Pain in the First Week After Your Vasectomy
It is normal to experience some pain or discomfort in the first week following your vasectomy.
In many cases, the first few days are relatively mild, with minimal discomfort.
Around days 4–6, it is not uncommon for men to notice a sudden increase in pain, which is usually normal.
This is the body’s natural inflammatory response to the surgery and typically resolves within one to two days.
In this situation, take ibuprofen (two tablets, three times a day).
If the pain persists beyond two days or is accompanied by significant swelling or fever, please contact us immediately.

Do you have a sperm granuloma (pea sized lump)?

After your vasectomy, one of the tubes that carry sperm (the vas deferens) is cut and sealed to prevent sperm from mixing with semen. Sometimes, a tiny amount of sperm leaks out at the site where the tube was cut. Your body sees these sperm as foreign and forms a small, walled-off area of inflammation around them to contain it.

This is the sperm granuloma—a little lump, usually about the size of a pea, near the vasectomy site.

Most sperm granulomas don’t cause problems and may go away on their own as your body adjusts. You might feel it, but it’s typically not painful. In rare cases, if it grows or causes discomfort, we can treat it with anti-inflammatory medication or, very rarely, a minor procedure.

It’s not dangerous, and it doesn’t mean the vasectomy failed—it’s just your body’s way of handling a small sperm leak.

Bruising, even if extensive and tracking up onto the penis, is quite common after a vasectomy.

As long as it is not associated with any severe pain or swelling, you most likely have nothing to worry about.

Most bruising will resolve by 2 weeks after your procedure.

In some cases, the wound may open after your procedure, which can result in some bleeding.
If the bleeding is visible under the bandage or heavy enough to dislodge the bandage, remove the bandage and wipe away the blood to check for active bleeding. If there is no active bleeding, clean the wound and apply a simple adhesive bandage (e.g., Band-Aid) over the wound. Remove the bandage after 24 hours.
If there is active bleeding,  pinch the two sides of the wound together with your fingers for 2 to 3 minutes to stop the bleeding. Once the bleeding has stopped, apply an adhesive bandage over the wound and remove it after 24 hours.
If the wound appears open, don’t worry. It will close naturally from the base up within a few days. The skin wound from a vasectomy is very small.
Signs of infection include redness at the edges, pus from the wound, or tenderness of the surrounding skin. If you notice these symptoms, please contact us, and we will prescribe antibiotics.