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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Scrotum Mass Post Vasectomy?

I'm a 40 year old man who had a bilateral vasectomy done and now on the left side is a mass about 2cm x 3cm x 6cm extending into the scrotum above the testicle. It was really tender but not as much now after 2 courses of antibiotics. It's still there, what do I do?
Wed, 25 May 2016
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General Surgeon 's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
You seems to suffer from-This could be resolved hematoma-post-vasectomy with infection and induration in it, lately/ or could be FB granuloma with infected stitch in it.
As the thing has resolved -after antibiotic, I would suggest you to take Tab Diclofen and Tab Chymotrypsin-for 2 weeks time with PPI like pantoprazole to counter drug induced gastritis.
Hope this should resolve the issue.
But if still persists, then FB grannulation -post Vasectomy should be suspected.
This would need surgical removal of FB,which would resolve the post-vasectomy mass once for all.
Consult Surgeon / Urologist,who would plan the treatment accordingly,after proper investigations.

Hope this would help you to plan further care of this complex illness of yours.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-

Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Scrotum Mass Post Vasectomy?

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. You seems to suffer from-This could be resolved hematoma-post-vasectomy with infection and induration in it, lately/ or could be FB granuloma with infected stitch in it. As the thing has resolved -after antibiotic, I would suggest you to take Tab Diclofen and Tab Chymotrypsin-for 2 weeks time with PPI like pantoprazole to counter drug induced gastritis. Hope this should resolve the issue. But if still persists, then FB grannulation -post Vasectomy should be suspected. This would need surgical removal of FB,which would resolve the post-vasectomy mass once for all. Consult Surgeon / Urologist,who would plan the treatment accordingly,after proper investigations. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS