ejaculation after vasectomy
trifold
stories led me to read Paul 5's story again. Paul's experience sheds
light on an issue we have been discussing here: What happens to the
vas deferens tubes during ejaculation after vasectomy? Giraud and
Fletcher were both asking about this, as was a guy who started a
thread on whether it was a good idea to unload before his vasectomy to
speed up the all clear, or whether doing this would only prime the
pump, bringing up more sperm to be cleared out. Various websites were
unclear, some saying the sperm was moved from balls out by
contractions during ejac., which would mean pre-vas. ejac. would just
bring up more sperm to be cleared. Some said sperm moved up due to
other, gentler contractions in the tubes that go on all the time. No
website said anything about what happened to these contractions
*after* vasectomy, which led Giraud and Fletcher to wonder: Could
vasectomy put a permanent end to certain contractions that usually
occur in the tubes during ejac., and so maybe change the experience of
ejac for some men?
Everybody should read Paul's story for the full account, but it seems
his doc. "prescribed" more ejaculation (along with meds) to clear up
an infection in his epidydmi that his vasectomy had made worse: The
doc. said the ejac. would force stuff out of his epi. This suggests
the vas tubes and epidydimi *do* contract at ejac. and that these
contractions continue even after vasectomy.
Maybe Paul can say more either here or at the stories forum at the
website. Also about whether the doctor's "prescription" worked!
trifold
http:www.vasectomy-information.com
Giraud
I think it's great that you posted here about your posting in the forum. I
think this is a good practice for any users of this newsgroup who want to
post in the forum, since I bet the regulars here will visit this newsgroup
more often than the forum (hopefully the forum will catch non-usenet users
who have comments about the stories).
Giraud
Fletcher
I have done tons of searches on the net.
I found one site that said groin trauma can cause ejaculation dysfunction.
At 6 weeks post-vas my condition is the same.
My oragsms have lost sensation and my sex drive is low.
I will go 6 months tops and if nothing changes I will have it reversed.
Fletcher
trif...@netscape.net (trifold) wrote in message news:<f6289b53.03062...@posting.google.com>...
trifold
> I sure would like some answers on this issue.
> I have done tons of searches on the net.
> I found one site that said groin trauma can cause ejaculation dysfunction.
> At 6 weeks post-vas my condition is the same.
> My oragsms have lost sensation and my sex drive is low.
> I will go 6 months tops and if nothing changes I will have it reversed.
>
> Fletcher
Have you seen a doctor about the loss of sex drive and lost sensation
you are experiencing? He could measure your T levels (which have
bearing on sex drive) and also look into why you seem to be feeling
less at ejac. Without knowing the source of these problems, going for
a reversal is just a shot in the dark. Not only a shot in the dark,
but a shot in the dark that is expensive and risky. Keep in mind,
reversing a vasectomy also constitutes "groin trauma"--arguably more
"trauma" than the original vasectomy. I wouldn't do it unless someone
told me it was a likely cure. Other things might be at work here, and
you should explore them first.
trifold
http://www.vasectomy-information.com
Fletcher
it's not back to normal to come back.
He mentioned checking my T level but I said everything was fine before
I had the vas.
I don't think that these things are happening out of coincidence just
after I had my vas.
Everything was fine until I had it done.
I will go back and see him again if things aren't better at 3 months.
Fletcher
Paul E Garcia
The reality is that, after the second visit, I don't have any confidence in
that first uro I saw. He seemed to reverse course on everything he said during
the first appointment. I didn't have a blowout (when previously he said I
did), and I may or may not have had an infection (which led to his comment that
I should be glad the antibiotics helped). The only things I know for sure is
that I no longer have an infection (after 20 days of Cipro), and I still have
pain (which may or may not go away, but he won't treat any further) and a
swelling at the junction of the epididymis and vas of unclear origin.
So, his latest verdict on the frequent ejaculations is that they empty the
seminal vesicles and other anatomy thereby minimizing pressure on the affected
area. It seems to work well enough.
