, and I built up the courage to have a bit of a look myself, but now I have 2 balls and 2 hematomas – it’s like having 4 balls (read some here have an extra one but an extra 2??!! Do I have the record or does someone have 5?) The one on the left is only grape size, but the one on the right is satsuma sized and appears to be attached to my right ball… glad to hear from you all that there are others in the same sad boat and that time will be needed before it all goes back to normal (ish).

    I thought this would be a quick and easy procedure and get me some brownie points with the missus – it turns out it will take months of me looking like the elephant man downstairs and, of course, the accompanying rib ache. I just hope all goes back to normal and that all the stuff down there still works (sex-wise) when next called upon! Otherwise, what was the bloody point? Good luck with your recoveries everyone!

  30. Hey guys, I had a vasectomy on 6-1-18. Things seemed fairly well after 2 days, so I went back to work on Monday (vasectomy was Friday). I was sore and walked funny but was able to work, that night it began to get really uncomfortable and swell, the following day I went to work for a few hours but came home to rest.

    That night I felt a lump in my sac, so I called the dr the next day. By this time, it was really uncomfortable. They told me I just probably overdid it on Monday, and to wait a few days. I waited another 2 days, but by this time after googling, I figured I had a hematoma. The doctor saw me and confirmed this… it was super tender, and he just grabbed ahold of it and squeezed it, he nearly got punched in the face… I had to go get an ultrasound to make sure it wasn’t stopping blood flow to my testicles, which it was not.

    After that night, it grew to maybe 3 times the size. At the time of examination, he told me I probably had 100 cc’s of blood in there… just thinking how much blood is in there now makes me light-headed. I was very active, working out 6 days a week for the past almost 2 years. I can barely move now and am just sitting around eating and getting fat again. It’s very depressing to read; it will take months to go away. Honestly, I wouldn’t care if it was just a large mass in my sack if it didn’t hurt and make it hard to walk. I just want to go to the gym again and workout and get these frustrations out. I own my own business, so I have to go to work, albeit I’m only staying a few hours.

    I’m wondering if once the pain is gone, can I go back to working out even if I have a baseball mass in my ball bag? I also have 3 kids, one of which is a 2-year-old and although my wife has been very sympathetic, I can’t do any fatherly things right now or help with anything, and I feel like a looser. My doctor was a new guy in the office, seems fairly young, and I’m thinking it was due to him being a newbie. He’s been very nice, and I can tell that he genuinely feels bad for me. If I knew this would happen, or had any idea it could happen, I wouldn’t have been so quick to do this.

  31. All these stories are amazing. I think I read through a couple of years’ worth, and it has definitely helped my anxiety about this whole thing. I recently had a vasectomy and have a hematoma about the same size as my testicle on the right side. It is extremely painful and makes anything I try to do a struggle. I have an appointment with my urologist tomorrow. Thank you all for sharing your experience and great advice.

  32. It’s now been almost three and a half months. I still have a much smaller hematoma. No pain at all, though. I can finally sleep comfortably on my side without having to stack three pillows between my legs. Even after the pain subsided, there was still no way to lay comfortably on my side.

    I still have to wear very supportive boxer-briefs, or my left nut gets tugged on too much, but I’ve been able to resume jogging, running… etc. It’s also still difficult to have sex, with much “aggression,” but I can otherwise perform as I could before with no change in ejaculate or sensation.

    All I can say is, I better be F’ing sterile after all of this!

  33. This page hasn’t had a comment in over six years but it’s, by far, the best thing I’ve come across when trying to assess my own situation. And trust me, I’ve been doing plenty of “when is my nut going to heal? Googling”. I have a similar story to most on here.

    Had my vasectomy (scalpel method) on Dec 22nd, 2017. About a half hour after my procedure I’m waiting in the car while my pain med prescription is being filled and I start feeling some serious pain in my left pubic area and it’s increasing fast. I assumed it was just the local anesthesia wearing off so I take one of the pain pills and my wife takes me home. By the time I get home a few minutes later, I’m hurting so bad I can barely get up our stairs to our bedroom. I figured I was just being a baby and I’d go lay down, ice the boys, and all will be better when I wake up.

    When I woke up, I was still hurting significantly. I got up to use the bathroom and I almost passed out when I saw my crotch. I’ve never actually experienced that “ringing in the ears” you get just before you black out, until this moment in my life. Thankfully, I didn’t actually hit the deck.
    Just like everyone has said on here, I’m super swollen, dark purple/black on my scrotum, penis, lower abdomen, butt, even around my left hip. I can feel the blood under the skin on my left thigh. It’s noticeably raised but not swollen. I’m thinking, “this CAN’T be normal”. By this time, the Urologist’s office that performed my procedure is closed, the next day is a Saturday. Closed. Then Sunday. Closed. Then Monday is Christmas. Closed. Great.

    I decided that I’m overreacting and this is only slightly off track. I didn’t appear to still be bleeding to death or anything so I attend Christmas with my family while wearing pajama pants, flip flops and an ice pack on my crotch without getting up from the couch the whole time. The pain was actually better for Christmas Eve and Christmas before it got fierce again after that. Must have been a Christmas gift just for me.

    After Christmas, I was back to barely being able to walk or stand. When I would stand up, it would feel like someone was very slowly driving a serrated knife into my left nut and groin. If I had to use the bathroom or get up for any reason, it was just excruciating the whole time until I could lay down back again.

    It’s now been almost two weeks. The “serrated knife” pain is noticeably better. It’s still pretty damn painful but I don’t have to stop and tense up my entire body to deal with it and it takes longer for it to set it when I stand up now. I seem to have a new pain (probably not new but more noticeable since the other pain is better) that I can only describe as an internal blister. Like that stinging, raw feeling you get when you have a blister on the back of your foot from friction….only it’s on the inside of my sac. I’m still definitely better though. I can get up, slowly “old-man hobble” over to my kitchen, grab some crackers and hobble back to the couch before the pain really starts to set in. This ability just started today. Prior to today, I’ve had to cup my left testicle with my hand in order to move anywhere or the pain was twice as bad. Now the pain is better regardless of whether my hand is providing support or not.

    At first it was hard to tell what was where inside the left side of my scrotum but now most of the swelling has subsided and it’s easier to differentiate where my testicle is in all the mess. It was still very gel-like and felt like swollen tissue during the first couple of days but now it’s hard like a tense muscle. The right side is doing just fine. It’s back to normal color, feels fine and hangs and tenses with temperature changes…etc. just like normal. The left side still looks swollen but it’s actually the hematoma surrounding 3/4 of my left nut. Like baby Jesus snuggled up in his little straw cradle. I’d say the whole left side is about the size of an avocado and my nut is the seed.

    Anyway, I may have written the longest comment on this whole page but I wanted to share my story/progress and maybe revive this page a little because I feel like it really helped me mentally to hear that this nightmare does pass and I just need to be patient. The one thing I still have a hard time gauging is how long the pain lasts. It sounds like, for the majority of the comments I read, the pain goes away and then you’re just carrying around an extra testicle for the next many months. I wish I had gotten a better sense of how long it took before the pain settled down and everyone could actually go back to their normal lives for the most part. I’m still unable to work or do anything around the house because I can’t stand to be on my feet for more than a few minutes at a time. It sounds like the pain went away for most everyone within a month or so. I’m hoping for sooner but planning for later.

    Thanks again to everyone who commented years ago on here and I’ll come back and update if this post stirs up anyone else.

    • Thanks for sharing, man! I’m on day seven with just a slight “3rd” testicle and a decent amount of residual pain, but nothing compared to most of these stories, and especially this last one! It sounds like sometimes some of us get nicked or sliced wrong, and some of us come home and lift something heavy that perhaps we shouldn’t (my self inflicted injury). So thanks to all of you, and especially “D’s nuts” for calming my nerves! The pain sucks, but hearing that it’s “normal” does help. Glad nothing will fall off…

      • Hi Tres nuts, thanks for commenting! It’s been ten days since my last post and I’m a little over three weeks in. Still getting better but walking and standing for any longer than a few minutes is still a challenge. The pain is much better but still unpleasant enough that I try to avoid being on my feet whenever possible.

        I had an ultrasound on Thursday and was supposed to get the results Friday but a winter weather event caused the Urologist’s office to close on Friday so now it’ll be Monday. I don’t expect the ultrasound to reveal anything that I don’t already know but I’d rather know now if there is something unexpected. The ultrasound tech was pretty alarmed and went to ask a radiologist if I should be admitted to the hospital rather than go back home. They decided not to keep me but very cryptically told me I would be hearing from them very soon.

        I’m pretty hopeful that by next week around this time I’ll be able to stand and walk with minimal discomfort and start getting back to my life, even though the hematoma is still a significant size, it’s definitely going down. It’s probably the size of a large egg now, although not a nice clean shape like that. It’s still kind of cradleish around my nut. I can’t say any one thing I’ve done has really helped other than rest. The pain would subside almost 100% with a warm bath (I think because of the weightlessness more than the warmth) but getting out of the tub was awful so it was pretty bitter sweet to take a bath.

        I’ll try to come back and update again in a week or two.

        Good luck!

        • Dz nuts, this has been great and helped a lot. I had mine done on the 11th of Jan it has been a long road so far mine is the size of a lime. It just firmed up in the last few days pain meds and laying down about 20 hours a day hope it gets better soon

          • Hey Lime! Thanks for posting. It’s been just a few days over a month since my vasectomy, but I’m finally getting back to my life. My pain is virtually non-existent. It’s more uncomfortable than pain, really. I’ve been back to work for a week, and I’ve resumed most of my daily activities. Still not brave enough for sex or working out yet, and I still walk a little funny just because the space between my legs is cramped, but otherwise, the misery has subsided!

            My ultrasound confirmed the hematoma, showed no blood flow restriction, and I should eventually be 100% again. Ibuprophen has helped more in the last week or two than it did early on. I’m still using very supportive boxer-briefs too. I know in the first 10 days, I felt like the pain was never going to get better, but once it finally got a little better, it got better at a pretty fast rate, so hang in there!

            My incisions are finally starting to close up, but every once in awhile, I can feel a sting from the tugging on that new skin. I’m guessing that’s going to look funny when the hematoma is totally gone, and the incisions are healed. Oh well, I guess I’ll have to give up on my dreams of being a testicle model.

            Also, when your sac is that stretched for that long, it will get chafed and irritated, so try to keep it moisturized as best you can. Mine got downright pissed off, and I think that could have been avoided with some preventative measures.

            Take care!

  34. Hi everyone, I’m so thankful I found this site.

    My husband had Testicular Fixation Surgery 10 days ago to fix Torsion. He’s still in extreme pain in one testicle. He can hardly walk, can’t sit on a chair, and can’t sleep on his side. The testicle is still very swollen, probably double its normal size. The surgeon was an absolute jerk and explained nothing about the operation, healing time, or possible complications. I’m now about 90% sure he has a hematoma.

    Thank you all so much for sharing your stories. There is definitely a huge lack of information about any of the testicular surgeries out there. I hope you all heal soon.

    Kind regards, Lisa.

  35. Now 114 days post hematoma, still a noticeable lump about the size of a grape—no pain at all except for the occasional ache, very few and far between. Still have a noticeable “blue balls feeling” in the testicles though extremely minor, hardly noticeable. Big bang at the end of sex used to feel regularly shortchanged now seems back to 100% past week or so.

  36. A vasectomy, an epididymectomy, and two hematomas later, I’m still in pain.

    I just had my epididymis R/S removed June 7th, yesterday, on my birthday, and found out my stitches didn’t close all the way and got infected. Also found out I have another hematoma. Since the wound didn’t stay closed, I’m now leaking blood and fluid out of the wound, and all they do is prescribe me Cipro and Percocet. When I say leaking, I do mean leaking like if I don’t wear a manpad (tampon), everything will be soaked with blood. I’m in so much pain… I’m to the point where they cant have these balls since I can’t have kids anyway.

    Mind you, I am currently employed by the military and can no longer do my job. Ex infantry now a truck driver. Walking for extended periods of time kills me, jumping and all that other crap that I’m required to do *** sucks. On 29th, I find out if I’ll have the L/S epididymis removed. Great, huh…

    • Aaron, That is about the worst case I’ve ever heard. I pray you get better! At 105 days my hematoma is just getting into the final stages of absorption.

  37. Here we go to week 3. Things are shrinking considerably. My hematoma is probably the size of a small orange now. I got through my first day without wearing a jockstrap to hold things in place and will hopefully be back at the gym next week. Yahoo!

  38. Hi all. I am so glad I found this website, I thought I would be suffering in silence.

    Had my vasectomy on Thursday 9th June, seemed to go ok apart from a sharp shooting pain on the right-hand side when the doc cut something. I was told by the nurse I “oozed a little” but thought nothing of it. The next day was not too bad, and I had my feet up all day, but come Friday night, the pain started, right-hand side mainly, and I did not sleep a wink. By late morning Saturday, I was at breaking point and went to the local hospital, the doctor took a look and suspected a small hematoma on the right side and gave me some codeine, went home straight to bed for two days.

    I have no swelling to speak of or bruising, but my right side is very achy and spreads through my hip and leg. I went back to the doctor’s office today, and he prescribed penicillin as he says he can feel a small hematoma about the size of a cherry. I am trying ibuprofen and paracetamol to see if this will help with the pain.

    I have taken comfort in some of your stories, so many thanks all. My wife is giving me much TLC as she feels very sad for me, so I intend to milk it as much as possible. I will keep you posted on my situation.

  39. I had my procedure on May 31st. The next day I noticed that things had swollen up a lot. I went to my GP on Friday to see what was up, and he confirmed a hematoma. My procedure was to remove an epididymal cyst, which was quite large. I tried to see my urologist, but he wouldn’t see me. He just phoned and said that this was really common and that it should subside in about a month.

    This site has helped me more than either my GP or the urologist. Advice about wearing a jockstrap and ibuprofen for inflammation has been very valuable. Thanks to all who have posted. Our collective pain is somehow comforting.

