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do the testes engorge without a release?

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lina...@gmail.com

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Aug 7, 2005, 4:51:03 PM8/7/05
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Hi all,

I had my big V on Friday... sitting here recovering, feeling pretty
good. Wife and kids went away for the weekend to let me recover...
first peace and quiet in ages! haha...

Anyway.... here's something I never asked the doc and just occurred to
me. Before the op, if I went for more than a few days without sex or
masturbation, my testes (ok, my sac!) would start feel heavy and full.
Always an excuse for a wank! But now I realize that a little private
release will no longer do squat to relieve that tension, will it? I'll
have to wait for my body to realize that all that sperm isn't going
anywhere, and that it's going to have to absorb it, right? So... has
anyone here had any pain/discomfort/etc for this reason? It just dawned
on me that I could end up walking around with a seriously heavy center
weight with a complete and total inability to do shit about it.

Does that make sense? Am I wrong? Anyone else know what I'm on about?

ta
-J

PS - wow, don't accidentally post a question about vasectomy in
alt.support.childless. I, for some dumb-ass reason (didn't read the
FAQ!), thought "childless" was referring to not fathering children
after a vasectomy. Apparently not... read my thread there, under the
same title, for a good laugh ;-)

David

unread,
Aug 7, 2005, 5:13:30 PM8/7/05
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> I had my big V on Friday... sitting here recovering, feeling pretty
> good. Wife and kids went away for the weekend to let me recover...
> first peace and quiet in ages! haha...

Gosh - I wish my lot had done that! I got a couple of hours in bed then had
to push a shopping trolley round Tesco's!


>
> Anyway.... here's something I never asked the doc and just occurred to
> me. Before the op, if I went for more than a few days without sex or
> masturbation, my testes (ok, my sac!) would start feel heavy and full.
> Always an excuse for a wank! But now I realize that a little private
> release will no longer do squat to relieve that tension, will it?

Erm - it most certainly will! What do you think your ejaculate is? Would it
surprise you to know that less than 3% of it is sperm? Therefore nothing
changes - apart from >3% of course :)

> I'll have to wait for my body to realize that all that sperm isn't going
> anywhere, and that it's going to have to absorb it, right? So... has
> anyone here had any pain/discomfort/etc for this reason? It just dawned
> on me that I could end up walking around with a seriously heavy center
> weight with a complete and total inability to do shit about it.
>
> Does that make sense? Am I wrong? Anyone else know what I'm on about?

I know what you mean, and it's a common fear. BUT as >3% of ejaculate is
sperm (repeat repeat repeat - just like the Teletubbies) there is
diddly-squat difference. You will feel a bit sore for a couple of weeks, but
in a months time you won't know why you asked this question, and when you
get the all clear you will be quite pleased I'd say!

> PS - wow, don't accidentally post a question about vasectomy in
> alt.support.childless. I, for some dumb-ass reason (didn't read the
> FAQ!), thought "childless" was referring to not fathering children
> after a vasectomy. Apparently not... read my thread there, under the
> same title, for a good laugh ;-)

Been there, done that got flamed.

--
David
www.vasectomy-information.com
www.vasectomy-faq.org

lina...@gmail.com

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Aug 7, 2005, 5:26:06 PM8/7/05
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Yep, knew that the sperm made up only 3-5% of the ejaculate. But isn't
the rest of the semen made by the prostate and the seminal vesicles (go
wikipedia! http://en.wikipedia.org/wiki/Semen )? That'd mean that
ejaculating without releasing sperm isn't going to be of any help to
the testes. And, it would stand to reason that if the testes only job
is to produce sperm and testosterone, and that the path for the sperm
has been cut off, that they would become engorged just like if you
never ejaculated, until the body said "oh fuck it, if he's not going to
toss off, I'll just have to absorb this for him", which is where I feel
like I'm at now. Big... nuts ;-)

Steve

unread,
Aug 7, 2005, 7:59:21 PM8/7/05
to
you're right on target - it's called congestive epididymitis - which I
am intimately familiar with. Very painful for me. Not sure why David
is ignoring this as an issue for some. The sperm is stored in the sacs
on the back of the testes, called the epididymides. After a vas, the
sperm obviously has nowhere to go. Some have 'blowouts,' usually
resulting in granulomas, which allows the sperm to leak out of the
epididymides into the scrotal sack. This is why most men who've had a
vasectomy test positive for antisperm antibodies.

This isn't painful for most, but was for me. I had serious bouts of
congestive epididymitis during the 2 years after my vas, until I began
T-therapy, which causes the testicals to stop producing sperm. One of
the 4 urologists I saw during this period told me that they do
vasectomies counting on the body to stop producing as much sperm as in
the past, and that obviously mine hadn't.....

This is a known complication resulting from vasectomy. Not a problem
for most - but is for some.

Steve

lina...@gmail.com

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Aug 7, 2005, 9:06:17 PM8/7/05
to

Steve wrote:

> sperm obviously has nowhere to go. Some have 'blowouts,' usually
> resulting in granulomas, which allows the sperm to leak out of the
> epididymides into the scrotal sack. This is why most men who've had a
> vasectomy test positive for antisperm antibodies.

