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Chronic Scrotal Pain is the most dreaded complication among men who are considering vasectomy. It is also the complication that is the least understood by medical professionals.

Chronic Scrotal Pain is pain experienced for more than six (6) months after a vasectomy and is severe enough to interfere with the one’s quality of life and cause them to seek the advice of a health care professional. Chronic Scrotal Pain occurs after vasectomy, but it is equally important to recognize men can develop chronic scrotal/testicular pain after any urologic surgery. This pain syndrome has been described after hernia and kidney surgery. The syndrome is poorly understood and has not been well studied.

Estimates of chronic pain after vasectomy range from less than 1% to as high as 30%. The problem with many medical studies on pain after vasectomy is these studies are not well done. Many of these studies describe small groups of patents, don’t select the appropriate patients, don’t use good comparison groups, or don’t use scientific accepted measurements of pain perception.

According to the American Urologic Association, the best scientific study on post-vasectomy pain suggests the chance of having pain seven (7) months after vasectomy is around 0.9% or 9 out of every 1000 vasectomy patients. The overall chance of developing chronic scrotal discomfort after vasectomy is between 1-2% but most men will not need any major treatment for this discomfort.

Pain After Vasectomy: Normal vs. Abnormal?

Minor pain and discomfort after vasectomy is normal for most men. Typically the average vasectomy patient experiences discomfort for several days but this discomfort can last for several weeks to months. For some the discomfort is constant and for others it is episodic.

If pain persists for more than six (6) months then it is most likely a symptomatic nodule in the area of vas deferens division or inflammation of the epididymis. This should gradually resolve and if not then the symptomatic nodule may need to be removed. Pain persisting for more than six (6) months after vasectomy and is not limited to the vas deferens site of division or the epididymis is not typical and may be Chronic Scrotal Pain.

Chronic Scrotal Pain is estimated to occur in less than 9 out of every 1000 patients or <0.9%. The treatment of the syndrome may require medication, nerve blocks, vasectomy reversal, or surgery to transect the involved nerves.

What Our Patients Are Saying

"Dr. Monteith prepared me mentally for the pre, during and post procedure journey. He also provided me with all the tools necessary for a comfortable recovery. I'm definitely confident in this Dr's work, and especially glad at how little pain I experienced throughout the process. It would be worth it to visit Dr. Monteith no matter what state you have to travel from, I drove from Virginia."

- J.R.

"Very comforting and knowledgeable experience not only was the staff pleasant so was the atmosphere! I drove 3 hours so i did my research. I was impressed with the information, visuals, and on hand knowledge about what the procedure was all about. I felt like an expert after i left! Not to mention the 45 min in and out time. I will be recommending this to all my colleagues thank you!"

- J.W.

"Dr Monteith, and his staff, were all very professional about my decision to have a vastectomy. They informed me of the risks, the surgery procedure, and the post-surgery care. The procedure itself was relatively painless. I would rate this as a 2/10. I highly recommend Dr Monteith; he even sent me a text message after the surgery to give me a personal update on my procedure. The procedure was quick."

- S.E.

"If you're in the market for a Vasectomy you need to give Dr. Monteith a serious look. Just compare the information on his website to the information you'll get from other options around the triangle. It's hard to get solid answers on cost, procedure and expectations up front from other offices but A Personal Choice plays no games and has great informative well designed website. Dr. Monteith makes it easy!"

- J.P.

"Excellent care. I visited Dr. Monteith for a single visit appointment on a Friday. Very clean, comfortable office. Pleasant staff. The procedure was quick and I went back to work for a little while. The only pain I experienced was soreness beginning about 4 hours post procedure, lasting for 24 hours, then subsiding rapidly. I was fine by Monday. The office checked on me twice, no problems. I would recommend Dr. Monteith to anyone.

- M.D.

Ask Us A Question!

Your questions about our services will be answered directly and promptly by our staff or Dr. Monteith. We will not respond to general medical questions or if you are a patient of another practice and are contacting us because you are not getting answers from your physician.

If you have been a patient at our center and have specific questions about your medical care you should contact the staff directly at (919) 977-5060.