    • Hi All! Here it is now 13 days since my procedure, and the swelling has gone down a lot. Unfortunately, the hematoma is still there. I’m still looking for my right testicle, I’m sure it’s in there, but I can’t tell what’s my nut and what’s the hematoma.

      I’m sure reading this site is hilarious to anyone not experiencing this problem, for those who are, hang in there, brothers. Things are getting better every day, even if you can’t notice it.

      • Derrick, That’s concerning your Doctor said it was really common, I was told and have believed it only affects 5% of those having work down there. Anyway, hang in there, it does get better.

        Mine’s still not completely gone even after 98 days. The Dr checked it out after two months and verified it was clotted blood, but it feels more like an enlarged tube of sorts.

  40. I got a vasectomy on the 27th of May, by the evening of that day I was in the emergency room with my scrotum as big as yam and black. I was released and back on Saturday evening until Sunday afternoon. I am black from my sack, penis, and left side of my hip. I am so sore I can’t walk but a few feet at a time.

    I saw my surgeon, and he said these things happen and was sorry. But what the frick, I will be on my back of weeks, its been 7 days since my operation and can’t walk or for that matter do much of anything. I am so very mad. It’s so painful to walk, stand, or do anything. The doctor says it maybe 8 weeks until I am better… 8 f**** weeks… I am so pissed off…

    • Chris, so sorry to hear about your medical issues. I went back to work after 5 days, but the only way I could have done that was by having a sit-down desk job. And to sit at a lean. If I had to stand or do much activity or sit straight up would have been too painful. Probably three weeks minimum. Again, sorry to hear.

    • Damn, Chris, sorry to hear that, but you have a long road ahead. I had my vasectomy on 5/18. By that night, I had the exact same symptoms. Yam-sized sack on the left side and bruised from under my testicle all the way up to my hip. Today is June 8th, and I am still out of work with a baseball-sized sack. The doctor said surgery is an option, but 2nd, 3rd, and 4th opinion said to wait it out. I’m not letting another scalpel near my nuts again. Fortunately, I work for a large company and can still collect all my pay. I truly regret this decision. Hang in there man only time, and Percocet will help.

  41. I had one drained and then developed one even bigger from the incision. Actually, mine was “removed.” If I could go back, I would have just let it dissolve on its own. I’m still waiting for the second one to go away.

  42. I’m really glad to have found this website. I went under the knife on May 12th for a reversal. On May 13th, the doctor checked me out, and all was well. About an hour later, the pain and swelling became OMG! Grapefruit size in a few hours. Now a week later, flat on my back most of the time—ice packs and rest. Walking is almost unbearable.

    I am using some herbal mud packs 4-5 times a day, which reduces the pain and inflammation for a few hours. Rest and mud pack again, sunshine, and a lot of fluid to drink. Have an acupuncturist coming tomorrow. The doctor says, ride it out. It’s on my right side about the size of an egg. I have bruising from the pubic bone all the way down to the mid-thigh. Wow, what a ride. This is definitely an initiation to some sort of secret warriors club.

    • Hi Kelly, how are you doing now?

      My husband had a reversal on May 9th, and he had developed a hematoma. It has been two and a half weeks, and he is still in so much pain. It seems like he stopped bleeding because the swelling is not getting worse.

      Are you still in a lot of pain? My husband’s doctor said that if he still hurts by tomorrow, he wants to drain it, but we are not sure if that is such a good idea. Thanks, please let me know. Did your doctor give you any idea when the pain stops? Thanks.

      • Hi sainaa, it’s steadily getting better. I have had 4 acupuncture treatments. Each treatment helps a bit with the pain, and the hematoma started bleeding out of the incision site. The doctor says better out than in. I change the dressing several times a day. I have consulted with several urologists and two Chinese herbalists. I am taking massive amounts of herbal supplements and enzymes to promote healing. My favorite company for products is called Premire research labs. They have several different products to help circulation. It’s all about circulation. The better the circulation, the faster the blood clot will melt. As I said, mine is draining on its own, and I am not sure what it would be like to have it drained by the doc. Let me know how that goes. The same company makes a product called medi magma. A blend of clay powders that you mix with water and apply as a paste. It has a drawing quality that helps with inflammation and circulation. I can now be on my feet several hours a day. I own my own business, and I will work a few hours then rest a few hours. At this point, it’s a matter of time. It is improving and certainly testing my patience.

  43. Hi All, I just wanted to update and give hope to all those who need to walk this path.

    I’m about 3 months since the surgery, and besides the occasional soreness, I feel great. The hematoma is the size of a grape or so. It seems to get smaller by the week and really does not have any effect on my daily routines. I have been back to the gym and work full blast with no side effects. I’m a kickboxer, so the workouts are tough and glad to say its great to go back. Also, everything in the bedroom is intact, and actually, I think the big bang @ the end is even better and more.

    At the end of the day, I do think the surgery was a success and worth it. For those of those to read this and in a bad way, just be patient, relax and play a lot of video games while you can’t move. It will get better. Good Luck!

  44. Has anyone here decided to exercise with an existing hematoma? My doctor has advised me not to. My hematoma is currently shrunken to about the size of a grape. I was just wondering if weight lifting and cardio exercises will make the situation worse. Thanks!

  45. Update to 25 August and 3 September 2010. Return of the Jedi.

    Okay, so here we are 10 months later after the op (end of June 2010). I am pleased to say that despite having a hematoma that measured 8cm x 5cm x 4cm (in July 2010), I am now virtually back to normal. I had a scan at the start of February (2011), and the clot had shrunk to around 2.5cm x 2.0cm x 1.5cm – It’s gotten smaller ever since, and I would suspect it’s now the size of a small cherry as opposed to the kiwi fruit that it once was.

    So, I guess the good news is that the clot will disappear of its own accord; our sex life has improved ;-), and I had some stories to tell around the dinner party table for a while… and still will have for the rest of my life.

    Thanks to whoever set up this site, it is a godsend, and frankly, this web address should be given out to every guy should they have complications. I’m not sure it would do good pre-op reading though… Good luck, gentlemen!

  46. I had a vasectomy on 12 Feb 2011. I had huge swelling after a couple of days, and the pain was terrible. I could barely walk for about 2 weeks—used loads of ice for relief and to keep down the swelling. Wearing the ‘speedos’ does help when you get back on your feet. I took anti-inflammation medications for about 4 weeks after.

    Now almost 3 months on, I still have what seems like a third testicle, but it seems to be getting gradually smaller, but very very very slowly. The good thing is that I don’t have any pain now, and most importantly, I won’t be able to have any more kids. I have done my part for mankind and would need a lottery win if I did not go for the “snip.” I’m hoping that over time the ‘extra testicle’ will disappear.

  47. Chad, how large was your hematoma starting off? I have one that is currently about the size of a walnut and am wondering how long this may take to go away. I’ve had it for two weeks now. Thanks.

  48. I also have been squeezing blood from my hematoma for the past two days. My question is if I squeeze the blood out, will more blood just take its place? It seems like an easy solution, but I don’t want to prolong the problem.

  49. My last post was 10 days ago, and I’m happy to say the pain has reduced significantly. The swelling and discomfort are still there, but I am able to return to work and can sit down and drive without wanting to pass out. I hope my recovery keeps going at this rate, as I would love to be able to return to the gym soon. The clot seems to loosen then harden at certain times, but I guess this is part of the process, and I am just trying to be patient as possible.

    Adam-I have a similar situation with the incision not healed yet, and my doctor said the same thing. He said it was good for the blood clot to drain out, and it would close in time. I also have to change the dressing a couple of times a day. I have noticed the incision is getting smaller by the day, and the bleeding is lessening also. The only worry is not to let it get infected. I’m on a cycle of Amoxocylin for this.

  50. This website has offered some comfort to my discomfort. I had the vasectomy on February 18 while I was having a hernia repaired. I experienced extreme swelling and bruising on both incision sites. I had my follow up appointment one week later on February 25. I asked the doctor if I could take a bath at that time, and he informed me I could. I took a bath the next morning, and my vasectomy site began bleeding for the first time. Eleven days have passed since my bath, and the bleeding has not let up at all. I have to change the dressing over the vasectomy about 5 times a day. After calling the doctor twice, he finally agreed to see me again. He informed me that I had a hematoma, which I already knew. He also said to let the blood continue draining until it stopped naturally.

    My left testicle is still the size of an apple, but that is the least of my worries. I am tired of the continued bleeding. My doctor assured me it would stop on its own, but it hasn’t subsided in 11 days. Is there anything I can do to stop the bleeding? Has anyone else experienced the same problems?

  51. I’m the newest member of the club and not too happy about it. However, finding out that this is a minor setback in the grand scheme of things helps. A similar story to most, I had an NSV done last Thursday, the 24th of February.

    Felt great after the doctor knocked me out and was in and out in 1/2 hour. About 2 hours out had melon balls. I iced them over the weekend and just rested. I forced myself out to work at the beginning of the week. I own my own construction business, so it was pretty bad. I went home early on Wednesday as the pain was becoming unbearable to the point I needed to bite my hand to keep from crying… I have been in some pain before, ranging from major cuts, falls, and even severing my own finger in a construction accident at age 16. This is definitely up there with the pain factor. I went to the doctor today and got diagnosed with the scrotal hematoma, which at this point, I already knew. He said it would resolve itself in a month or so. He offered no explanation or sympathy… just the usual take some pain meds and get lost… I definitely would have given it some more thought if I knew this was in store…

    I called a buddy who’s brother is a urologist in another state for some consultation, and he said this is pretty common if you don’t rest for about 1-2 weeks after the surgery. I just wished this was disclosed to me rather than the 3 days, and you’ll be out dancing bull****.

    Now there is not much left to do but lay down and pass the time. I am glad I found this site as it offers me some hope in a time when I needed it, and I know I’m not alone… Hey, if anyone can post after about positive results, if so, that would be great.

  52. Thanks for all the information, everyone, because the doctor does not seem to be too concerned. How do I know if I have a hematoma or sperm granuloma, my lump is almost testicle size on the left side above the testicle. I had the vasectomy done on 28/1/11. It has been very painful and has only been helped by antibiotics. I have made improvements from swelling, but lump stays the same.

  53. I had the procedure done on “day 0” everything seemed ok. On “day 8” I noticed a third nut basically… like one of my testicles had a twin. I went to the doctor on “day 12” because it wasn’t going away, he gave me more antibiotics and strong anti-inflammatory medication.

    Today is “day 15,” and I am still in mild pain. I’m waiting it out and taking the meds… just iced my balls and it felt good. It seems to be getting a little bigger but nothing like some of these guys’ stories. Ouch! I will keep you updated.

  54. Hi guys, I went for the vasectomy Monday 14th Jan. After leaving the hospital about 30 mins later had a sharp shooting pain, checked to see if all was ok and found my left testicle had enlarged quite a lot. I phoned NHS directly who said it was an absolute emergency and to get medical help asap, so in a panic, I went, and on inspection, the doctor said I had a very large hematoma (about the size of a large grapefruit) on my left-hand side. The pain was like nothing I had ever felt before. He then sent me to the surgeon who had done the operation, who confirmed what it was. He said all I could do was take painkillers and go to bed for a week or so. So I did, and the pain was still quite dramatic.

    It has now been 8 days since the operation, and it’s still the size of a large orange. The pain has now started to ease. I have try to stay off my feet for at least another week. I am also wearing three pairs of tight pants, which seems to help alot…(gravity not my friend at the moment). I also got very constipated as I could not strain to do anything.

    Hopefully, I am over the worst of the pain, and the doctor says it will take months for it to go away altogether, but I should be back in work in about 2/3 weeks from now. I have also been taking medicine to get bowels moving hope this works as not been to empty for 8 days now.

    Good luck to all who have this, and one more thing: Guys, don’t forget to milk it for all you can! After all, we didn’t have to do this. We did it for you know who!

    I will try to keep you up to date on further developments.


    Hey guys, same deal, scrotal haematoma and EXTREME amount of pain. I definitely would have thought long and hard about having a vasectomy if I knew that I’d be in this much pain for so long!

    However, I have found two things that have really helped with the pain. Firstly I have been using 100mg Voltaren suppositories, which have made a huge difference. Tablets are OK, but I haven’t found anything that treats the local area better than the suppositories. Where previously I haven’t been able to get out of bed, I’m able to walk around virtually pain-free, just an awareness that the problem is there… Which is probably a good thing otherwise I’d be tempted to do too much.

    The other thing I’ve been doing to help with the external skin irritation (that can occur where the scrotal sac gets red, inflamed, weepy, and flakey) is regular 20-minute warm baths with a few caps of tea tree oil and a couple of handfuls of salt. It seems to have really helped with cleaning up the irritation.

    Anyway I hope this helps – best of luck and I feel your pain!!


  56. From what I have read, my hematoma is not as bad as some people have described. I had my vasectomy on Oct 4th. On Oct 8th, I developed a hematoma. My scrotum was swollen and very bruised. I went to the doctor on Oct 11th, who prodded and squeezed my balls, and gave me more antibiotics—left in more pain compared to when I arrived. On Oct 14th, I started to notice an improvement. Going from a lying to a standing position is no longer painful, but it is still painful to take more than just a few steps.

    It’s now Oct 16th, and I feel a little better again. Bruising looks a lot better. I now just have a little bruising at the base of the penis and a little bruising on the right side of my scrotum, which is where most of the pain is coming from. Going back to the doctor again on Tuesday, Oct 19th, so I am sure he will make things worse when he decides to squeeze my balls. I will post another update after my visit to the doctor.

  57. This site has been extremely helpful. I have learned more from this site than from my doctor and multiple nurses. (And I am a proactive consumer.)

    Everything I heard previously was that this was a minor out-patient procedure. The initial consultation focused entirely on my decision to have the procedure (Are you sure you don’t want any more children?). Like many of you, I was NOT told of the possible complications or what to expect if I did have complications. The one thing I was told about recovery: If you have a desk job, then you can go to work the next day. As a result, I figured I was in for smooth sailing after a couple of days. Trickery! Trickery! Trickery!

