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Occasionally a vasectomy patient may develop a painful nodule at the site where the vas deferens was divided. Most often this is on one side but can involve both vas deferens.

This is estimated to occur in about 1 to 2 out of every 100 patients or 1.5%.

Nodules after vasectomy: Normal or abnormal?

Initially after a vasectomy the vas deferens division sites will be tender from normal, reactive inflammation. The sites were the vas deferens were divided and exposed to thermal coagulation will go through a normal reactive healing process. The vasectomy sites on each vas deferens will be tender for the first seven (7) to fourteen (14) days.

As sperm exits the bottom vas deferens, which is intentionally left open, they will collect at the very end of the opened vas deferens. These areas will form small sperm granulomas about the size of a pea and these nodules will be tender initially. This tenderness will gradually resolve.

These vasectomy site nodules are often higher on the vas deferens than most patients realize and they can very often be felt near the base of the penis. It is common for these nodules to be present after vasectomy and to be tender for up to six (6) months.

If tenderness persists for more than six (6) months then these nodules could represent symptomatic granulomas or neuromas (abnormal collection of healing nerves). Sometimes patients will notice they are more tender with erections or ejaculation.

Occasionally anti-inflammatory medication or injections of anesthetic may improve the discomfort. Often a second vasectomy procedure with nodule excision may need to be performed to remove these painful nodules. If a second procedure is performed the nodules may reform but most often they will not.

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.

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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.