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Vasectomy and undescended testicle

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    I am a 32 year old male, I had a no scalpel vasectomy 2 weeks ago. As a child my left testicle was undescended but this was successfully operated on. Prior to the vasectomy I informed my doctor of the operation I had as a child and he said that he would have a look at it during the vasectomy. He started on my right testicle and this was done without any pain or complications. However, he could not locate the vas deferens on my left testicle for a very long time. In the end he found it but was unsure and did not cut it but put a clip instead. Whilst he was looking for the vas deferens I felt a strong pain shooting up to my lower abdomen where my original scar was from my operation when I was a kid. Two weeks later I am still uncomfortable in that area and it is painful, sometimes after sex.

    I have unanswered questions about the vasectomy. The two doctors said they were unsure if it was the vas deferens, should they have clipped it anyway? Is it possible they clipped something else which is causing me pain in my lower abdomen? Should I have been told that there could be possible complications having a vasectomy because of my operation as a child?

    Dr. Edward Karpman

    A vasectomy after any type of scrotal or testricular surgery will be more difficult than prior to the surgery. Undescended testicles are oftentimes associated with aberrant anatomy of the epididymis and the vas deferens, making a vasectomy more challenging in this situation. However, vasectomy can be successfully performed even in the previously mentioned situations without any significant complications. Patients undergoing a vasectomy can feel some radiating pain or pulling sensation in the groin or lower abdomen because of some pulling on the vas deferens during a vasectomy. Most procedure related pain should be resolved by two weeks unless some unforeseen problems occurred during the vasectomy. Persistent pain more than two weeks after the vasectomy requires re-evaluation by the surgeon and possible anti-inflammatory treatment.

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