    The actual procedure was low key. The procedure took about 30-40 minutes. I was totally surprised when my scrotum was swollen to the size of a large grapefruit, and 90 percent was a dark purple for the first several days. Pain and discomfort were UNBEARABLE. Discoloration and bruising extended to the groin and across the pelvis to my left hip. As the swelling went down on about day six, I self-diagnosed that I had developed a hematoma on my left side. At first, the hematoma was about the size of a walnut, then the size of a large lemon. The bleeding extended from my scrotum into my pelvis.

    I went in for a follow-up about a week after the procedure. I have a fairly high tolerance for pain, and I was crying in the examination room. Response? No doctor came to see me, just a nurse. Told not to worry, as it would take care of itself and go away in 1-4 weeks. Take some ibuprofen for the pain.

    Much of the pain has subsided, but the discomfort and uncertainty are still problems. I am really disappointed in the medical service I received from Group Health. While a medical team can’t control everything, they should be able to provide better information about the procedure and the risks. If I had understood that these complications were a possibility, I would not have had it done. My wife just about vomited at the site of my scrotum, and I feel horrible (physically and mentally). I am now facing a long, multi-month recovery to allow the hematoma to “go away on its own.”

    My advice… don’t get a vasectomy unless you think about these points that are not on the one-pager they give you at the clinic:

    1. Can I take a MINIMUM one week off of work to rest on my back in bed after I have the surgery? Can I take more time off of work, 1-2 months, when there are complications? Can I work from home?

    2. Can you handle being useless and out of commission for an extended period of time? (i.e., if there are complications, can you put your life on hold for a month or longer?)

    3. Understand that you may NOT lift, carry, wrestle with, or give bear hugs to your kids for over a month. If you do, then you risk hematoma.

    4. Make sure your wife understands what is at risk and what is going on throughout. (I got my vasectomy for her because I wanted to be a team player.)

    5. If you decide to do it, then talk with your doctor extensively to make sure he/she is a serious pro with lots of experience. Be a proactive consumer.

    6. Make no travel plans for 3 months. No exceptions.

    7. Prepare yourself mentally. The literature/handouts I found in my research does not accurately reflect the number of cases that experience complications, and no literature explains the possible cases as described on this website.

  58. Boy, am I glad I found this site. I must be the latest member of the club. I had my vasectomy (right side) and epididymectomy (left side) on Oct 4th, and 4 days later, at lunchtime, I was talking to my wife when I had a sharp pain in my right testicle (where I had the vasectomy). An hour later, my scrotum looked very swollen. I went to the ER, but they just told me how common this was after a vasectomy and told me to go home, rest, and continue my antibiotics and pain meds.

    On Monday I saw my urologist. I didn’t say anything about a hematoma, but I am pretty sure that’s what I have. Told me to take a warm bath twice a day, rest, and prescribed more antibiotics. It’s painful for me to get up and walk, my scrotum is swollen to about 3 times its normal size, and looks blue and purple. My doctor didn’t say anything about ibuprofen or aspirin. I have another appointment to see him next Tuesday. Luckily, I am a University professor, teaching just online classes until Christmas. Hopefully, by January, I will be ok to return to work (hopefully before then).

    One question I have is how long does it take for the pain to become bearable. My job is mostly an office job, but I have a 5-minute walk after parking my car. I’m wondering when I can return to work because I have an important deadline in mid-November. I will try and post weekly updates, as well.

  59. Thanks to all of you for the posts. My husband went in for his vasectomy 2 weeks ago… he took it pretty easy for 4 days and returned to work on restricted duties. Right after the procedure, he said that the right side felt way different than the left. 3 days later, most of the swelling was gone, but he had a ball the size of a ping pong ball on the right side that he said was very painful. He continued to go to work when he came home, he would be in pain, but then he would lay down and put warm compresses on it, and that seemed to make it much better. He also has been taking ibuprofen with it.

    I will definitely have him read this because he is very concerned that he has a much worse problem. Of course, the doctors are unconcerned, and I had to even call and get kind of nasty with them in order to get an appointment. I think that this is more common than they make it seem. In fact, nothing was ever mentioned to us about it before the procedure. We were both under the impression that he would be fine and pain-free several days later. I am so happy that I found this… at least we know what to look forward to!

  60. I re-started “live firing” about six weeks after the operation; I guess it depends on how you feel – take it easy and see how it goes. On the gym side, I’m working out the upper body, no cardio (i.e., running) – I go swimming instead, which the doctor said would be absolutely fine. I’d be inclined to leave it a full month before going to the gym, especially as you have had some issues.

  61. I had my vasectomy on August 20. During the procedure, the doctor couldn’t seem to get my left side numb. After a few injections of pain meds, I told him to just go ahead and get in over with. The right side went very smoothly and free of pain. The nurses commented to the recovery nurse that “we” had a little trouble with the left side. I went back to work on the following Monday and work through lunch on Thursday of that week. I was miserable. I went to see the doctor, and he advised that I have a hematoma (yes, he squeezed my nuts). The hematoma seemed to migrate from near the base of my penis and came to rest on top of my left testicle (about the same size as my testicle).

    As of September 1, the pain has all but gone away. However, I’ve not gone back to work since the discovery of the hematoma. I’m planning on the recovery lasting about six months, thanks to this site. I had discussed removing the hematoma with my doctor and left it up to me. As tempted as I was, after reading some of the advice on this site, I’ve decided to try and wait it out. I believe I’m pretty lucky compared to some of you guys. I only have a few questions. When can I resume normal sexual relations and when can I start working out again? I lift heavy and don’t do much running or cardio right now. Any advice?

  62. I had a vasectomy two months ago. The doctor started with an incision on to the right of my scrotum and had a go at the right-hand tube; this was apparently quite easy. We then moved onto the left hand one, not so easy. Pulling, pushing, rummaging around as if he was looking for something that had fallen behind the back of a sofa.

    The surgery nurse commented afterward that I might be sore, especially on the left-hand side. She wasn’t wrong there. I also told me that I needed to have a sperm test done in 3 months’ time and therefore needed to ejaculate at least 30 times. It would have been challenging at best, given that I am married and have kids ;-), but what subsequently happened is that my balls then swelled to the size of a large pomegranate. Very uncomfortable, and the 30 ejaculation target still has some way to go. I took some Ibuprofen and Oramorph after the procedure. I was still chomping down ibuprofen. Pain ok, balls not. It eventually became apparent that I have a large hematoma on my left testis – which is now stabilized but is the size of a lemon.

    Have seen crappy consultant who was broadly uninterested, gave my crown jewels a hard squeeze (“ooh, sorry Sir, did that hurt?” No, you a**hole, I just love having that done). Prognosis is that it will get better, but it will take a while. The junior doctor that I subsequently saw on a follow-up visit told me (having asked him), that it would take anything up to 18 months (yes, eighteen months) for the hematoma to finally go. They could operate but seem to suggest that this is risky at best and unlikely to be 100% successful – so, looks like I will have to wait it out.

    As a contraceptive procedure, the vasectomy has proved remarkably efficient, and I suppose given that intercourse, with a small citrus fruit wedged in your scrotum, is hardly conducive to one’s confidence and libido. If you do have the procedure done, put your feet up for at least 3 days; take plenty of non-steroidal anti-inflammatories (Ibuprofen); pack your balls in ice and don’t move around too much. Drink heavily if it all goes wrong. So cheers. All the best. MC

  63. Has anyone here completely recovered from it? How big was your hematoma, and how long did it take? How many days until the pain subsides?

  64. Hi people, I’ve been off work for a week. The doctor gave 1 month’s sick leave. I had the operation on 30/6/10, and it’s the worst thing I ever did, the pain is unreal! I had mine done by a GP, locally. No one gave me an option to go to a real specialist/surgeon – I was severely underinformed with my options. I was told this could happen, but when it was mentioned, I don’t think enough emphasis was put on the risks and the self-care recovery.

    Reading some of your stories, it seems no one has heard of scrotal hematomas and how do treat them and how long do they last. I got this for at least 6 months. It’s the size of an egg on my right testicle, and the pain is the worst in the groin area as if I was kicked down there, hope that goes away quickly.

    Been searching for information online for a couple of hours now, and this site is the only thing I’ve found I can relate to. Thank you for the pictures and posting experiences of other men. It helps a lot.

    If you’re looking into getting a vasectomy – don’t do it! Thanks, Lee.

  65. I had my vasectomy Friday, May 7th. I was informed about the small chance of hematoma beforehand by the doctor. I think he did a good job of making the statistics higher.

    The surgery lasted about an hour. He was constantly pulling down on my nuts, made a comment that they were slippery suckers. Even with novocaine, I was ready to crawl out of my skin. He started with the right side, and it took way longer than the left side. He told me that I was stupid for not having my wife tie her tubes, and He himself would never have a vasectomy surgery. Too bad because I would gladly perform it on him for no fee. Due to the fact that I was nervous, It was his job to try and pull my nuts out of my sac, and if I couldn’t handle it, he would not continue with the surgery. Dumb as I was, I dealt with the pain and practically swallowed my tongue. The doctor had two incisions on my sac, and in the end, He glued my nut sac back together.

    I left the hospital, being numb from the anesthetic, only to get home and be in major pain within an hour. I laid on the couch with my ice sac, and I did nothing else except mourn in pain, trying to follow doctor’s orders. I went to the bathroom within a couple of hours from the surgery to find that out that I had a huge red grapefruit nut sac, and I was swelled up to my waste. I could barely perform bathroom procedures. I took advil that night and eventually started sleeping after an intense case of sweats and unbearable pain.

    Day 2, I awoke in less pain, but I could not take it very long on my feet; going to the bathroom was pushing it. I now have a black and blue grapefruit sac with the right side being even bigger. I have continued to keep ice on it and take advil. Nothing seems to help in reducing the swelling, but it hurts more if I don’t keep up the ice, and it appears to swell more intense if I do not keep the ice on it. I took a hot shower before the end of day 2 in which I felt the raindrops in a whole differently painful way, and the pain seems to increase with the heat.

    Day 3 has not changed much. I thought I could get up and walk it off only to find out that it doesn’t work, back to lying down with ice packs, and still taking advil. It is currently day 4, and I am missing work that I did not plan on missing due to the fact that I self Imployed and on cement all day, which I know cannot take because I still can’t take standing for a long period of time. Lying down, icing, and advil in moderation seems to be the only things helping me. I have been drinking a lot of fluids in which I believe might be helping some. My urine has gone from an obnoxious odor to where it’s back to normal, and I am feeling better.

    If it was not for this website, I would’ve gone back to the doctor in which I’m sure he would try to hurt me again; let me guess, he’s going to grab my nuts and pull on them. I am going to wait it out, thanks to all of the advice on this website. It really does help to hear the stories of other victims. Hopefully, time and good behavior will get me back to normal

  66. I had mine done on the 21st of April. The first few hours were not too bad. That night there was already pretty bad bruising well my whole sac, penis and pubic area. The next day there was a nut size hematoma on my left side and was about the size of a grapefruit.

    Like most people followed up with, the doctor told the same thing: to wait and take Motrin, which I cant take due to a bad stomach ulcer—still having very bad pain. The cut on the right side never healed and is oozing a lot, but not any blood. I am having a lot of pain like in my hips in addition to the rest of the getting kicked in the ball’s pain, of course.

    Has anyone had this before (the pain in the hips and back) or what? Seeing the doctor to discuss the draining of this or dealing with the pain since he is so damn stingy with the pain meds and stopped them at 20 # 5 Lortabs check back. Thanks!

  67. I just had a vasectomy on the 15th of this month, same as all of you guys here I’m suffering from extreme pain in my testicles as if a Clydesdale kicked me in my scrotum. Well, 2 days after my surgery, my wife had to drive me to the hospital because my testicles were the size of baseballs.

    Well, they did an ultrasound and came to find out I developed a blood clot (“hematoma) which they don’t know exactly how long it’s going to take to go away. I follow up with the Urologist today, and it seems all he did was apologize the whole entire time and tell me that I could do is to wait it out. I am in so much pain is ridiculous; morphine at the hospital did absolutely nothing at all. They gave me another narcotic that is at least 10 times stronger than morphine, and that did nothing, every time I walk, it feels as if my insides have been ripped apart from my body. I’m taking two weeks off from work and hoping that the pain subsides. Other than just waiting, doctors told me that they would not cut me up to get the “hematoma” out because of the risk of infection.

    So here’s the summary; went to the doctor to make sure that I couldn’t get my wife pregnant anymore but came home with my balls the size of baseballs and a big extra large lump in the middle of my sack, plus pain that can’t be controlled with anything. I would say that this experience was not worth it at all. I wish I would have read first and then made my decision to go with the surgery, which would have never happened. Now I’m pissed off, with pain, and with giant balls.

  68. Had a hydrocelectomy operation done a little over a year ago, I was in the recovery room feeling ok, not too bad after the surgery, after drinking some water and eating a little bit, I got up to go make sure my bladder was alive, so I could go home, while I was walking I started feeling liquid draining, I sat down and looked and everything was swelling, I called the nurse luckily did not pass out which I definitely felt I was on the verge of doing. Still, I held it together and ended up staying to nights in the hospital with a sack the size of a pumpkin, inner thighs all swelled, penis the size of a baseball bat :).

    Anyway, afterward, I indeed had a hematoma. It took 6 to 9 months to get close to normal. However, my testicle is still larger then my other is. Its harder, and it doesn’t hang down like the other either, its tight feeling and very sensitive. Does anyone have anything similar? I’m sure scar tissue is part of the effect, but I’m just curious if, on top of that, my hematoma is still not completely gone or what and why it’s not hanging as low as the other.

