Thursday, July 29, 2010

How much pain can my husband expect during and after his vasectomy?

How long will he need to recover, should I drive him or will he be able to drive, will he require bed rest. He never asks his dr's anything so I am trying to find out here and through books.How much pain can my husband expect during and after his vasectomy?
My brother in law had it done and the procedure itself wasn't bad, it was the recovery period. He was on percocet and vicodin for two months before the pain finally went away.How much pain can my husband expect during and after his vasectomy?
My best friend's husband just got a vasectomy a month ago.





She did drive him to and from the appointment -- I'm not sure if that was necessary or not, though.





He said the procedure didn't hurt badly at all, however for few days after he was in some pretty bad pain. It wasn't crippling, but he was certainly hurting pretty badly.





If you want more information, call his doctor yourself and ask these questions; or schedule another consultation and go in with him.
My vasectomy was not too painful except for a brief period of time when the numbing agent wore off and it felt like he was ripping my stomach out through my scrotum. I drove myself home and healed pretty quickly and uneventfully and did not notice anything wrong until eight days later when I discovered that I had lost almost all ejaculatory sensation (It will be one year June 4th since I have had normal sexual feeling). Three months later I developed pain in the form of a spermatocele (because the vas is now blocked, otherwise benign cysts swell due to the back pressure causing agony) I had additional scrotal surgery on 02/13 in an ultimately unsuccessful attempt to stop the pain. I went to the emergency room on 05/05 at the advice of my last/former Urologist after weeks of intense scrotal pain accompanied with nausea and vomiting and was diagnosed with epididymitis and another ';good sized'; cyst cause by the vasectomy induced back pressure. After getting the runaround from Urologist #2 I was advised by ER Dr. to find a new Urologist. I went to one of the largest teaching hospitals and the best the doc could offer was to stop taking anything for pain (Advil/Tylenol) as it was probably causing most of the nausea and try to ';live with the pain'; He told me it may improve in months, years or may never get better at all. He had no idea why I have a loss of feeling. I today have another appointment with a new Urologist (my 4th this year) and hope I do not get the ';Oh well, it sucks to be you'; attitude I have gotten so far but am not holding my breath. I also have an appointment with an Endocrinologist in a few weeks to address my drop in testosterone since my vas (it dropped over 100 points making me officially hypogonadal).
The immediate pain of the procedure and the 1 week recovery are trivial in comparison to the long-term risks.





# 1 The risk of chronic genital pain - Approximately 15% of men develop chronic testicular pain due to vasectomy. For about 2% to 6%, this pain is severe and can be sexually disabling.


# 2 Post-vasectomy pain sydrome is difficult to treat and the options can involve more surgery (vasectomy reversal) which are not always effective in relieving the pain.


# 3 The pain symptoms can arise years after the procedure and can involove testicular pain, pain on ejaculation, pain on erection, and obviously can affect sexual function or enjoyment of sex.


#4 You may develop symptoms other than pain that diminish sexual enjoyment, such as decrease in ejaculatory force or volume, or decrease in the pleasure or intensity of orgasm. It is hard to link a reference for these symptoms, you have to go to online forums filled with post-vasectomy men to read these complaints. Unfortunately these forums are not that hard to find.


#5 Vasectomy is essentially irreversible. While there is a surgery available to re-connect the vas deferens (the tubes that are cut), it costs $4000 to $12,000 and is generally not covered by insurance. In addition, it is not always effective in returning fertility or treating post-vasectomy pain.


# 6 The incidence of regret: Regret varies from under five percent to over ten percent depending on what study you read. Young men later regret not being able to father children, married then divorced men have regret regarding not being able to start a new family after divorce, men with chronic pain have regret and frequently feel vasectomy was the worst decision they ever made. Up to 2.5% of vasectomized males seek reversal to regain fertility and 1% seek reversal due to pain.


# 7 Psychological effects of vasectomy can include an increase in “masculine behavior” to compensate for feeling emasculated or an increase in relationship problems (especially if the couple was not in agreement about the procedure). It has been suggested that on a deeper level, sterilization reactivates castration anxiety, represents self-punishment, or is imposed by “castrating women'; who push vasectomy on their partner.


#8 If you develop post-vasectomy pain symptoms, it can affect your ability to participate actively in sports and other vigorous activities


#9 Since post-vasectomy pain is rare, it can be difficult to find effective treatment and you may run into empathic failure on the part of others. In addition, the problem is such that many men do not feel comfortable talking about the problem and many non-medical people don't feel comfortable hearing about it either. This can lead to isolation and depression.


# 10 Inadequate informed consent regarding vasectomy is common. Check here for more information on post-vasectomy pain issues or to access links to vasectomy information websites prior to the procedure. One should not choose a permanent solution for ending fertility before reading about the procedure in depth.





Read my fully referenced website: http://painaftervasectomy.org/
there isn't a lot of pain, its more a little bit of apprehension as guys


privates are a little tender and your getting a shot at the bottom of your


thing to numb it. after the anesthetic kicks in all he will feel is a bit of


pressure when the doc cuts and ties the tube and he might hear a little


sizzling sound when the ends get carterized. he should be able to drive home. he will have to wear a jock strap until the swelling goes down. the


doctor will tell him when to come back with a sample. it took me 3


samples before i got a negative sperm count. he will have to take back samples until he gets a negative. i was doing heavy construction so i


was off at least a week. i had mine done 30 years ago, things might have


changed some by now. the doctor should have had both of you come


in to explain everything before he does the surgery. both of us had to talk to my doctor before he would do the surgery.
Doesn't hurt that bad at all. When the make the actual cut it feels like getting kicked(not a direct one, just a Little graze). After that he will be fine. He still should try to take it easy so he does not pull the stitches out. One day in a chair, then he can go to light activity in a week he will be fine.
he can still call his dr and ask questions


some men can drive some can't.


as for recovery he needs to follow what his doctors tell him.


he will want to not lift anything for a day or so


keep ice available


it really depends on his pain tolerance as well.


i would drive him just in case
He needs to do basically nothing for around 4 or 5 days, even if he is feeling great and up to it. After a week or two, he'll be back to normal.
I had one done about 5 years ago. It was a little sore, but not bad. A bag of frozen peas works great on the area. I was back at work the next day.

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