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Bleeding can sometimes occur after vasectomy. The most common site for bleeding is from the skin edges of the opening used to perform the vasectomy. This often will resolve quickly after the procedure and with the application of a simple band-aide. Bleeding from the skin edges may be off and on during the first 24 hours. After 24 hours slight spotting may be common. Typically a no-scalpel incision site does not require sutures and should be completely closed within three (3) days.

The more concerning vasectomy bleeding occurs inside the scrotum and forms a collection of blood called a hematoma. Either venous or arterial bleeding can cause a scrotal hematoma.

The risk of large symptomatic hematoma formation requiring treatment is 1 out of 1000 patients or 0.1%.

Venous hematoma after vasectomy

A venous hematoma happens when bleeding comes from a vein. This can occur as a direct result of the vasectomy procedure or because of too much activity immediately after a vasectomy procedure.

Venous bleeding is slower and than arterial bleeding. Eventually the blood will accumulate within the scrotum to the point it is noticeable by the patient. Usually this happens within 24 to 36 hours after the vasectomy procedure but can happen as far out as seven (7) days after.

A venous scrotal hematoma can be as small as a quarter or as large as a grapefruit. Often the scrotal sac is not distended or tense but still has the external ‘crinkles’ in the scrotal skin. Small hematomas may have no symptoms but large ones can be painful because of pressure and the effects of gravity.

Arterial hematoma after vasectomy

An arterial hematoma happens when bleeding comes from an artery. This is often a direct result of the vasectomy procedure.

Arterial bleeding bleeding is brisker than venous bleeding. The blood will accumulate within the scrotum to the point it is noticeable by the patient within 6 to 12 hours after the vasectomy.

An arterial scrotal hematoma will cause the scrotum to be distended, tense, and the scrotal skin will be smooth and taught.

Treatment for hematoma after vasectomy

Patients who have large symptomatic hematomas do not have to guess whats going on. They immediately recognize they are having a complication. Hematomas requiring intervention are noticeable and uncomfortable.

The recommended treatment for a venous hematoma is watchful waiting, anti-inflammatory medication (ibuprofen), and an athletic supporter. The hematoma will liquefy in seven (7) to fourteen (14) days after formation and will slowly dissolve and be absorbed by the body. The scrotal skin will go through color changes as the hematoma is slowly dissolved. If the patient is very symptomatic from a venous hematoma then surgical drainage can be performed.

Arterial hematomas often cause more pain and discomfort than venous hematomas. The recommended treatment for an arterial hematoma is surgical drainage.

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.