  69. I had my vasectomy on 4/2/10 (Friday). I probably knew this was going to be far from the easy procedure. What I was told was a 15-30min procedure turned into about 1.5hrs. I imagine the length of the procedure had something to do with me being unaffected by the lidocaine they gave me as a local. Actually 3x, which still had very little effect on me, so I pretty much felt 95% of the procedure, cutting, pulling, pushing, cauterizing, and even the stitches after. I imagine my tensing up made locating the tube rather difficult most of the time.

    So I made it out of that alive and for 2 days thought the abnormal swelling and bruising was due to the procedure being a bit more difficult. All seemed normal, I noticed the swelling going down a tiny bit and the pain subsiding enough to where the pain was a mere inconvenience Sunday. Then Monday, it was right back to where it was the day after. I also noticed that the right side of my sack had this hard egg-shaped “thing.” I guess it would make sense seeing how that’s the side that’s black and blue and still swollen while the other side is pretty much back to normal.

    I figure from what I’ve been reading here that its a hematoma, I’ll give the doctor a call tomorrow and see what he says. I’m glad to hear it’s not life-threatening but also worried that I’ll have this oddly shaped sack dangling for an unknown amount of time. I guess sometimes life gives you lemons and other times just half of one.

  70. I had a very painful hematoma after the surgery. 14 days post-op, I have a hard golf ball-sized lump that stretches from my lower abdomen to my scrotum. It has been hard just getting around the house until now with a sensation like the worst pulled muscle I’ve ever had. Some of the tenderness is starting to subside, but I now have a sharp pinching sensation even while at rest.

    The nurse just told me to give it a month and get back to her. It looks like it’s going to be a bit longer than that from what I’m reading here. That sucks, but I look at it this way. As long as it eventually heals on its own, I’m happy. A real complication is one that requires more surgery. While difficult and painful, this isn’t a complication. It’s just a distraction. Four more months, here I come! 😛

  71. It’s been a while since my last post. The day after my last post, I went in, and an infection of the hematoma was found. If you are squeamish, don’t read the rest of this.

    My urologist started to squeeze my sac to try to get some of the old blood out of me. Well, he squeezed a little too hard and tore my incision open. So there I was laying off the little table with my sac split in two. Emergency surgery followed to drain the rest of the hematoma and clean everything else up. I had to spend the weekend in the hospital with a Penrose drain in my sac to drain out any blood that might turn into a hematoma—left the hospital valentine’s day with everything looking good. A few days later, another hematoma appeared. This one is not as large and not as painful. No new surgeries needed, just a wait and see approach. It looks like I am finally healing right.

    I had my first surgery on 1/28/10 for a hydrocele correction that turned into a tumor removal/orchiectomy. It is now 5 weeks later. My incisions are healing up nicely, the pain is pretty much gone, my hematoma is just smaller than an egg (larger than an orange after 1st surgery), and everything is returning to normal. I’ve been told that any scrotal surgery comes with these risks. I know that I will NEVER get a vasectomy due to the complications I had during this surgery.

    Good luck to everyone who stumbles on this website in search of help with this problem. Just rest, use plenty of ice, and know that the end will come. I’m into week 5, and I’m still not done, but I can see the end!

  72. Hey Guys, I had a vasectomy 10 years ago, and my man berries swoll up like a softball. They went down after about 3 weeks to a size that was more manageable. Tight underwear seemed to help because gravity was not on my side.

    Recently on February 10th, I was struck in the left testicle from a piece of wood flying from my table saw. Now I have a hematoma on that side that is huge. Apparently, it grew until it ran out of space and then clogged itself. It is getting hard, and although it is uncomfortably big, it doesn’t hurt. I am going to wear tight underwear and cinch it up like Urkel and hope for the best. I’ll try to keep you posted.

  73. I had my orchiectomy on 12/28/09, was originally supposed to be a hydrocelectomy, but they found a tumor and removed the testicle right then and there. It’s now 2 weeks later, and I have developed a hematoma the size of an orange where my testicle was removed. I noticed that hematoma has happened to many people on this board. Is there anything that you have done to help relieve the pain or speed up the recovery. My doc said this might go away in a month to 6 months. Not much pain when sitting, but when standing for more than a few minutes, it gets worse.

    These 2 weeks have been bad, and I can’t imagine doing this for 6 more months. If you have heard anything to help this along, please respond. As you know, this is not fun. Thanks.

  74. Hi, all! I had a vasectomy last Thursday, came home that evening, and testicles swelled up, ended up back in the hospital for a two-night stay where I got diagnosed hematoma.

    The swelling has now dropped off a bit, black and blue, but have this mass lump at the bottom of my left testicle, which feels like a 3rd testicle, which I assume is the hematoma and will be absorbed into my body over time. I am still prone to lower abdomen pain when standing quickly or removing the support. However, I am positive that this will soon pass, and I will be ok to go skiing in 3 weeks. What does bother me, though, is the percentage rates that these happen. Basically, my surgeon was involved in a minor car crash on the day of my operation and therefore didn’t make it to the hospital; hence the junior doctor carried out the procedure.

    I expected to small cut’s on each testicle; however, what I got was 3/4″ cut down the front much more severe than what I imagined. Also, from the three procedures, he carried out 2 of us got a hematoma which, if you read the stats, is well over the rate this happens in fact at 66% on the day it is shocking. Not sure whether I can challenge the hospital? Any advice would be great. Martin.

  75. Thanks for everyone’s response. This is way better than talking to my doctor. I had my vasectomy 12 days ago. On day 6 my hematoma arrived on the left side and hurt really bad. It has gotten a little better, but I have really red skin on my scrotum around where the hematoma is, and it kind of burns (feels like really bad chaffing). Anyone else has this? Also, can you have intercourse with hematoma this early?

  76. Hi guys, I had a correction to a Vasectomy (tube didn’t heal) and removal of Hydrocele last week and have unfortunately ended up with the worse case horror story “grapefruit” size Hematoma (strange that my GP used this reference!). I don’t know if anyone with this problem is still updating, but any other hints and tips to rid of this sooner?

    I don’t think mentally; I can cope with this in 4 months’ time. Most bruising has gone already, but I’ve already spent 2 days in hospital being pumped with antibiotics to prevent infection, with all doctors assuming there is no further surgery. And I have developed the most ridiculous walk to stop my balls slapping my thighs with each step. Only pain is the swelling pulling on my testicles almost like a church bell, although supports help, they are clotting my member. Its a mess!

    Not sure how I haven’t overdosed on the prescribed pain killers and antibiotics, but the fact that I’m as high as a kite at the moment helps me laugh this off for now. Any suggestions more than recommended. Thought the wife would appreciate a couple of months without sex, but even she is worried!

  77. I am very thankful for this site as well. It’s great not to feel alone in this. Thanks to all of you for posting! Thank you for giving me hope.

    I had my vasectomy on December 17, 4 PM. Scrotum swelled up to about the size of a grapefruit and slowly started to reduce after 3-4 days. The doctor prescribed an antibiotic, 600mg ibuprofen 3x per day, and Tylenol 3x 800mg with Codine (if I needed it). I tried the Tylenol the first night, but it made me sick, and the pain was not that bad, anyway. I took the ibuprofen religiously because it really helped reduce the swelling. I had lots of bruising. My entire scrotum and 95% of my penis were purple. I also had some bruising going up diagonally to my hips, although nothing like on my ‘Johnson.’

    11 days after the procedure, my right side was almost totally normal, entry sites were just tiny scabs, bruising is almost all gone, and it was pretty evident to me something was wrong on the left side. After reading this site, I was pretty sure it was a hematoma. No discoloration even in the area of the hematoma (must be under the skin layer?) Wonder why the possible hematoma was not mentioned in the literature?

    Today, 13 days after the vasectomy, I just got back from my Urologist. Almost all bruising is gone. They performed an ultrasound and indicated that I have a hematoma. It is above my left testicle and about 3x the size of it. It is not painful other than the fact that the skin of my scrotum rubs on parts of my body that it shouldn’t, and it gets a little sensitive there. I can push on it without pain. It seems to be firming up. The doctor said it may or may not clear up by itself?!!?

    Since I am, for all practical purposes, losing my health insurance on Jan 1 (I will pay 100% up to $4000), I asked the doctor about removing the hematoma. He offered to do it tomorrow so I could have my current insurance pay, but he indicated I would go under general anesthesia to have it done. I am leery about going under the knife if this could clear up on its own… especially since I have very little pain at all. I will wait it out. If I could do it with local anesthetic and could just do it in his office, I might have considered it given how much lighter my wallet will be if I have to pay for it next year.

    What a depressing situation. I was told these procedures were basically a no-brainer. Glad I didn’t do too much research on this beforehand because I probably would not have done it. Hoping the best for me and ALL of YOU guys… Keep posting updates, and I will do the same!!

  78. Hi, I was diagnosed with testicular cancer at 39 in 2006. Had right orchiectomy, then a Retroperitoneal Lymph Node Dissection (53 nodes). Four cycles of chemo and I was cured. Two years later, I developed an incisional hernia along the scar, had that repaired. Then I developed a hydrocele in the tunica vaginalis of my left testis. (Probably from the trauma from the RPLND.) It was pretty large, and my oncologist wanted it repaired because I was unable to palpate the organ for possible second primary cancer. So I decided to also have vasectomy while under, (I’m 43 with two beautiful children, no more for us please).

    The hydrocelectomy/vasectomy was on 11/25/09. I’ve had an awful recovery- I now have a 128cc’s of fluid in my scrotum, with septations. I’ve had two ultrasounds after the procedure, and two post-op visits with the urology practice. I’m 19 days out, and the hematomas seemed to have stopped growing, but still very sore and heavy. I go back to urology on 12/21/09 for another post-op. Although I want this thing fixed, I really don’t want another surgery.

    How long does the fluid take to be re-absorbed? When is it safe to start taking aspirin or such to help thin blood? Thanks, guys. I am very active in a Testicular Cancer Forum, and I know how valuable your comments can be. Joe.

  79. I’m grateful for this site. I just had my one-week post-op checkup for my vasectomy with the doctor today. I told him that the idea of being able to do just about anything physically and even have sex after one week was a bad joke. I told him about all the bruising, pain, and swelling. It’s hard to sit and get back up. Just lying in bed can be uncomfortable in the wrong position. Taking a pee is challenging, and I can’t shake my Winky at the end of the pee because it hurts my left ball to do so. Water in the shower is painful, and I have to avoid it or block it to take a shower. No. Things are not good. To which he said, let’s see and a quick hand check of the area, which hurt pretty bad.

    Diagnosis – bleeding on the left side. A follow-up appointment one month from now that I can cancel if I wish later. Told me to take Advil regularly, and soaks in the tub with warm water. Continue to wear scrotal support as long as it helps. He said if things get worse, to call in and he would have another look-see. This evening I took my Advil and my warm soak in the tub, and after things settled a bit, I felt the area on the problem left side in detail for the first time – it’s painful, so I didn’t do it before then… Wonderful, a lump actually bigger than my left testicle – above my lefty and to the back – which makes me all lop-sided on the left. Lots of swelling and pain.

    I said to myself, “This isn’t right…, What’s wrong with me?” So, I decided to Google, and behold – a scrotal hematoma. The doc didn’t even tell me the scientific name while I was there for the checkup. I’m a bit relieved now as I was worried, of course. And it looks like I have a long road ahead of me. Perhaps months. And that hematoma may not be done growing yet… I feel for any man with this condition. I told my wife, so she knows what is going on.

  80. Hi, I am really grateful for your comments. My husband just had some severe fitness training for his job and is now in serious pain. He also had a vasectomy done, so I was just looking for some info. Now I see this is an all man site, so I promise this will be the last time I’m on it.

  81. Hello All. I had a vasectomy on Oct 15th. Almost immediately, I had a large growth on the right side. I had a little bruising on the left, but overall the left was great. On the right, I have what was described by my Family Physician as a Hematoma. She stated that the large lump (about the size of a large tangerine) would eventually shrink a little and harden. Then the lump will gradually go away over a few months.

    I am not very happy with this. I have pain almost constantly when I bend over. Sometimes I feel as if something is pulling, and it gives a very sharp pain up the right side. I have some tenderness on the lower right pelvic area just to the right of the scrotum. I go back to see my urologist on Wednesday so I can ask WTF he did lol! I hope all is ok and that the pain subsides soon.

  82. Thanks to all the guys for their input. It helps to know I am not the only one.

    I had my procedure late in the day on Oct. 12th and returned to work the next day. I figured since I had a desk job, I could take it easy, and there would be no problems. After about 4 days, I started having pain that seemed to be “different” from the recovery pain I felt the first 3 days. I also noticed a swelling on the top of my left one that was very painful to the touch and when I stand up.

    I went back to the Doc today, and he said I have a hematoma (luckily only the size of a grape at this point) and that it should dissipate over the next few days. He told me to take Advil and use ice when necessary to ease the pain. He did not mention heat/baths, but I will give that a shot as well.

    In hindsight, I think I probably should have taken the procedure more seriously and taken a full day off of work to recover. Good luck to everyone on continued recovery.

    • Hey Sactastic, curious for an update. I had mine done Oct. 30 and have exactly what you describe happening to me. I agree with you, and I think I tended not to take the recovery seriously enough as well.

  83. I had my vasectomy Friday, 10/9/09. About 3 days after my vasectomy, I started to notice the hematoma. I couldn’t get in touch with my urologist, so I went to my primary, who said I’ve got I buildup of blood. It’s pretty painful at times and is really p$#@ing me off. I was supposed to go back to work on Monday. Now I have to use another week’s worth of vacation to rest.

    I finally got a call from my urologist at 10:00 pm on Wed. So now he wants to see me, just to tell me what I already know. Also, he didn’t use enough local anesthetic during my procedure on the right side, and it hurt so bad I almost passed out. Then when he wanted to do the left side, he did the same thing. My nurse ended up yelling at him for it and told him to give me more. This guy is a freakin quack.

    I just wanted to thank you guys for your stories and helping me realize that these hematomas will eventually dissipate with a lot of time and a little Advil and baths. I’ll continue to post my recovery.