Ew... ok, never heard of that before. That was NOT in the brochure!!
;-)

> This isn't painful for most, but was for me. I had serious bouts of
> congestive epididymitis during the 2 years after my vas, until I began
> T-therapy, which causes the testicals to stop producing sperm.

Wow... again, never heard of that. So let me ask... at this point would
it be better (for the body) to attempt a surgery reversal, so the
testes can go back to normal, rather than drugging the testes into
stopping producing sperm? I have no idea what the T-therapy is like
obviously, but it almost seems at that point that you go "OK body, you
win, sorry, didn't mean to try to trick mother nature!".

Of course I'm only 48 hours out from my surgery now, so I'm sure it
will get better (fingers crossed, right?!)... but this is all good
information, nonetheless.

thanks for sharing your experience,
-Joseph

Steve

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Aug 7, 2005, 10:13:38 PM8/7/05
to
Hi, Joseph. Don't even consider additional surgery now! You'll
'probably' be OK - the vast majority are... just be aware of this as
an issue! Get back with us if things don't get better....

Steve

lina...@gmail.com

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Aug 7, 2005, 10:24:42 PM8/7/05
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Oh I'm not considering anything! No worries... was just curious that
that could be a better option than drugs. But I'm sure all will be good
here!

thanks again
-J

Steve

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Aug 7, 2005, 10:29:04 PM8/7/05
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well, after 6 months of t-therapy, I did have a reversal - which you'd
know about if my story hadn't been removed from the reversal section of
David's website!

David

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Aug 8, 2005, 1:59:59 AM8/8/05
to

> well, after 6 months of t-therapy, I did have a reversal - which you'd
> know about if my story hadn't been removed from the reversal section of
> David's website!

PLEASE stop banging on about this - I've treated all the stories fairly, and
yours will be back as I've explained in the email.

--
David
www.vasectomy-information.com
www.vasectomy-faq.org


David

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Aug 8, 2005, 2:10:41 AM8/8/05
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<lina...@gmail.com> wrote in message
news:1123449966.6...@g49g2000cwa.googlegroups.com...

Well, yes but sperm don't flow from the testes during ejaculation.

Sperm leave the testicle for storage and maturing in the epididymus - they
spend a month or more there, and about 50% of them die and get re-absorbed.
That's in non vasectomised men. They then make their way up to the ampullae
for storage before ejaculation, and this chamber "flushes" during
ejaculation.

What happens in vasectomised men is that a self defence mechanism kicks in.
The membranes inside the epididymus increase in size to absorb the extra
fluid, and macrophages come in from the blood stream to eat up the solids so
they can pass through the membranes. This is how sperm get re-absorbed in
non vasectomised men - the process just gets more efficient. Steve is right
to say that a small proportion of men do suffer congestive epididymitis, and
he's also right to state that you shouldn't be worried about this right now.

--
David
www.vasectomy-information.com
www.vasectomy-faq.org


>


David

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Aug 8, 2005, 2:10:41 AM8/8/05
to

> obviously, but it almost seems at that point that you go "OK body, you
> win, sorry, didn't mean to try to trick mother nature!".

You aren't tricking the body - the self defence mechanism mentioned earlier
exists anyway, and the body has many of them. If you cut yourself a self
defence mechanism cuts in, if you break a bone another one cuts in. If you
get kicked in the nuts, or have any form of injury/infection that causes
swelling in the epididymus then it kicks in to protect the testicles.
Problems that aren't resolved are rare.

--
David
www.vasectomy-information.com
www.vasectomy-faq.org


trif...@netscape.net

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Aug 8, 2005, 10:39:43 AM8/8/05
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Yes, something like that does happen. I got mildly swollen epidydimi
for awhile after the vas, mostly on the right side (where I think the
vas tube was sealed closer to the epi since that ball hangs higher).
The epi that side sometimes was tender to the touch, esp. the day after
really good sex (long delayed ejac or multiple ejacs in one session).
Even my gp noticed this. But this was never a big problem and it faded
over time. Oddly, now it sometimes happens if I go more than a day or
two without ejac.. I suspect this is because tiny fissures have opened
in the vas seal, and the contractions that occur during ejac relieve
some of the pressure. But even without fissures the body copes,
essentially by increasing the rate of absorption. There is a "break
in" period for any vasectomy, though, and you are just entering it.
BTW, maybe you feel like you have big nuts now because you DO have big
nuts now! (Swelling from the op itself takes a few days to go down.)

trifold
www.vasectomy-information.com
www.vasectomy-faq.org

lina...@gmail.com

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Aug 8, 2005, 1:28:35 PM8/8/05
to
To all,

Lots of good information to go on here, thank you. I'm now three days
out, and while still tender, definitely feeling better. It's
interesting... the left teste is the tender one, and I noticed the
suture looks a bit bigger there. Perhaps Doc Chop had a little harder
time on that side. The right one, which feels perfectly fine, has a
smaller incision. However oddly enough the right one is the bruised
one; a small bruise about an inch ABOVE the incision. Which I believe
is again nothing to be concerned with.

