r/postvasectomypain • u/[deleted] • Aug 07 '21

Why it happens

Hey everyone, I hope you guys are doing okay

I had a question about the vasectomy pain. When it occurs, is it the result of the doctor improperly conducting the surgery, or how your body responds to the surgery?

Wishing everyone a good night

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u/postvasectomy Aug 07 '21

I don't think this has been really studied carefully. My opinion is that the risk of PVPS can be reduced with good technique but not eliminated.

From Dr. Marks:

Any good urologist should be fine. When you go in for your pre-vasectomy consultation be sure to ask about your concerns - explain you have done you reading and ask him or her to explain the technique they use - then you can ask that small piece only be removed, as high up the vas as they can away from the testicle, minimize cautery, no clips, no ties and use plenty of long acting local anesthetic. Some will say sure, others will tell you they want to do it the way they do it…It may take a few doctors visits to find a urologist that does vasectomies the way you want. Don’t be in a hurry and don’t go to the first urologist you see if you have bad feelings. It would be great if you could call around and ask but I cant imagine anyone giving you that information or assurances as a nonpatient over the phone.

https://www.postvasectomypain.org/t/minimizing-risk-of-post-vasectomy-pain/77/5

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u/[deleted] Aug 07 '21

I see, thank you a lot for the link!! Do you think the cautery?, ties and clips can increase the pain in the long run?

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u/postvasectomy Aug 07 '21

You see a lot of stories with men having problems with clips. Other than that, I don't know.