Causes of prostatitis
Drainage in Prostatitis
Methods of treatment
Many patients report that their chronic prostatitis problems began after they had a vasectomy. Doctors and scientists have not provided any evidence which firmly disproves or proves that vasectomy can lead to chronic prostatitis. As is usual with issues unresolved by science, we're not going to tell you what to think, but just present the several arguments and let you make up your own mind. This file contains a number of newsgroup comments and private e-mails on the topic. Most of the names and e-mail addresses have been removed. --
I've been suffering with pain and a "non bacterial" prostatitis
diagnosis for 5 years now, following a painful vasectomy.
|I too have had a vasectomy, but I had my first run-ins with prostatitis before the vasectomy. I date my chronic prostatitis (continuous symptoms for 9 years now) to the time I was catheterized for unrelated back surgery. I think the catheter introduced drug-resistant, hospital-bred bacteria into my prostate. But who can prove such a thing?
|My feeling is, with millions of men have vasectomies, and millions of men having prostatitis, there will be many cases of both whether prostatitis is causative or not.
|Besides, the main thing we have to work on is getting back control over our lives and urinary and sexual functioning, right?
|Subject: A Vasectomy Can Cause Prostatis and Epididymitis
Date: Sat, 03 Jan 1998 07:12:00 GMT
If any of you out there in cyberland have had a vasectomy
and then developed acute and chronic prostatis or
epididymitis your treatment needs to be handled alot
differently. Your Dr. will probably not recognize the
corelation between the two for medicolegal reasons.It can be
an awful condition.It is called A Late Post Vasectomy
Syndrome. Journal of Urology March 1985 Vol. 134 Drs.
Selkowitz and Schned.
The truth is out there!--
|Subject: Chronic Post-Vasectomy Pain a Reality
Date: Wed, 24 Jun 1998 15:43:17 -0000
Breaking my own rule about staying on topic, I bring you this news as
a service to the many people who recently posted here about testicular
and SV pain. Without their own NG it must be tough.
|Tuesday June 23 1:47 PM EDT
Chronic pain rare side effect of vasectomy
NEW YORK, Jun 23 (Reuters) -- Some men may experience chronic pain
after vasectomy, however, the evidence still shows that the surgical
procedure does not increase the risk of prostate cancer, according to
a National Institutes of Health (NIH)-sponsored meeting that took
place recently in Bethesda, Maryland.
Dr. Harry Guess of the University of North Carolina in Chapel Hill
noted that an NIH expert panel concluded in 1993 that there was no
biologic mechanism for a link between vasectomy and cancer. Studies
that suggested an association were inherently flawed, he said.
Noting that prostate cancer screening, and prostate cancer incidence,
have increased markedly in the last decade, Guess commented, "The more
you look, the more you find."
Vasectomy has several known potential complications, including
hematomas (bleeding) and sperm granulomas (an inflammatory response to
sperm leakage). Chronic pain syndrome may also be a side effect of the
procedure, Guess said.
Pain syndrome -- defined as chronic testicular pain lasting longer
than 3 months after the operation in men who had no similar type of
pain before the procedure -- was first defined in 1985, noted Dr.
Allen Seftel, an associate professor of urology at Case Western
Reserve University, Cleveland, Ohio.
The incidence of the syndrome is unknown, but it probably affects 6%
or fewer of the 500,000 men who undergo vasectomy in the US each year.
It is more common after a "difficult" vasectomy. The pain could be due
to surgical trauma to the structures around the vas deferens,
resulting in "chronic neuralgia," according to a statement from
Seftel's group. In affected patients, pain may occur "anywhere along
the epididymis or vas deferens. The pain may (also) radiate to the
The condition can be treated with reverse vasectomy, the drug
gabapentin, which relieves pain in about 30% of cases, or a nerve
block, which can help another third of patients, according to Seftel.
|Subject: Re: Chronic Post-Vasectomy Pain a Reality
Date: Thu, 25 Jun 1998 19:49:42 GMT
The condition can be treated with reverse vasectomy, the drug gabapentin, which relieves pain in about 30% of cases, or a nerve block, which can help another third of patients, according to Seftel.
Thanks- Some of this info is correct, but some incorrect. A reversal
is not going to work. An epididymectomy or vasoepididymectomy are the
2 treatments that may cure this morbid condition.Many are not cured
and live a life of chronic testicular and ingunial pain. Most docs do
not put on their informed consent the chance of having Post Vasectomy
Syndrome. All you guys Don't Mess With Nature.
|Subject: pain after a vasectomy....