Incidentally, I posted this latest info to the group but did not expressly ok
the posting to the site. Webmaster, if you wouldn't mind please? It would be
late April-ish.
Please feel free to contact me via e-mail, forum, or to the group.
trifold
You say you still have pain. Where is the "affected area" and what
kind of pain are you having? Is it bad enough that you plan to see
another doctor? Is the swelling at the epi-vas juncture just on the
side the surgeon had problems with? Re: ejacs., it's curious the
urologist says they relieve pressure on the seminal vesicles, and so
help your pain. I don't see why there would be extra pressure there
(as opposed to the epi.) after vasectomy. Frankly, it sound to me
like you might be having sperm backpressure problems that reopening
the vas could help. I recall you made the decision for closed ended
vasectomy over open ended at the last minute, as the doc. was prepping
you. You decided to go the closed ended route because you were
concerned then about granuloma pain. And the doc. told you if a
problem developed you could always get the tubes reopened. I'm
wondering if you are not facing the granuloma pain now, anyway. I
also recall after you developed a problem, the urologist you now
discount said reopening the vas wouldn't help in your case. But why
stick with him on this when you doubt him on other matters? Finally,
have you looked at the abstracts on pvp at the medical journals
section of the website? If sperm backpressure isn't the source of
your problems, then maybe nerve damage is. This might be congruous
with the complications that developed during your vas surgery--all the
extra digging for the buried tube, etc. There are some treatments
listed there for pvp caused by nerve damage ("nerve stripping" of the
spermatic cord, for example).
I will say I had some occasional minor tenderness at the epi/vas
juncture on one side for about a year after my vas, and it did go
away. So if what you are experiencing is minor, then you might wait.
But if it is not minor, I'd look for another doctor!
-----
trifold
http://www.vasectomy-information.com
paule...@cs.com (Paul E Garcia) wrote in message news:<20030624222034...@mb-m15.news.cs.com>...
Giraud
> I will say I had some occasional minor tenderness at the epi/vas
> juncture on one side for about a year after my vas, and it did go
> away. So if what you are experiencing is minor, then you might wait.
> But if it is not minor, I'd look for another doctor!
Did ou say in a recent post that you still have tenderness sometimes (now 5
years after)? Just wondering if it completely cleared up at 1 year or not,
and if not completely, is it on a downward trend?
Giraud
Paul E Garcia
the
>side the surgeon had problems with?
There is a small hard, somewhat egg-shaped lump just below the left testicle
(the side the surgeon had problems with). With a self-exam, I can feel the
tube on either side of this mass, so I think there's a good chance that the vas
and/or epi is involved.
The pain is an intermittent ache coming from precisely where the lump is
(actually the side of the lump closest to the testicle). Nothing else hurts.
And, the right side is completely symptom free.
>Is it bad enough that you plan to see
>another doctor?
The pain isn't that bad, but it is being masked by the Indocin (strong Rx
anti-inflammatory) I'm taking for arthritis, and the intensity does vary.
Equally as important as the pain is the fact that the old uro reversed himself
on the diagnosis and in the end couldn't shed any light on the problem (I
didn't need that dickhead to tell me I had a lump in my scrotum). Add that to
the fact that the surgeon had said the lump was NOT a granuloma or
spermatocele, and I feel a real need to at least get some clarity on what the
problem is.
I'm in the process of securing a second opinion referral. My plan guarantees
me this, but actually getting it isn't so easy since the old uro is the only
one in network. Incidentally, as part of this review process, I was told that
the treatment notes from the first uro suggested a referral to a doctor with
some sort of qualification. I'll find out more when I receive my copies of
these documents. Anybody know what these qualifications might be?
I've actually contacted some of the urologists who advertise themselves as
experienced in dealing with these sorts of issues. Unfortunately, the one who
responded doesn't take any insurance (not unheard of for docs with good
practices); his fee for consult is $280 + the cost of any lab fees. Pricey,
but might be money well spent if I can't get the referral I need.