  84. Have to say, this is a welcomed sight (pun intended)! I had the operation two weeks ago yesterday. I couldn’t stop laughing all the way through the procedure. Hysteria, I think!

    I got the wife to pick me up from the outside the surgery unit. Was very tender down there, but no mind-numbing pain. I was told to take it easy for a couple of days. I decided to take the following day off from work, just in case. Didn’t do much, pootled around, told the kids to be careful with Daddy! I went to work on Wednesday, walking very gingerly, but surprisingly little pain, considering someone had just hacked my scrotum open, yanked out my vas deferens, cut them, cauterized the ends then tied a bloody knot in them, finally sewing me back up! Wore the surgical support they gave me for 4 days after, as advised, then went back to wearing boxers. Felt OK enough to cycle down to watch the football the following Saturday, but realized it would be foolish to cycle back.

    A week later and the swelling had all but gone apart from, as people have said here: an extra testicle. I found this after finally feeling comfortable enough to examine myself last Saturday. Immediate thoughts of testicular cancer ruined my weekend until I could get to the Doc’s this morning, who confirmed a hematoma and prescribed patience. It could take up to 3 months to clear, he said. I have now generated sufficient Brownie points with the missus to reinflate the western economy again. I will try the warm bath technique too. Thanks for making me feel like not the only person with three nuts!

  85. Well here we go. Had my vasectomy on Sept 11th by the conventional method. The surgery went well with no pain or discomfort. The urologist made 1 incision in the middle. 2 Hours after the surgery I started experiencing pain and discomfort. Then I swelled to the normal grapefruit size referred to in the other posts. The doctor prescribed me Percocet for pain, but said Advil would probably work as well. Well not knowing any better at the time, I proceeded to take the Advil which I am sure made my symptoms worse by thinning the blood. I called the doctor and arranged to come to his office for him to examine me. He said I had bleeding and that this would just take time. There was no mention of hematoma. After 3 more days the swelling was about the same on the right side, left side was almost back to normal. Also, I had the extreme bruising from my belly, down my thighs, and penis and scrotum were completely purple. I went to another Urologist for a second opinion who informed me that this was a hematoma that would resolve itself over time. He told me that my body would break it down and eventually re-absorb the blood, and the swelling should be better within 3 weeks. Today is day 10 and they started me on anti-inflammatory drugs (Aleve 220Mg twice a day) and to begin soaking in warm water. I am still experiencing discomfort and have stayed off my feet the entire time. Also wearing the normal scrotal support. As of right now, my hematoma on the right side resembles the size of a lemon. The bruising is starting to go away, but the pain is still there especially if I try to walk, sit upright, or use the toilet. Some of these other posts are really starting to freak me out. I hope and pray that this does not take that long to go away. I am so pissed off and mad that this happened, but I know I can’t change it. The 2nd doctor told me that I could resume sexual activity in 2 weeks from the day of the surgery, but I think that would still be difficult. My right side is one big mass. I can’t even tell where my right testicle is. Do you think that the anti-inflammatory drugs and the hot baths will expedite the healing process? Thanks in advance. Like others have mentioned, I know many guys that have had this very “minor” procedure performed and have had no issues. I am the only one I know that this happened to. Lucky me.

  86. Well I am now 5 weeks yesterday since my Vasectomy, I am still the size of a grapefruit and unable to stand longer than a few minutes…I had another Ultrasound and saw the Dr. My hematoma is “incredibly large” according to the Dr. it is extending clear up into my Inguinal Canal from below my left testicle. And even around the base of my penis. He suggested surgery to clean everything out but I am very leary of it, I guess I am scared I am going to have this happen all over again the day after surgery, he says very unlikely buttttt. I woke up this morning and actually felt like things were begining to “break up” a little, what was once rock hard is now getting a little soft around the edges so maybe finally it is beging to clear, I told the Dr. I want to give it 2 more weeks and see where I am and if I am still in this sad of shape I am going to go for the surger I guess it cant be any worse.
    Thanks for the encouragement and suggestions, me and my heating pad have become best friends.

  87. @ Sactoca – Hi I have had an identical scenario and I can give you some hope, I am now at day 17 after the operation and the hematoma (also a second left nut) and I am basically over it now. The pain stopped about two days ago and the swelling is gone. The hematoma is still there but smaller and not causing any discomfort. Hang in there, it will be over before you know it.

    @ Art – sorry buddy from all the posts consensus is that you are going to have to recline for a few more weeks! You have our sympathy…

    I recall one guy went the draining route and had a second and larger one, and subsequent infection. So that would not be without risk.

  88. I am 4 weeks post Vasectomy today, I had a hematoma which developed about 5 hours after the procedure. My scrotum swelled to nearly the size of a grapefruit. Now it has been 4 weeks and I am still just as swollen and the pain is almost unbearable when standing for more than 3 minutes, I am unable to sit upright in a chair, therefore I am either in bed or reclined in my chair, I had bruising clear around my hips and into the lower part of my stomach which is pretty much gone now. How long is this going to take to clear up? I am unable to work. I have heard that draining the hematoma is not a good idea due to it may cause further trauma but at this point I dont see any other way. What should I do?

  89. you guys think you got it bad lol??? shit i got a story to beat all you.. about….5 months ago.. almost 6… my cute lil 6 year old neice..bless her heart… decided it might be funny to kick her uncle right in the balls like her dear old hag of a mother taught her to do…. it took 2 months to fester up… 1 day i had some sharp pains like getting kicked in the balls again..and again..and again… so i felt and wholy shit my left testicle was the size of a tennis ball… i thought testicle cancer..ran up to the er room…$2800 later i find out i have a hematoma not cancer… i asked the doctor.. hematoma??? like a boxer gets?? he said yes.. from an injury….i thought injury…. then thats when i remembered laying on the ground in severe pain in front of the whole family….so now here it is almost 4 months later…still the size of a baseball…doctors say only time for body to absorb blood… so now supportive underwear is a must… i am just glad no pain after week 1… that was the worst pain ever in my life!!!!!!good luck guys.. hope my bad luck at least made some one laugh today..oh and as far as my cute little neice goes… i am planning a non violent little scare the piss out of her this halloween…and may be the next 30 halloweens….

  90. First of all thanks everyone for sharing.
    I had mine on 8/31/09. Procedure itself no big deal. Did the ice for two days, but not much rest (3 kids under four). the pain has gotten better to the point where i can walk and drive ok. But about day 5 it got worse. Now I have two left testicles (the third one being orange/black). From what I read its no big deal, gonna call DR for some antibiotics and painkillers , and sing “time is on my side”..

  91. Hi, I am now the newest member of this sad club! Had a vas 9 days ago, under local, 2 cuts. Op went fine and out in 30mins. However, 10 minutes after op I felt a sharp ping. Suffered more pain than expected and after 7 days went back. Urologist confirmed hematoma, not of the disaster grape fruit variety but more like a third testicle. Treatment is tramadol for pain, antibiotic (augmentin BD) to avoid infection and anti-inflam (brufen) for healing. so far, being day 9, pain is manageable but big frustration is no gym, and no sick leave. At least it is a desk job.

    Most helpful hints I found:
    No gym
    Sleep with cushion between knees
    Dont obsess about it
    Dont give daily updates to your wife unless requested to do so 🙂
    Consider yourself unlucky, nobody I know had even the slightest complications with the snip

  92. Hi all, how glad am i to find this site.I had an epidectomy on the 9th June 09 (this was removal of epidiymus).I underwent this operation following ongoing pain in my right testicle ehich was on the epidymus.I went through various ant biotics with no success and after consulation with my urologist (2nd opinio) i went unedr the knife.
    The opertion apperaed to go well and the usual bed rest was followed but approx a week after the op i was working again and felt my testicle swell and dint know waht it was but it caused me chronic pain .I persevreed with it for a couple of weekd asnd rsnmg through to hospital tpo speak to urologist but thye referred me to docs.Docs just said it was swelling and gave me anti biotoics and ant inflammatory.this didnt improve things and i can feel hard rock above my testicle.the pain got worse so in order to see urologist i had to go to A and E who advised it was hematoma( my doctor mised it).

    I was just relived that i was told what it was , i have been given Tramadol to relieve pain and been told to wait and it will reduce(they dont want to oprate as it may cause another one when they remove it) i am now 7 weeks in now and i have good adays and bad days but am trying to manage the treamadola they are very strong and can be addictive.
    It has been good to find this site as it is raeessuring.The main frustraion i am finding is no sport or activity for 7 weeks now and the question i have to all is does anyonw have an idea of how many weekd/months before you can resume astivity, some dayts i think will it ever end? also any recomendations to help reduce it quicker
    All advice welcome??

  93. Day 5 on the island of pain and misery. Thanks to all who have posted. It is very helpful to know I am not alone and probably not gonna die. I had my vas on July 16th. It hurt when the doc did the left side. He told me pain med had not kicked in yet. He gave me more. It was still uncomfortable but hey I expected it not to be fun. Took Friday off and did the rest bit over the weekend. Left testicle turned blackish next day. Thought no biggie hurt alot more than expected. Went to work Monday. Big mistake. Pain got worse. Called the doc office. They sent me to ER. Fun ultrasound. Diagnosis vericocele with scrotal hematoma. Black and bruised. Swollen sac. I can barely walk. This is great just great! So looks like I get some down time by reading just of the posts. Time appears to be the key. Hope everyone heals up and thanks for posting.

  94. Why did we ever think it was a good idea it mess with a perfectly healthy body? Personally so that I’d have a more relaxed wife (meaning more sex.) The planets don’t align quite as much as I’d like.

    Anyway, IDIOT IDIOT IDIOT!!!!!!!! Hits sofa with frustration.

    NSV day a week ago, all seems to be fine, after 3 days starts getting worse. Just called GP (for free of course, thankfully living in the UK) seems I probably have a haematoma. Unbelievably frustrating. No football, no mountain biking.

    Only way I can get my head round it is by it making me a better person for realising what it’s like to be wheelchair bound.


  95. Misery loves company, so thought I would pass on my experience so far. Vas on June 26th. Great to know you are not the only one going through this as guys tend not to talk about it. Most of my friends were in and out with no issues (or so they say). I had a good procedure as well, no bruising, little swelling…all seemed great. 5 days later noticed lump above left testicle about the size of a walnut. Started getting worried as finding info on this is hard. Called doctor after a week and he said take advil for a week, should be fine as long as it isn’t getting bigger. 11 days post VAS and hasn’t gotten bigger. Taking advil 3 times a day. Pain is bearable. I find the jock strap/support a life saver. Pain feels liked being kicked in groin and it goes up to lower abdomen. Having support on alleviates much of this. Started warm bathes last night so hoping that will help too….good luck all.

  96. bought a jock strap today, has helped a little,but compared to before it really makes it possible to walk around, testies are firmed up,but definetly reducing down a bit, looks like another 2 weeks until complete recovery,fingers crossed. ice packs and warm baths help. if anybody finds this web page and is in the first stages of scrotal hematoma dont hesitate to email me subject hematoma so i know t is not junk. good luck and hang in there, painkillers and patience and a understanding partner is needed.

  97. well its over of a week now, feeling down, the left side of my testies is very hard right side is soft, yellow jaundise like colouring in my legs. walking is very difficult, time seems to be dragging. only lying down helps.

  98. feeling better,still sore walking,right side of testies feel normal the left side still hard,but on the whole much better. size of a orange now,thank god

  99. tuesday morning , the swelling is down 8% but the groin area is so sore,tender to touch, lots of sudocrem and vaseline, compared to other peoples stories my recovery seems to be going a little bit quicker, hoping to be able to drive on saturday for 1 hour, got to. fingers crossed, will keep all informed, pain has increased

  100. bibo thanks for that, youve just made me feel worse, but that aside i am horrified that we are not made aware of this condition, sleeping is getting harder ,balls firming up now and starting to hurt, would not wish this pain on my worst enemy, will keep updating as i go along

  101. narinder — the pain will get probably worse as the blood begins to clot. I was in bed 23.5 hours a day for almost a month eating 6 Lortab a day. See my previous posts above. Almost a year later now, I still have occasional pain.

    That is tragic about your planned Rome trip — note to anyone else considering a vasectomy less than 6 months prior to an important tripe or event — DON’T DO IT.

  102. sunday morning bood stopped , balls reduced about 2% ice helps, pains tough, feels like i have been punched, walking is difficult, feeling down, going to rome for the final is out of the question,devestated

  103. well its saturday morning 48 hours after ,the blood has stopped leaking and is starting to clot. balls have reduced in size by 5%, what i would reccommend is lots of vaseline on balls and wound and cover insertions with melolin pfa dressing. hope to be on the mend ,stll in loads of pain though.

  104. Thank god for this site and post. Just had vas yesterday, when i came home i rested in bed and the wife went out with the kids to allow me to rest.After about an hour i went to make a cup of tea,upon my return i could feel my testies filling up to the size of a small tangerine,as i was watching the size was getting bigger and bigger, starting to panic,i called the ambulance, by the time they got to me it was the size of a orange. when i got to the hospital they were the size of a grapefruit.I was really scared, blood was oozing out of my wound at a very slow trickle. Fearing i was going to burst blood all over the hospital or even worse die,i needed help and reasurrance. did i get it, did i f@@@@.The doctor eventually gets round to seeing me some 40 minutes later,and at this time my testies are ever expanding….he walks up to me ,looks at my grapefruit and says youve got hematoma, very rare after vasectomys,your just unlucky mate,go home and take ibuprofen and see you later mate.I was livid .No one explained this could happen to me at the marie stokes clinic , no one even explained how and if it happens what to do.Anyway after a restlness night i lie here in bed still oozing blood at a significant trickle, balls stopped expanding, COULD SOMEONE PLEASE GIVE ME SOME ADVICE.I AM SELF EMPLOYED AND NEED TO GET BACK TO WORK AS SOON ASPOSSIBLE,OTHERWISE IM BANKRUPT, WORSE STLL I SAVED UP TO FLY TO ROME ON WEDNESDAY AND THINK ITS HIGHLY UNLIKELY I COULD FLY. ANYWAY IM NOT SHOUTING ANYMORE JUST FUSTRATED.If anyone could give some healing advice please post or email me,many thanks for listening

  105. Over three weeks now since Op, hematoma’s have reduced to pea size and no pain or ache’s, all equipment is functioning normally again now, just hope it works, cos i aint going back again.