Amazing how interested we suddenly get when talking about our own bits,
isn't it?! ;-)

thanks again all,
-Joseph

MRVAS...@gmail.com

unread,
Aug 9, 2005, 8:52:53 PM8/9/05
to
Actually it's CHILDFREE, and you got off light over there bro!!
Childless means you want but don't have and childfree is don't want and
don't have.
All good medicine,
GREENFEATHER

Luan

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Aug 11, 2005, 3:03:40 AM8/11/05
to
> Anyway.... here's something I never asked the doc and just occurred to
> me. Before the op, if I went for more than a few days without sex or
> masturbation, my testes (ok, my sac!) would start feel heavy and full.
> Always an excuse for a wank! But now I realize that a little private
> release will no longer do squat to relieve that tension, will it?

In my experience your logic here is pretty much correct. For a few weeks
post vas I had no build up of pressure which was normal for me (I needed
sex about every 2 days to avoid painful ejaculations for 25 years before
the vas) and I suspect that was due to the ligated ends leaking. When the
scar tissue finished sealing off the ends (I have the right side lower end
in a bottle now so I can show you a pretty ugly big ball of scar tissue)
the pressure built up and to this day (11 months) I have discomfort
especially during orgasm - both sides. Testosterone injections lowered
this misery to a level where I can work pretty much full time but
ejaculations are unpleasant. Before Testosterone Therapy the ejaculations
were much more painful sometimes like an electric shock which often
lingered for 25 minutes. I never noticed any physical change in the
testicle size or anything that looked like swelling even after the
surgeries (NSV and failed reversal) In my case I was unwilling to take any
risk like PVPS but I never heard of it until I went on-line and searched
for "vasectomy complications" about one month post op. If I had known
even 1% of what I now know about vasectomy problems I never would have
considered vasectomy. I strongly suggest if you really want to know what
is happening in your body Post Vas you read the following aritcle or find
some good recent work done by researchers concerning this surgery.


Journal of Andrology, Vol. 24, No. 3, May/June 2003
Copyright q American Society of Andrology
Review Testicular Pain Following Vasectomy:
A Review of Postvasectomy Pain Syndrome
CORY G. CHRISTIANSEN AND JAY I. SANDLOW
The University of Iowa Department of Urology, Iowa
City, Iowa.

I think all men need to know what is going to happen to their bodies post
op and what to expect or watch for. Post Vasectomy Pain Syndrom is far
more miserable than words can convey, it is unbelievable. I still live on
the hope of a full recovery. Even if I recover my life has been changed
forever, I hope I will find some positive energy in this experience, so
far all I can say is "Vasectomy" has become the dirtiest word in the
english language.
JAY I. SANDLOW is one doctor who was recommended to me for the surgery I
most likely will need after the testosterone injections are over. Hope
you are among the 70% who suffer no unpleasant problems, but if things are
not going well in a few weeks I suggest not wasting time in seeking a Real
Doctor. I have seen 19 doctors so far, 14 have examined me and One I just
had telephone contact with. Most are ignorant of treating PVPS. Most
don't really care about pain - at all. The injections of testosterone
need not be painfull. My sister gave me one and a good friend RN gave me
2 that were painless. The hospital where I got 5 shots gave me only one
that was pretty much painless and one that is still quite painfull after 6
weeks! My conclusion is that if you complain of pain you are likely to be
treated to even more! I refused to pay the $700+ bill at that hospital in
the hope they might learn a little from their insensitive methods.
Luan

David

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Aug 11, 2005, 12:53:51 PM8/11/05
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> Journal of Andrology, Vol. 24, No. 3, May/June 2003
> Copyright q American Society of Andrology
> Review Testicular Pain Following Vasectomy:
> A Review of Postvasectomy Pain Syndrome
> CORY G. CHRISTIANSEN AND JAY I. SANDLOW
> The University of Iowa Department of Urology, Iowa
> City, Iowa.

Currently there is no abstract for this one at Medline - you have to buy the
article ($25).

I've had a copy for a while, and refer to it occasionally. It's a review
article, and looks at various changes in the body post vasectomy. Whilst it
quotes other's works it doesn't attempt to give figures itself. It's
certainly one of the better one's I've read.

It concludes "Post vasectomy pain syndromw is a poorly defined entity, and
although uncommon presents a diagnostic and treatment challenge for
phsyicians." It also makes the point that definite cause for the syndrome is
unclear. Interestingly, when discussing treatment options it puts reversal
as the last option in the sentence - it puts pshychiatric referral before
reversal.

Another article that is worth reading is "Chronic testicular pain: an
overview. Granitsiotis & Kirk 2004. This document mentions vasectomy but
concentrates on chronic testicular pain in general.

Specifically, what surgery are you having Dr Sandlow perform and why?


--
David
www.vasectomy-information.com
www.vasectomy-faq.org

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