Date: Tue, 14 Jul 1998 19:01:42 GMT
I don't know if anyone here can help me, but maybe they can lead me in the
I'm in my late 20's, and had a vasectomy a few years ago (had 2 children and
that's it!). A few months after the vasectomy, I began to have pain in my
left sack if you know what I mean. I went to the urologist who did the
vasectomy, and he told me I had an enlarged prostate, which could've been
caused by my son who gave me a swift kick there one day... He did the usual
exams and thought that I should take a medicine also given for blood pressure
- Cardura. Well, I've been on that for a while now, and I thought that maybe
things should be better right? They were until I tried to lower the dosage
(with his approval). Now I'm getting pain again. Sometimes very sharp. But
it is only on the left side. I want to get off of this Cardura, but I can't
stand the pain either.
Could this be something else? Does anyone have any tips or comments regarding
this? Any other newsgroups that it might be good to post this in?
Thanks to anyone for help...
|Subject: Re Post Vasectomy Pain
Date: Thu, 16 Jul 1998 00:58:30 -0700
Pain after vasectomy is often related to the subsequent obstruction and
dilatation of the epididymis that occurs when the vas deferens, which is
cut and tied off during a vasectomy, is occluded. If, however the
patient has a leak at the site of the vasectomy then they usually do not
have pain, but will form what we call a sperm granuloma. If the brunt of
the obstruction is absorbed by the epididymis then the patient is more
likely to experience pain. Most of the time this pain will resolve. All
options for the relief of the pain should definitely be exhausted before
an additional surgery is contemplated.
Epididymectomy should not be considered for the relief of this pain in
most patients and is an operation of last resort. The patient who
ultimately comes to surgery after all other options are exhausted can
have a simple procedure to simply open the end of the vas that is still
connected to the testis and have the sperm merely leak into the scrotum.
For patients who want to have a vasectomy, but still contemplate having
it reversed sometime in the future we recommend open ended vasectomies
and we routinely perform them. They are much easier to reverse should the
Scott I Zeitlin, MD
Assistant Clinical Professor of Urology
UCLA School of Medicine
|Subject: Re: Strange problem after Vasectomy
From: "David L. Casey, MD"
Date: Thu, 4 Jun 1998 18:08:30 GMT
In article [deleted] wrote:
I am a married man, 37 years old with two kids. I had a vasectomy a few
years ago and ever since I have not been the same. I noticed soon after
that my right testicle was higher and more to the front than it had been
but thought no more of it. About six months later I pulled something
down there and it caused me great pain. I went back to the doctor (an
HMO) and was told there was nothing wrong with me.
Here is what I have been suffering with ever since. My right testicle
is enlarged and drawn tight in the scotum. It rests very high like the
cords that suspend it have had all the slack taken out. I have almost
constant pain from the general area (a dull burning pain) going up into
my pelvis. I cannot where tight under wear such as briefs. I can get
some relief by letting the testicle dangle with no support. Boxer
shorts work good for this. It has affected my marital duties as I
cannot perform as well with the pain.
I went back numerous times to the HMO and they did an exam of the
prostate and said I had no problem. They did an ultrasound of the
testcle and found nothing. What I don't understand is that they keep
telling me that nothing is wrong but I can always see it in their eyes
when they see my protruding testicle that something is up. The last
time I went there I specifically asked to see the doctor who did my
vasectomy. He got irritated when I implied that something went wrong
and said that to do anything he would have to cut my stomach open and
pull my testicles out through the hole. "You don't want that, do you?"
he said. He said I have scar tissue. He went on to say that a lot of
people live with pain and so does he.
I have recently switched my insurance from the HMO to a PPO. I am going
to see a different doctor at a different hospital to get another
oppinion. Anyone have any guess as to what my problem is? Is it
possible that the doctor messed up my vasectomy and left me with short
cords to my right testicle? Is it a tangled mess in there?
Do a search for the term "post-vasectomy syndrome" here on the group or on
other groups or on the web...
David L. Casey, MD
This communication is intended to provide general information, and in no way
is a substitute for face-to-face medical care.
No implication of a doctor-patient relationship should be assumed by the
Sorry, but no questions or requests answered by private email.
Date: Thu, 26 Feb 1998 19:57:32 -0400
I am a 47 year old male who had a vasectomy in 1980. About 7 years ago I
started to have prostatitis symptoms.
These included nocturnia,pain in the right testicle during ejaculation,
& stiffness of the right testicle.
I corrisponded with someone who had an epidectomy which resulted in a
cure of their prostatitis symptoms which he
informed me were quite similar to mine.
He had the surgery done by a doctor in Georgia.
His e-mail address is [deleted]
If you live close by, I live in Pa., and can find a doctor willing let
me know who he,or she is.
P.S. [deleted] also had a vasectomy.
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