  106. Had mine done on the April 29th , comfortable for a week , then bang did to much, (gotta take it easy and wear a support), I got complacent thinking I was fine, next I have worse pain than post Op, golf ball size hematoma’s on both testes. Had pain now for 5 days but the pain is easing each day and today they seem smaller I hope. Just taking Ibrufen each day and keeping them well supported.
    I will post soon as I am back to normal

  107. I had my vas one week ago today. Felt hematoma that night. Hurt really bad for a few days especially at night. Now it is the size of an egg. Everyday is better and better already!! Practically no pain. I went to work on Monday, 4/13 and vas was on 4/10. I take maybe two or three advil per day and soak in a warm bath from time to time. The main help has been Jesus. I am believing Him to heal me quickly. I am speaking this into existence. I will recover fully very soon and I’m not talking about months either. I tell you all this because he is a constant help in the time of trouble. Ask Jesus to help you and ask with a sincere heart. God Bless.

  108. I wish I had found this site before my vasectomy…. but if I had, I wouldn’t have had it done. Had it done on march 29th. I did the usual, 72 hrs of ice, lying flat and lots of vicodin. Had bruising up to about my waist line, swelling to about grapefruit size and now a hematoma about 4 inches around on the left incision. I had two incisions, I don’t know if that is norm or not. My big prob now is the incision where the hematoma is isn’t healing. The other healed fine but the other is still weepy. Doc looked me over and said everything is ok, but it looks like the hematoma is keeping the skin from closing up. And anything I wear sticks to what little scabbing seems to form. Anyone else have similar issues?

  109. It has been 9 months since my vasectomy (see my comments above).

    I still have a discernible/palpable left/right difference.

    I still have occasional pain, a dull ache.

  110. I’m glad that I found this page. I feel sort of like a wus, compared to the rest of you guys. I had mine on Friday the 13th, and it went fine. The next 2 days were fine, and to be candid, I probably did more than I should have (out driving around w/the wife and kids, well, she was driving). I was expecting to be fine in a couple of days, but I noticed some swelling, a softer mass, as well as the by now common sounding walnut sized really hard lump. Regarding pain, not so much, a general uncomfortableness. Also, I think that one day of wearing the tighties, they were too tight, and made it feel like I was constantly being tapped in the nuts.

    I’m 2 weeks out, and will see the Dr. on Monday, “for a quick look”. I wouldn’t be worried, except for the fact that this sort of side effect wasn’t advertised. I’ll re-post on Monday, after I get the verdict. Nice to have some other suffers out there to compare notes.

  111. Guys, I had mine on 2/27/09, and everything went well. 10 minutes, no pain and I’m out of there. My brother and I went together that day to hold each other’s hands, so we didn’t chicken out. He had no trouble, just a little swelling and bruising.
    I, however, was a different story. Two hours after the surgery I had a painful lump on the left side of my pubic area, and the scrotum swelled to a misshapen baseball. I called the Doc and he said to keep it iced. Next morning, the purple bruising went from my pubic area up to my left hip bone, and then spread across my waistline from left to right hip bone, and even a little past toward my lower back/upper buttocks. After 5 days, I went back to work, but was walking like an old man due to the pain and tenderness. I had trouble walking up and down stairs, putting on socks and pants and getting in the car. After two weeks, the doc said I just had a large blood clot, that would become fibrotic after a few days and then the body would just begin to absorb it. It’s been almost three weeks, and while the majority of pain is gone, the size is still about a baseball, and most bruising has gone. The scrotum looks about the normal color, and the bruising has gravitated down my left leg towards the back of my knee. But it’s fading. My brother laughs at me, since he is fine and I’m a mess. And he went first that day! I’ve noticed that the right side of my scrotum is back to normal, with skin that’s loose. The blood clot is pressing my right teste against the wall and causes some discomfort from the pressure. I’ve stopped icing it at night, and have finished my antibiotic. The doc said to call him if pain comes back or conditions worsen, but I’m not looking forward to months of slow rehab. After fours years of trying, my wife and I finally were accepted into the NYC marathon, and now it looks like I’ll have to defer. What a bitch!

  112. I had a vasectomy on friday the 13th, go figure. First few days after wasn’t bad. Second week I started having pain on the left side of scrotum sack. I discovered a hard lump inside the scrotum sack. Went back to the Doc, he said evrything was fine, and it would take a couple of month to heel totally. Hurts like hell when I touch it. Taking warm baths. Still alot of pain. I think it would have been easier for the wife to go under the knife. Sucks.

  113. My hemotoma was much the same as I read here, my only question is this: It appears to be more frequent that I was originally lead to believe, is this some sort of V cover up? If the general population knew of this side affect in graphic detail I bet the procedure would not be so common. You don’t see any pictures of a scrotal hematoma when you are sked to sign off on the “slight” risk.
    I’m 15 days into my V recovery, so much for going back to work after three days. I saw the doctor’s three times within the first 7 days, and they were all amazed at the egg plants, black, hard, large and painful. On day 8 I was admitted for surgery, I was opened up and drained of the original hemotoma, but by cutting into the scrotum a second hematoam was guaranteed, and I wasn’t disapointed. It was larger, and more painful than the original. I was admitted to the hospital, three drains were installed, the dressing had to be changed every four hours, and I got an infection to boot. I was in the hospital for 5 days, constant monitoring of vitals, pain meds, IV antibiotics, and a full contingent of sightseeers to see the egg plants. I’m home now, drains have been removed, sweeling has gone down a little, pain is still up there. Hopefully I’ll be able to go into work for four hours a day latter next week.

  114. Sounds like I’m in the boat too guys…make some room!
    Tomorrow AM will be 1 week for my procedure. Day of, and weekend went ok, Monday back to work was reasonable, but then Tuesday began to have more discomfort on Left side. He did have a little more trouble on the left side doing the procedure, so I’m not surprised that it hurts a bit more, but now I’ve got the walnut sized firm mass above the left jewel almost near the base of my rod. Not bad sitting, or standing, but moving from one to another isn’t a barrel of monkeys. I’ve been taking IBuprof. on an off just for a little relief, but looks like I need to get a little more regular on that and start the baths. I’ve put off calling my Doc, but I think I will in the am. Got some really nice bruising along with it. I started reading this column and it made me think of the hematoma I had last summer on my hip from when I crashed my bike on the road. I had a fist sized hematoma (along with some really nice road rash), on the side of my hip. That was June last year, and I can still feel where it was, so I’m working on accepting that this may take a while……sigh…
    Thanks to everyone for sharing.

  115. Thanks to all who’ve posted. Hearing ‘wait it out’ from the doc wasn’t encouraging considering the pain and discomfort associated with my olive sized hematoma. It’s been 1 week in for me and from the sounds of it, I’m in for at least a few more months. Keep posting progress, please.

  116. Hey guys…I had a vestectomy reversal 3 weeks ago and when I removed the bandages 24hrs later to my surprise I looked I was kicked in the nards. I developed a hematoma the size of a lemon on the right side which forced my right testicle to push up against the left one. I was bruised really bad on the left side groin. The pain was unbearable. After 2 weeks I tried to go back to work and lasted 4 hours. Then came back the next week and here I am after climbing a ladder looking for advice as I feel like I got kicked in the nards again. So mind to say I will take another week off. Can anyone tell me how long they have been off work. I have an understandable employer and a great short term disability benefits too. I am looking for advice to make this thing go away quicker also. I take advil.

  117. My vasectomy was almost 7 months ago (see my previous comments). I am now almost fully recovered.

    What remains of the hematoma is perhaps the size of a raisin and only reminds me of its presence in the form of a vague ache every few days and a sharper twinge every week or two — sometimes left, sometimes right, so it might be lingering discomfort from the vasectomy generally rather than specifically hematoma-caused, a potentially permanent phenomenon my doctor advised can happen, rarely.

  118. Thanks a lot to all the previous posters for all their info. I guess I am the latest member of the club. I had my NSV 01/08/09 and was healing fine for the first 10 days, but did feel somethign was not quite right with the left side. Got together with some friends this weekend, played outside with the kids and felt some discomfort. The drive home was almost unbearable. I got home and knew something was wrong as my left side was now the size of a mango. Saw my GP the Monday morning and was told hematoma right away, prescribed antibotics and anti-inflamatories. I do feel somewhat lucky in my misfortune as I am just swollen, not bruised as many previous posters mentioned. From what I have read here, looks like about 5-6 months of recovery, but the big question is will it ever all go away? Also, I was about ready to resume activity in the bedroom and now (believe it or not) it is the furthest thing from my mind, when can that resume? 2-3 weeks?
    My doc has not mentioned anything about hot baths or ice, just take it easy, did these things help?

    If any previous posters have updates on their progress, it would be appreciated as it helps set expectations of recovery.

  119. I had my VAS. done on Dec. 4th. and noticed a problem by the time I drove home. All of the doctors paperwork said to expect some swelling and bruising so I thought ice would take care of it. I mentioned the problem to my wife and all she would say is to l;ay down and ice. By that evening, I called my wife in to get her opinion . When I pulled down my undies, she just about passed out. I was bruised from my waiste line to mid-thigh and I was swollen larger than a mango. At this point, I was in some pain, more pressure and bloated feeling, but the Doc had given me a few Lortabs just in case. It was too late to call the office, I did not want to go to the E.R. because I was too embarrassed so I waited until morning.

    I called the Dr. in the morning and let him know I had a problem and he said to come in just for a look. When he got to actually see the problem, his jaw dropped and his firsts words were ” When was the last time you ate? We are going to the hospital!” Well, after it seemed like the entire lobby looking at my junk, he/they decided to cut me open in the office and squeeze everything out……It did not work.

    After this long “quick look”, all the Doc would say is that it would take care of itself and it would be uncomfortable for a while and that I need to come back on Monday for a “re-check”.

    It has been almost a month now. I have a lump the size and shape of an avacodo. My life has changed in many ways. It is still very painful to do many things, but hopefully it will get better.

  120. It’s been a month now. recovery well under way. hematoma about 60-70% dissolved. warm bath every night definitely has helped. about ready to strt some exercise. minor inconvenience is the incision on the side that was most swollen, still not fully healed…i think when the stitches dissolved weeks ago, the pressure from the swelling forced the wound to remain open so there has been residual exterior bledding for about 3 weeks that is now finally stopping.

  121. Had vas on Friday 11/14 at 11:30am. Knew within an hour things weren’t right. Waited until 3:00 to call the doc. He had me come in (he admits now he thought it was going to be no big deal) then he saw the melon balls. I think he was surprised at how big they were. He suggested surgery. Went to the OR at 8:30pm and he “cleaned” out as much out as he could. I was informed later that I had arterial bleeding and had bled a pint of blood. He also installed a drain on the right side to help get everything out of there. The next 10 days were horrible. I medicated with 800mg IB and vicodin. Switched off every 3 hours. That was not even enough to cover the pain. I was laid out for 10 days I didn’t leave the house except for follow up appointments with the doc. He took the drain out on the third day. Saw him the next Friday and I was still having problems walking. I went to work Monday 11/24 thinking day 10 I should be better. Bad mistake….and I have a desk job. Things started to get better the weekend of the 29th. But I still felt pain from time to time. Today is 12/8. I still take IB but not as frequent. My boys are the size of a lemon, but the pain isn’t there (most of the time). I can tell the hematoma has started to break down, but there are parts that are still rock hard. I have not resumed ANY physical activity. In fact, I did a lot of walking (running around with the kids) this weekend and noticed some soreness by the end of the day. IN fact sitting here right now a pulsating pain has popped up in that region. You just don’t know minute by minute. So I am at day 19 and it sounds like I have a long way to go. By the way, my doc said he has done 1000 vasectomies. I was his first hematoma. If you look this up on line, which I am sure all of you have by now. There is a 1 in 1000 chance of this complication. It sucks to fulfill the statistic.

  122. My husband had his vasectomy Nov. 13. He had considerably more pain as the doctor did the left side and hematoma was confirmed 3 days later. He had significant swelling, pain, and bruising. I was so concerned, he went to the ER on day 5 where an ultrasound confirmed the hematoma but gave us the reassurance that everything looked ok.

    Today it is 17 days since his vasectomy and the pain is lessening but he still has minor swelling, bruising, and hard hematoma the sized of a walnut or a little larger. He wants to resume relations and I am nervous. Any advice would be appreciated regarding what point intercourse is ok.

    I have great regret regarding his vasectomy as I read all the possible complications. He is doing better than me emotionally. I have a lot of anger due to the doctor’s lack of information beforehand. He apologised profusely afterwards, I think because he knows what a long haul recovery is with this complication.

  123. Had my Vas on Nov 12. I knew during the procedure that something was problematic on the left side. It took the Dr. several minutes longer than it had on the right side and I was experiencing some discomfort as he worked. I asked the Dr. if there were any complications on the left side and (surprise) he said no. Two days later my scrotum was the size of a small canteloupe and I was experiencing significant pain and bruising. I called the Dr. and he said it was normal. Then I decided he was an idiot and I called my college buddy who is a urologist and he said that I had a scrotal hematoma. Next day I called the Dr. and was told he was out for the next four days…later that day I managed to bum rush my way in to see the senior Dr. at the practice that performed my vas. He confirmed the hematoma and said if I stayed in bed for a week i could go back to work and that I’d be back to normal in three weeks.

    I followed his advice and went back to work a week later…I made it through the first day at my desk with some discomfort, but the second day my balls swelled up and i was hurting pretty good. I came home early feeling very discouraged as I realized this is going to be a protracted problem.