>You decided to go the closed ended route because you were
>concerned then about granuloma pain. And the doc. told you if a
>problem developed you could always get the tubes reopened. I'm
>wondering if you are not facing the granuloma pain now, anyway.
I had pretty much reached the decision to go closed some time before the
procedure, but wanted to make sure that I had communicated my final decision to
the surgeon. True enough that I was concerned about granuloma and the
potentially higher failure rate. I did a fair amount of research, and didn't
seem to find any info that said failure rates for OE equalled or approximated
that for CE procedures. The highest actual quoted success rate for OE that I
found was 96% (on medhelp.org), but even that was with the disclaimer that the
methods used to isolate the vas ends (such as embedment in surrounding tissue)
are more invasive. Also, I talked to some folks about their experiences (most
to all having CE) and didn't get back one report of lasting discomfort.
As far as getting the tubes reopened, as I had noted earlier the uro won't do
it. Specifically, he told me that I didn't know what I was talking about when
I mentioned OE and that nobody does it that way. When I noted that my surgeon
gave me the option of having the OE as I described it, the uro then said that
he doesn't believe in it. It might help, not help, or make things worse, and
he refused to get involved. That's when he suggested the second opintion.
As for getting the surgeon to reopen the tubes (to see if it might help), I
can't get the surgeon to return my calls.
>But why
>stick with him on this when you doubt him on other matters?
As I noted above, I'm not sticking with the old uro; I don't have any
confidence on what he said except that I have a mass (and I knew that already).
In a nutshell, the crux of my problem is that 5 months post vas I still don't
have a clue what is wrong, and without that info I can't begin to assess my
options. Contributing to the delay of diagnosis is the fact that I'm getting
stalled on the second opinion that I'm contractually entitled to (I say stalled
because, in the end, the referral group indicated my doctor never submitted my
referral for a second opinion; I had to get management involved, and then hound
management for an update). Two months after requesting the second opinion, and
my referral is awaiting review and approval by a panel, and THEN they get to
start looking for an appropriate provider.
More than likely, if I don't get the approval soon I'll climb on some desks and
make a stink, then I'll have to pay the $280 + expenses to the private uro,
then I'll change medical groups (something closer to home) and find a covered
uro who'll help me get whatever treatments are recommended, then I'll focus on
getting the original medical group to pay my private uro costs since,
technically, they are breaching the contract my refusing to provide me with a
doctor with the expertise to treat the problem, as recommended by the surgeon
and the first uro (probably the only useful thing the first uro did).
Certainly, without a diagnosis, I'm not going to wait 6 months to see if it
goes away on its own (especially considering how bad it hurt at first).
>But if it is not minor, I'd look for another doctor!
>
Being done as we speak, as I discussed above.
trifold
What I have now is very mild, and associated with the epidydimi, both
sides. It is only noticeable if I reach down and squeeze--or if the
doctor does. And as I've said, if I ejaculate regularly--at least
every two days or so--then it is not even as noticeable as that. It's
not all "in my head", I know, because often when I see the doctor and
he checks things out down there, he comments on what he calls minor
swelling. Most recently when he squeezed the epi, asking if they
hurt, and I winced, he commented: "Good, just a little, not a lot."
(Talk about a bedside manner! That day I was, in fact, behind on my
ejac. schedule!)
As for the mild ache I experienced the first year after vasectomy,
that was also in the epi but only on the right side (the side the
doctor worked harder on during the vasectomy). It was very
occasional, surfacing the day after sex involving either a long
build-up to ejac. or multiple ejacs. That tenderness did disappear
entirely within the year. (And again, it was never serious enough to
distract me from what I wanted to do.)
I think the tenderness I experienced in the first year may have been
related to scar tissue or something on the right side that somehow
irritated surrounding tissue under "special circumstances." I think
the mild tenderness I get now in the epi. if I go without ejac. is
caused by some form of backpressure that ejac. relieves. (Which is
why I'm inclined to believe ejac. does cause contractions all up and
down the line even after vasectomy, with the result of moving sperm
out of the epi, perhaps through tiny fissure in the epi itself or the
vas tube seal.)