Urologist Questions Urologist

Post vasectomy complications - is this adhesion/fibrosis?

About 5 months ago I had a no scalpel open-ended method vasectomy. Clips were used on the other end of the vas. The healing went well except the right testicle appeared to be pulled up higher than usual. This caused some discomfort. A return visit in roughly 8 weeks after the first procedure the Dr. said I had tethering and decided to re-operate. Again with no scalpel method. It was clear immediately that the "tethering" issue was not fixed. However Dr. said that the vas was separated from any scar tissue, the clip was not recovered on that visit. 10 days ago went back for another consult, the Dr. said they could fix the tethering this time.

Some vas was removed above and below the large ball of scar tissue, the clip was retrieved from the scar tissue on this occasion. 2 incisions were made with no scalpel method. It looked like the testicle was free again and able to hang lower. 10 days after the procedure it appears the testicle is once again lifted. Is it possible that this is adhesion/fibrosis and that further operations may cause a risk for this issue to keep occurring? Will be chasing a referral for another specialist soon.

Male | 25 years old
Complaint duration: 5 months

2 Answers

Yes, this appears to be adhesion and scarring. Every Surgical procedure creates scar tissue, more Surgeries, then more scar tissue. Try Acupuncture with Moxibustion to see if some scar tissue can dissolve.
Keeping your history in mind, I would exercise extreme caution if I were you. Find an experienced urologist if you have access to one. If you do not, then ask your GP to help you out. Once you get that urologist's opinion, then get a second opinion. If your insurance does not cover this, you will have to pay this out-of-pocket, but I deem it highly advisable to follow this route in order to avoid a repeat of your previous experiences. You also are advised to exercise skepticism when obtaining these opinions, so that you will assure yourself that the surgeons are not simply trying to make an extra buck by re-operating. Be further advised that you should consider to what degree the condition that you have is livable.

Yours truly,

Dr. Richard Evan (Rick) Steele