    So now it’s been twelve days, the swelling and bruising (which was significant-from my anus to my navel) has subsided marginally, but there remains on the left side of my scrotum a two by four inch hematoma that is quite hard to the touch. Sounds like my hematoma is larger than average but not huge.

    I spoke today to my urologist buddy and he said that in another 5-6 weeks that the hematoma should be 80-90% resolved, but it will likely be around Valentine’s Day before it’s completely gone. He told me that advil or any blood thinner medicine won’t expedite the healing process. Also, he recommended sometimes taking a warm bath as it would likely increase blood flow in the scrotum. Finally, he said to use common sense as my guide for how much I should try to do activity-wise.

    I’d appreciate any feedback from the group with regard to how much activity they could perform 6-8 weeks after their surgery. I’m scheduled for a golf trip between christmas and new years and am hoping I’ll be well enough to play.

  124. Hey guys father of 4 here and had a Vas on the 14th of November. The procedure went ok. I took the Doc’s advice and went home and took it easy, iced my junk and took tylenol for the swelling. But I developed a hematoma anyway. The main reason why I did this was for my wife and she really hasn’t been all that compassionate for the pain that I’m having to deal with. But anyhow yeah gravity really hasn’t been a friend of mine, as soon as I need to go to the bathroom good ole gravity starts tugging on the boys and it feels like I got kicked in the jewels. I was prescribed some pain killers (narcotics) to deal with it so hopefully it gets better in the next few days or so.

  125. Mine started soft and gradually firmed and is now yea kinda rock like. At its largest it was almost fist-sized. My doc didn’t exactly endorse the warm bath idea but agreed it sounded logical.

    The texture is no mystery… remember essentially it’s a glob of blood, turning into a big nasty internal scab. Sometimes scabs are hard to the touch.


  126. Thanks for the reply Bilbo. WOW 4 months that sucks. I’m sure I will be takeing the same ride as you. The doctor was also telling me that a hematoma is supposed to be gel like to the feel well not mine, its hard as a rock. Then my job being in the Army really has no mercy on you. I’ve also been massaging my hematoma in the bath but it’s like massaging a rock. I agree with you it’s been a nightmare. Was your hematoma hard like a rock then went gel like? How big was your hematoma at the begining?

  127. Dustin, your doctor’s right. My procedure was Jun 19th, and I am not out of the woods yet. (See my previous comments above). That was 4 months ago.

    Hematoma is the size of a smaller-than-average walnut, and while the pain is only occasional and relatively minor, it is still a reminder of this summer’s nightmare.

  128. 5 weeks ago I had the vasectomy procedure done and it has been a nightmare. I have a hematoma a little smaller then the size of my fist and I have average size hands. It is painful and it has not gone down out all. I have had 2 ultra sounds done one during the first week and another during the 4th week and no difference in size. The pain feels like somebody is flicking me in my balls all day long. I was told by the doctor last week that it will take months for it to dissolve. If any body has gone through a large hematoma the size of a fist that has recovered from it please reply I will check the forum daily today is the 18 Oct 08
    thank you

  129. My husband JB just had his vasectomy 6 days ago. He’s got the lovely hematoma, major swelling and what he describes as “eggplant balls” because of all the bruising. The hematoma is over his right testicle, it’s about the size of a walnut and causes him to have stabbing pain. He hasn’t gone back to the doctor but JB called the doc and explained his symptoms in detail. His advice was the same as the rest of you, rest and motrin. I’m really worried about him going back to work, he’s in law enforcememt. I’m so afraid that he’ll get kicked or have to run after someone. He’s thinking that he’ll take the rest of next week off, that will have been 2 full weeks off. Hopefully he’ll be feeling better by then, if not he’ll be stuck behind the desk on light duty.

    Some of your stories sound so much like ours but the “grape jelly” story takes the cake, that one was the worst! If my husband had ooze coming out of his balls like that I think he’d pass out, I know I would.

  130. Chris if you have a hematoma you will be in extreme pain as well as the swelling you will know before 3 days. I knew something was wrong within the first 24 hrs. Diff doctors will give you diff advice and also each one of us is diff so what worked for you may not work for me. The best remedy I found was TIME and I tried a couple of blood thinners and clot busters. Natural of course.

  131. Chris,

    The instructions from my doctor were to use only Tylenol or the Vicodin they prescribed for the pain. I ignored his advice (foolishly) and alternated between Tylenol and Ibuprofen during the day and took the Vicodin at night.

    When I went back for my follow up (12 days post surgery), I asked if I could use Ibuprofen to get the anti inflamatory benefits. My doctor’s response was “Yes, it’s been long enough now that you can.” Right then knew I had made a mistake for taking shortly after surgery. I don’t know if the Ibuprofen contributed to the hematoma or not, but I know Ibuprofen does have some blood thinning characteristics (just not as much as Asprin).

    My advice on the Ibuprofen is to get clearance from your doctor before you start taking it. As for the heating pad, I’d stick to ice…it’s better for the swelling and helps numb the pain.

    Best of luck to you. Swelling and bruising are normal, so if no lumps develop you should be out of the woods in no time.

  132. I had my V 13Aug. Since then my scrotum has increased 50% in size and there is bruising over most of the scrotum. Though, there are no lumps yet that I can feel.

    How do you know when the bleeding has stopped? There also seems to be mixed message on this board regarding taking Ibuprofen. Since I have now crossed the 3 day marker, should I just assume bleeding has stopped and thus I can start with a heating pad? Thanks for all of your tips and such.

  133. The first Fri of 2008 is when I had mine. Here it is 8 month’s later and I have my report. The hematoma is not gone all the way it is still a little tight on the right side the left side was good anyway. Everything is good in the sex dept. but although it may be mental sometimes the big bang at the finale is not as big as it used to be. Again it may be mental also it gets sore sometimes not bad pain but I know it is still there Hopefully one day I will be back to 100%

  134. Had my vas on Friday 8/1. The weekend went about as expected, but the pain became progessively worse ealry the following week. On 8/6 the swelling became firm (a cause for concern according to the paperwork the doc’s office gave me), so I called my doc for a follow up…turns out my doc was on vacation (Gary, I wonder if we have the same doctor?). One of his associtates was going to be in that afternoon to see patients, so I was able to get in and see him.

    After a brief conversation and exam, I was told I had a hematoma in the cord, which produced the walnut size lump above my right nad (seems like a common location reading the posts above). He put me on an antibiotic as a preventative measure, instructed me not to ride a bicycle for a while, and had me come back a week later to see the doc that performed the surgery.

    I went back yesterday (8/13) for the follow up with my origianl doc. His diagnosis confirmed exactly what the other doc said. I talked to him about draining it, and he recommended against it (opens up other complications and likely would provide short term relief but lead to a longer recovery process). Taking it easy and giving it time was the only thing I could do. Continuing the antibiotic, ice packs and ibuprofen were also recommended.

    I asked about taking asprin to thin the blood (Bilbo, I had the exact same thought as you). My doctor said that I should definitely NOT take asprin, as this would promote bleeding in the hematoma and make it worse.

    Everyone on this forum obviously knows this situation sucks. The pain can be unbearable at times (and I think my case is mild compared to some others listed). However, I still think the surgery was the right thing to do though vs. having my wife go under general anesthesia to have her tubes tied. I’m confident this will get better in time as my doctor (and others on this forum) has promised. In the mean time, I’m dealing with the pain and considering taking a temporary second job with the circus as “the three-balled man”.

  135. I am now five weeks post vasectomy. This week I resumed exercise. So far so good. Shortly after my last post, the alternating heat and ice seem to have worked well. I developed a large lump in my left testicle a little larger than an egg. I began taking ibuprofen morning and night. I still have a little bit of a lump but it has shrunk quite a bit. I feel much better now.

    I am also pleased to say that sexual performance has not changed at all. I was not up for it for about two weeks after being snipped but now back to regular activity. I am glad I found this site. It helps in reading what others were facing. I am going in for a follow up visit this Friday but I expect he will be surprised how well I have healed now.

    For me the pain was intense for about 2 or 3 weeks after the vasectomy. After that just regular discomfort and now I hardly think about it. My recommendations for others about to go through with the procedure…..wear your scrotal support even if you do not think you need it for at least the first two weeks. Use ice for three days solid after the procedure. And most importantly, take it easy for the first month afterwards! Stay off your feet as much as possible.

    JeffM, I feel your pain! I hope you feel better soon!

  136. I had my V performed on July 25th. The first 2 days seemed fine (keeping things in perspective, of course). First thing when I woke up on the 3rd morning was a huge sack (grapefruit size) & a lot of bruising which extended onto my Pns & pubic area. A call to my Dr. said that as long as my sack was not hard, but relatively soft & pliable, that things are OK. Well, I took his work for it & wasn’t worried. Feeling pretty good, I played 9 holes of golf on August 5th (that’s 11 days after the procedure). Up to this point, the “hole” that was made during the procedure never totally healed….There was a little bit of blood seepage each day…nothing major though. When I got home & took a shower after my worse 9 holes ever, I noticed grape jelly coming out of the hole. I felt a bit queasy, but squeezed some more out, then stopped because the thought of having a testicle pop out came across my mind. The next day, the blood seepage was back to the way it was before the shower event. The hard lump above my left testicle became more defined. From having trauma to this area in the past from motorcycle accident, I had a pretty good idea as to what it was…scrotal hemotoma. The hole that was made during the surgery, however, was still seeping a little bit of blood. On Wednesday, August 6th, I called my Urologist’s office, found out that he was on vacation & spoke to one of his nurses & explained what was happening. She told me to call if anything worsens & that she would follow up in 2 days. Well, nothing got worse and she did call to check on me on Friday, August 8th. After hearing that the bleeding still hasn’t entirely stopped, she asked one of the other Drs. in the practice & he wanted me to come in to the office that afternoon. I expected a quick in & out visit. What I got was the grossest scrotum-squeezing session of a lifetime. We could have made a few peanut butter & jelly sandwiches with the amount of coagulated blood (closely resembling firm grape jelly) that he was able to get out. He recommended wearing support, rest & ice for 2 days. The weekend went well & the bleeding seemed to have stopped. I was stoked!!!! This morning (Monday, August 11th), however, wearing support & full office attire, I bent down to tie my shoes to go to work when I felt something squirt in my crotch…I looked down & it looked like a little bit of pee at first. It wasn’t red liquid. I cleaned us & squeezed the scrotum a little bit where the opening was to see if anything came out…well dark red watery blood came out….not gushing, but it did require a couple of gauzes to clean up. The front of my pants, underwear & jock strap were all soaked.

    I have a followup visit already set up for this coming Friday. My plan is to take it as easy as possible for the remainder of this week.

  137. JeffM, that sounds absolutely awful, surely one of the worst stories I’ve heard about vasectomy-caused hematoma. I guess you can try to believe “what doesn’t kill us makes us stronger.”

    I am now almost 7 weeks post-vasectomy and my hematoma is egg-sized and uncomfortable but not causing me continuous pain any more. I can sit in chairs for a few hours and walk around relatively normally. I’m back at work after a nearly 4 week (telecommuting) absence.

    Good luck all.

  138. Im glad to see some didnt have to through the extremes I did. My urologist had over 40 years experience and came highly recommended.

    3 hours after my vasectomy I was lying on the couch and felt a POP in my scrotum. I began to feel myself bleeding internally. This was about the most scared I think I have ever been. It is freakish to feel yourself bleeding and swelling…and in the scrotum on top of that. My wife called the doctor a couple of times and after I continued to swell with blood he told her to bring me into their ER. I almost passed out when the wife hoisted me off the couch. The pain and loss of blood was alot to bear. I had to slowly hobble to the car.

    Once I reached the ER I had to be helped up onto the curb and then helped into a bed. Bending or leaning was just way too painful and I had to have help. Thank God I was able to get a shot for the pain quickly.

    I was admitted into the hospital. I had to have the nurses undress me and get my gown on and into bed. They treated me with ice packs and pain killers over night. My scrotum was blackish/blue and the size of a grapefruit. The doctor felt there had been some progress – enough for me to be discharged. He wanted to see me in three days. It was a long three days. I could barely walk to the bathroom and urinating was a painful joke. The wife had to help me with everything since I couldn’t raise my legs or bend over.

    On the third day I went back to the doctor’s office. Because of the lack of progress and pain I was in even with pain killers he said I needed surgery to drain the scrotum. I was again admitted to the hospital and had surgery the next day.

    They drained over a cup of blood and clot out of my scrotum and inserted a drain. I spent the next three days in bed and I dont think I have ever had my penis looked at by so many people ever in my life as I did my stay there. I had a morphine pump which I tried not to use. On my last day I needed to get up and start walking. I felt like my scrotum was ripping in two. It took me 2 hours to recover from the brief walk I had to take. I couldn’t sit in a chair.

    After I was discharged I had to lie flat for the next three days. It took about a month before I could stand longer than 5 minutes and about three months before all of the discoloring was gone.

    Because of my experience I have nothing but contempt for anyone who tells a guy its just a snip-snip no big deal. I got news for you – it can become a VERY big deal with months of pain and thousands of dollars in medical expenses.

    A vasectomy is still statistically better than your spouse getting her tubes tied. But NO ONE should take a vasectomy lightly.

  139. It’s been 5 weeks since my vasectomy (see my previous comments above), and this is my fourth week out of work (luckily I can telecommute).

    The pain (and my consumption of Lortab to treat it) plateaued for about 10 days before gradually subsiding. Now the hematoma is much firmer, slightly smaller, and just “uncomfortable”. I am treating the pain with Aleve only at night — Lortab is an addictive opiate and after a couple weeks of 5/day … ugh.

    I can finally walk nearly normally again and sit in regular chairs for more than 10mins without pain.

    Dan — I think ice packs are advised if the hematoma is still growing/getting worse. You should be wearing a jockstrap; that helps some in terms of moving around the house. A combination of tighty-whiteys with a jockstrap on top got me through the last couple weeks.

