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Had Vasectomy Done. Noticed Enlarged Testicle And Pain When Ejaculating. Any Relief?

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Posted on Wed, 27 Feb 2013
Question: my husband had a vasectomy 8 months ago and has 5 lots of infections in his testicles where they are enlarged and hurting, also pain when ejeculating, the pain has now started to go down to his knee on the right hand side. He has been to doctors and cannot get pain relief as they cannot determine what he has got. He had one foot of his bowel removed 18 months ago for diverticulitis as well.
doctor
Answered by Dr. G.Srinivasan (19 minutes later)
Hi
Welcome to XXXXXXX
He seems to have repeated attacks of epididymo- orchitis along with infection/ inflammation of the seminal vesicles and prostate ( which is most probably causing the pain on ejaculation)
He needs
1. Scrotal support.
2. Ice application for the scrotum twice daily- each lasing about 15 minutes- to reduce the pain.
3. Urine and semen culture test to chose the correct antibiotic, which may have to be given for at-least one month.
Vasectomy may or may not be related to the problem.
The knee pain is unrelated.
Hope this helps.
Best regards
DR GS
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. G.Srinivasan (10 minutes later)
he has been on a course of antibiotics for 6 weeks and done the urine test, which made no difference. He cannot do the semen test as he has not been able to collect enough semen to do the test, he has not had enough semen for nearly 2 years now, they did surgery to try and find out why he had hardly any sperm and did a vasectomy at the same time and they never found out why he had hardly any sperm (they amount that comes out is less that 1/4 of tea spoon). He has had ultrasounds on his testicles as well and nothing was located. The pain that is from his left testicle is shooting down his leg to his knee now. (Its not in his knee, the pain is coming from his testicle). The pain usually lasts 3 or 4 days and he is unable to walk properly during this time. When you say scrotal support do you mean tight underwear to support ? If he has this epididymo - orchitis is there a cure and how long can this last for when he gets it every couple of months? Thanks
doctor
Answered by Dr. G.Srinivasan (16 hours later)
Hi,
Welcome to XXXXXXX and thanks again.
I understand his problem and your concern.
At times, some people develop long-term pain due to pinched nerve or scarring, which is hard to treat.
If there is NO infection or blood clot, antibiotics may not help.
Tight underwear/ special supports available in the markets as scrotal support and ice application should give symptomatic relief.
Unfortunately, as a LAST RESORT, removal of the AFFECTED testis may be necessary, if acceptable from the family point of view.
Hope this helps.
Best regards
DR GS
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. G.Srinivasan

Urologist

Practicing since :1991

Answered : 1412 Questions

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Had Vasectomy Done. Noticed Enlarged Testicle And Pain When Ejaculating. Any Relief?

Hi
Welcome to XXXXXXX
He seems to have repeated attacks of epididymo- orchitis along with infection/ inflammation of the seminal vesicles and prostate ( which is most probably causing the pain on ejaculation)
He needs
1. Scrotal support.
2. Ice application for the scrotum twice daily- each lasing about 15 minutes- to reduce the pain.
3. Urine and semen culture test to chose the correct antibiotic, which may have to be given for at-least one month.
Vasectomy may or may not be related to the problem.
The knee pain is unrelated.
Hope this helps.
Best regards
DR GS