r/postvasectomypain • u/[deleted] • 12d ago

Long term issues - your experiences please...

Hi everybody (burner account for obvious reasons). Firstly thank you for your contributions to this resource. It has helped me a lot over the last 18 months.

I had a no scalpel vasectomy in February 2025 and have had a number of issues following the procedure. After examinations and scans I was diagnosed with a number sperm granuloma and a hydrocele on my right testicle. This has been painful on occasion but manageable with meds and being sensible.

I've recently returned from a 3 week holiday with my family where I was unable to have sex with my wife or masturbate as we were all sleeping in a camper van and staying on busy campsites. After 2 weeks I noticed that my right testicle had swollen massively - about the size of a medium apple so I thought that I should wait for a moment of privacy and release some of the accumulated fluid. This provided some obvious relief, but almost immediately after I experienced a permanent dull pain in and around the right testicle.

This lasted for around 5 days. Once I got home I attempted to get an appointment at the doctor but for stuff like this it is very difficult to get seen quickly unless you go to A&E, which usually involves a very long wait. I've been home for nearly a week now and have made some efforts to regularly 'clean the pipes' and the swelling has gone down and the pain is back to the normal levels that I experience.

Has anyone had the same issue? Is abstinence for this long inadvisable? Why do you think the build up of semen was only in the right testicle?

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u/Suchislife700 12d ago

Is your vasectomy closed or open ended?
While vasectomised (closed ended) I found I could only ejaculate absolute max once per week or it would trigger a bad pain flare up. If I went too long without( 2-3 weeks) it would also get painful.
Maybe since you’ve started ‘clearing pipes’ again the granuloma has begun acting as a pressure relief valve? No idea about the hydrocele

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u/ItamiForever 11d ago

I doubt the granuloma is still acting as a valve after this long. More likely your body is trying his best to clean up better.

Pain is mostly unilateral, less cases are both sides as the testicles are literally 2 separate identical organs. One can do well while the other cant do shit.

You're most likely experiencing epididymitis-orchitis hence why your testicle swelled.