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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Small Lump On The Testicle Post Vasectomy?

After having a Vasectomy I had a small lump formed within my left Vesicular. The Doctor called it a Spermatocyte and was causing extreme pain. On his advised I had the lump removed, but during the procedure he pushed down extremely hard on my left testicle, why? I don t know why! After the procedure my testicle swelled to the size of a large grapefruit. I lost 35 days of work. The Doctor told me that the medical profession is not an exact science. I have now been in pain for five years. I went to a new Doctor today and he say s I should have my complete Epididymis removed to stop the pain, but their are risks; like the circulation can be cut down the testicle shrinks and I will need to have my testicle removed. So? So? I ve seen six Doctors that can t tell me why this Doctor did what he didn t, and of course Doctors wont say anything bad about another Doctor, but what the hell. I spend 30 years in the Military, shot, blown up, stabbed, broken bones, and sick from food and water we had to live off. But a simple Vasectomy and I ve been threw HELL! The medical profession is Not a Perfect Science!
Tue, 14 May 2019
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Pathologist and Microbiologist 's  Response
Hello,

A lump after vasectomy procedure can occur due to the formation of sperm granuloma with a collection of spermatocytes which can be painful.

The pain and discomfort may last for a short period of time, however, sperm granuloma is not expected to cause pain for years.

As per your history, currently, your doctor is suspecting an epididymis lesion possibly an infection.

I suggest you discuss with your current surgeon or urologist and relevant investigations to diagnose the condition and thus the best option for treatment.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shailja Puri, Pathologist and Microbiologist
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What Causes A Small Lump On The Testicle Post Vasectomy?

Hello, A lump after vasectomy procedure can occur due to the formation of sperm granuloma with a collection of spermatocytes which can be painful. The pain and discomfort may last for a short period of time, however, sperm granuloma is not expected to cause pain for years. As per your history, currently, your doctor is suspecting an epididymis lesion possibly an infection. I suggest you discuss with your current surgeon or urologist and relevant investigations to diagnose the condition and thus the best option for treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shailja Puri, Pathologist and Microbiologist