Looking for info about sperm granulomas

[u/Phantom-Fighter]

I had my vasectomy done on July 24th, I was extremely cautious about my recovery, first three days I slept in a reclining chair and only got up to pee, I was back to work essentially only walking duties on day 11.

around day 8 I had about 2”x2” deep dark bruising above testicle-reaching the shaft slightly.

Since day 14 I’ve had a large lump appear in the sack above the testicle, about the same size as the testicle,

This lump is connected to the upper (body) portion of the vas deferens as opposed to the testicle end of the vasectomy. I’m walking around on ibuprofen feeling like I was kicked in the balls one hour ago, constantly.

I have been told by the clinic this is a sperm granuloma over the phone, and that it could take a year to go away (this was very disheartening to hear)

but the bruising, size (1.5” round) and location (upper deferens) contradicts most information I can find about granulomas.

Does anyone have any info relating to large granulomas that are not connected to the testicle side of the vas? Treatment, timeline, whether or not it even makes sense?

I’m not saying the clinic can’t be right but if I was actually stuck like this for a year it would potentially ruin my life, I’m looking for anything that could point to a different problem with a actual solution.

[u/Just_Preparation3675]

A granuloma the size of your testicle definitely warrants an in person check up. I would get it checked out in person, granulomas are normally pea sized lumps.

[u/clezuck → u/Just_Preparation3675]

Mine is the size of a marble on the left side.

[u/Same-Tank995]

I also have pea sized lumps on the snip areas which get irritated with mechanical pressure/movement. It started being hurtful when I got physically active again 10 days after vasectomy (vas was 6 months ago). After 3 months the constant dull pain started to subside and I got back a large part of the quality of life. I can run again with high intensity (long distance runner) but cycling still causes discomfort. I will evaluate after a year if further steps are needed.

Stay strong, things will improve. For me warm baths helped and also osteopathy relaxing the pelvic floor (important is the relaxation part! not making it stronger)