![]() While this complication is very rare, seek immediate medical attention if you have these symptoms. Symptoms of a vasovenous fistula may include blood in urine or ejaculate. This can result in the pooling of blood that leads to the development of a fistula, or abnormal connection between the vas deferens and nearby blood vessels. This condition occurs when multiple blood vessels adhere to the vas deferens that then become injured when a man has a vasectomy. Vasovenous fistulaĪ vasovenous fistula is a very rare complication of vasectomy. Epididymitis following vasectomy occurs in an estimated 1 to 3 percent of all men after a vasectomy. Symptoms associated with the condition include pain and swelling. In some men, this can cause inflammation of the gland, or epididymitis. When a man has a vasectomy, sperm can still flow from the epididymis to the vas deferens, but becomes backed up because the vas deferens has been cut. It allows sperm to flow to the vas deferens. The epididymis is a duct located behind the testicles. Recent research estimates this occurs in 0.05 to 1 percent of all men who undergo vasectomies. As a result, a man can experience a delayed vasectomy failure and have viable sperm in his semen sample again. In rare cases, the vas deferens that were cut can grow back together over time. Delayed surgical failureĪfter a vasectomy, a man should have negative or nonmotile sperm in their semen sample. They rarely require further surgery to correct the pain. The AUA estimates about 1 to 2 percent of men experience chronic scrotal pain after the procedure. This pain can range from dull and aching to sharp. ![]() Some men may report chronic scrotal pain following vasectomy. While the risks for complications are very small, it’s possible to experience longer-term side effects. The American Urological Association (AUA) estimates 175,000 to 500,000 men have a vasectomy in the United States each year. ![]() What are possible long-term complications? ![]()
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