    Once it was confirmed that my hematoma had stopped growing (bleeding) and solidified, I started taking a 30min hot bath daily. Once the pain began decreasing last week, I have been sort of massaging it gently in the bath, trying to break it up some. Not sure if it’s my imagination, but this usually results in a couple hours of malaise/nausea which I am attributing to a rush of dead blood being reabsorbed/processed by my body. Lovely.

    Good luck all. I’ll post again with an update in a week or two.

  140. Today is my ninth day post vasectomy and and I am in agonizing pain!! I have a small hematoma in the right testicle. It only hurts when I feel it. Not bad at all. The left side is a killer!! I have a large mass (the hematoma) in the upper portion of my left testicle. Standing is the worse! I can not stand more than 30 seconds without agonizing pain! My doctor is not the best either. He says nothing to do but wait it out. I wish there were something that could hurry this along. I have been using ice packs almost constantly till today. I tried some heat packs to help out. Still nothing but lying still in bed seems to make a difference. Luckily I have a job that should allow me to work from home. I will be sending an email to my boss tomorrow.

    If anyone has any suggestions on how to get rid of the pain and these HUGE lumps in my testicles, please let me know! For anyone considering a vasectomy, make sure you are willing to suffer for a long haul. The short recovery period…not the case for me.

    • This is a long shot because it was a long time ago but I have the exact same issue you had as far as standing and the pain. Did you end up just waiting it out like your doctor and said and how long till you could stand without pain?

  141. Been two weeks since my previous comment so here’s an update. It hurts to move around much (despite the prescribed narcotics) so I’ve been in bed 23 hours a day for 2 weeks now. I intend to keep trying the warm baths, not sure it helps but it’s relaxing anyway. Hematoma has stabilized after growing for the first week or so, now is very firm. Waiting it out…

  142. Surgery June 3rd and I still get shooting pain in groin area. Had a hanging cantaloupe for over two weeks. Developed a hematoma the size of an egg in my scrotum and also in upper groin next to penis. Six weeks later, swelling has reduced, but hematoma still present and showing no signs of going down. Shooting pain continues at various times during the day. Nothing prescribed has been able to alleviate the pain. The warm baths, ice packs, and rest did little to ease my condition. I have been told by several doctors that it will take time and any attempt to cut the hematoma out would result in more bleeding. I took Torodol and ibuprofen for weeks after surgery, but they provided no noticeable relief. Information pamphlet on “what to expect after surgery” seems pretty unrealistic in hindsight. I’ve been to hell and back with pain and discomfort, and I am hoping that I don’t carry these complications with me forever. Luckily I had an understanding employer and short-term disability benefits.

  143. Surgery on March 7th and complications were a large hematoma above my right testicle, major bruising & hydrocele. Basically, it looked like Barry Bonds took a baseball bat to my man parts. It’s now early July and much better. The hydrocele is almost completely gone and the hematoma is about 1/5th of its original size. Not back to normal, but getting there.

    4 months after the procedure i’m almost 100%. Still have a hard mass above my right testicle – feels about the size of a marble.

    No pain and no visible signs of the hematoma now. Sexually, everything is great. No loss of sensation or decreased intensity of climax or ejaculate volume.

    I do recall going to the gym a few weeks after the procedure and it caused additional swelling. I’d definitely wait a month or so. Leg exercises seemed to aggravate it the most.

  144. I thought i would add my experience to help educate others. After my NSV I took the next 48 hours with care, and everything seemed to be going by the book, My doc said I could return to the gym after 1 week, I decided to take it easy for 2 weeks, this way I could be sure that everything was okay.
    After 17 days I decided to go to the gym, this was a big mistake, i woke up the next morning with a lump the size of a golf ball above my left testicle and alot of swelling. It turns out I now have a hematoma and have been given anti-inflamitries and antibiotics. The doc tells me it should all be gone in a few weeks, hopefully this is the case.
    My advice would be to take it easy for at least a month… just to be sure.

  145. I was not advised to stay in bed for 48 hours, felt fine the next day, and that night, you know what happened.

    Anyone have clarifying advice on the hot compress/bath versus ice pack advice? Or is it advisable to alternate?

    I know aspirin is ill advised immediately after the procedure, but once the hematoma has stabilized and is being reabsorbed, seems logical that aspirin’s blood-thinning properties could be helpful?

  146. You guys crack me up! Thank God I found this site because I had my wings cut the 12th of June. Today June, 20th i went back for a check up and I haven’t even really felt my testicles to see what they feel like due to sharp pains like i got kicked in the knuts back in grade school. So at the check up the Doc grabbed the areas where the incisions were and felt both testicles and to my surprise they didn’t hurt, but just felt uncomfortable. I just got back to work and went to the bathroom and noticed that i felt the hemotoma the size of large walnut above my right testicle. From these postings it sounds like i will be in it for the long haul. Very dissapointed but what do you expect when you have surgery! Something always goes wrong, minor or major.

  147. I had surgery for removal of my left one on Monday. It is now Thursday and the hemotoma is about the size of my fist – a large grapefruit. And it hurts. I can’t even go to the bathroom without holding it up as the jock strap can even handle the size. They have me on antibiotics and advised me that it is going to take some time. I’ve been advised it was related to my aspiron treatments. I am taking pain meds and advised to use heat to induce better flow and ice to reduce the swelling 20 minutes of heat then 15minutes of ice seems to do me some good. The best thing I am doing right now is staying down. No walking, exercising, etc. It will be a longer recovery than I originaly had hope. The best part is the other pain of the testicle is now gone.

  148. Surg Jan, 4 08 4 month’s later not completely gone, alot better but not 100% Time Time Time don’t dwell on it jst keep on livin!!

  149. Are you kidding me? Your frickin’ wombat?

    I’m finally noticing the hematoma getting smaller. Procedure was on March 7th so after 45 days it seems like it’s starting to go down. I’d say it’s about 90% of what it was two weeks ago. So, assuming…

    1. It takes about a month for the hematoma to stabilize and begin dissipating
    2. The dissipation is a steady process once it starts to be absorbed

    …it takes about 2 weeks to absorb 10% of the hematoma. So a total of 20 weeks once it starts to go down. Keep in mind that the doctor said I had a “large hematoma”.

    My rough calculations indicate I’ve got about another 4-5 months before this thing is completely gone.

    I’m back to the gym and the sex life is as active as ever. Intercourse is at a somewhat slower pace but I’m not getting any complaints there. Yeah, it gets in the way during some positions, but it isn’t really that big of a deal.

    If your freaking out like I was when this first happened, it’ll get better. You’ll forget about it – I’m definitely not obsessing on it any longer – it is what it is and staying pissed off doesn’t change anything.

    Since there is ZERO useful information on this complication other than this website, I’ll post my progress in this thread periodically. If any previous posters (other than wombat boy) are still checking this thread, please provide an update on your progress to help others calculate their own recovery time.

    Also, I’m taking 2 Advil 3x’s per day.

  150. well my problem is sort of the same i had my wombat desexed and he has a large hematoma i have been trying to find some info and this is the only place after reading all the other peoples problems it looks like he is going to be sore for quite a while

  151. Well guys the end result after all this was a success. I went through alot of pain and the hematoma is still there but it is getting smaller. I am going back on advil 1 pill 3 times a day hopefully this thing will be over soon.

  152. Thanks for the encouraging words Roy. Basically, my doctor’s visit to the review the sonogram was a dissapointment. I thought we were going to review the images and allow me to get an understanding of EXACTLY what was going on. Instead, he just read me the 3 sentence abstract and said I have a moderate to large hematoma.

    He said in 3 weeks I should start to see it go down some and it will likely take 3 months to dissipate completely. He said the last few weeks before it is completely dissipated it will turn soft, or gel-like, and then be gone.

    He told me that what likely happened is that he sutured a blood vessel during the procedure and it “spasmed” and ruptured which is what caused the bleeding and bruising.

    Tom, I can only imagine what your going through. If the hematoma swelled up again you are obviously still bleeding/hemoraging. You need to take it VERY easy. The bleeding may get worse with activity or anything that raises your blood pressure. Relax – it will get better. Really sorry to hear how bad this has been for you.

  153. Tom I was told by a couple of Doc’s not to drain it unless medically ness. make sure you are taking some type of antibiotic for infeection cause the risk of infection is greater when you drain the Hematoma. Good Luck

  154. I am fifteen days out from my Vas. and have a monster right side hematoma. So large, in fact that the pain was virtually unbearable. I was drained with a 12 gage needle yesterday where about an ounce of blood was removed. I had instant relief. This morning the swelling was back and pain was worse. The doc drained well over two ounces of blood and the pain remained. This is horrible. Anyone out there have theres drained? comments from it? progress?

  155. Jason don’t worry unless you see major change for the worse it WILL get better mine has improved really good the past week or so I think advil helped me the most and time. I go back on the 8 of April t find out if I am 100% sterile I better be after all of this. My hematoma is also on the right side just eat right take it easy and let your body do what it does best take a licking and keep on ticking.

  156. It’s only been 3 weeks since my vasectomy but I haven’t seen any improvement in the size of the hematoma.

    I went in for a sonogram today. The hematoma is about the same size as, and directly above, my right testicle. Over the last 14 days it has become hard to the touch. My guess is that the accumulation of blood has clotted and essentially turned into a big scab. I can’t imagine it will be absorbed in a few weeks.

    I’m mentally preparing for this to take 6 months to resolve, if not longer.

    I’m seeing the urologist on 3/31 to review the sonogram pictures and try to determine how long it will take to recover – if ever.

    I’ve tried every homeopathic supplement and even visited a chinese medicine doctor who gave me some “magic herbs” and nothing has worked.

    If you are reading this and thinking about getting a vasectomy – DON’T DO IT!

    I’ll post an update on what the doctor says next week.

  157. You need a second opinion go somewhere else. Stay off your feet right now. Buckle down for a long road to recovery. I can say that it will get better Ibruprofen is working for me but make sure that your body can take the advil or asprin I think it thins the blood to allow faster absorbtion it makes sense but still it is not a overnight remedy my VAC was done on Jan 4.

  158. I had a vasectomy on Friday March 14 and by Saturday my scrotum was the size of a grapefruit. Went back to the doc on Monday and he informed me that I had a Hematoma. I am extremely bruised and walking is a true pain for me right now, I can hardly make it to the bathroom.

    My doctor said not to take ibuproffin or aspirin. Why would he say that?

  159. Wow I just happened to check the site to see if any other people have replied. Well I have good news and bad I don’t really know if the nattozimes worked I know it increases blood flow down there 🙂 after I am totally healed I may buy some more that’s right 2 month’s and my right side is not healed all the way It doesn’t pain much anymore I started working out in late Feb. It has gone down alot but not 100% no one told me about the advil until later on they did seem to work. I am not happy about it at all. everthing still works but the big bang at the end of the show is not as big as it used to be. More guys need to know this before they make this decision I don’t think I would do it again. I beleive I read somewhere that a scrotal hematoma can toke 6 or more month’s to heal. The best advice I can give is stay strong try not to think negative cause your mind will make things worse fast I was about to go to the Doc’s office and have a man to man talk with him cause just like the man above said I did everything by the book. I am getting p@#* off right now typing. Later

  160. I had my vasectomy on March 7, 2008 and did everything the doctor asked for recovery – stay in bed for 48 hours and keep it iced.

    Six days later I’ve got a hematoma the size of an egg under my right testicle. The swelling on the left side is completely gone. I have significant bruising on my scrotum, penis and over to my right hip. WTF??? Like you all, I’m pretty upset this has happened.

    My guess is that the doctor knows something went wrong because he told me I’d be pretty swollen for a few weeks. Under normal circumstances the swelling should subside completely in less than a week.

    The good news is I don’t have any pain – I’m just carrying an egg around. I went to a second urologist yesterday who confirmed the hematoma and he said Aleve would help.

    Both urologists said that only time will heal the hematoma – that it can’t be drained because it is in the soft tissue.

    So, warm baths, Aleve and the antibiotic they prescribed are what I’m doing for treatment. I’m also wearing a jock strap everyday (over my underwear to cut down on the laundry)

    I’m curious to know if the above mentioned “Nattozines Plus” helped at all.

    We should probably all buy a Lotto ticket soon while we’re on a low probability hot streak…

  161. Hello, I’m 12 days post vasectomy and in just the same situation as you guys , eg: hematoma, brusing, and now an infection and its not much fun!

    Could you post an update on your recovery please? I’d like to know how you got on…

    I think this would be very useful to me and lots of other guys looking for anwers… You know what I’m saying, it’s just good to hear that your not alone.

  162. Keep in touch I am taking warm bath’s also w/Epson salt. I have been out of work for 2 weeks I am going in on Mon. Tell your Husband I truly feel his pain but WE will make through!!!

  163. OK I don’t think it’s the DR. fault mine was done on the 4th of Jan I had an ultrsound done last Sun and everything is ok on the inside except for the hematoma it is the same size as one of my testicle. Everything I read says it will take weeks or maybe month’s to fully absorb the blood from the hematoma. I found some erbal medicine called Nattozines Plus and started taking that on Wednesday I went to the Doc today I can say that it is a little better not much but anything better is good my doc did not agree with the Nattozime pills but there is nothing else out there to help period!! But time!

  164. Hi, my husband just had a vasectomy 14 days ago and he is still in pain and has a large lump in his left testicle. he called the Dr. and they told him to soak in warm baths, that it is probably caused by some excess bleeding post surgery??? This sounds like the same thing you guys are experencing. Could this have been caused by a Drs. error??? My husband is not very happy either. I feel horrible for him.

  165. I just had a vasectomy 12 days ago and am experiencing the same problem on the right side the left side has gone down. I just found out about a natural herb called Nattozime and started taking it today I have been to 2 doc’s both gave me the same answer you recieved wait it out. I am not very happy at this time.

    • Same way here except opposite sides. Dr started cauterizing me before I was numb. Now I can’t even walk properly due to the swelling and pain.


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