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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To ask if a vasectomy is really that bad?

134 replies

DrSeuss · 26/07/2021 19:16

I suspect it is painful and somewhat embarrassing. I should add, it isn’t DH who is making a fuss or playing the victim, he finds the leaflet we have been given as sill as I do. I just want to check that it’s usually pretty straightforward. If you tell me it’s really awful I will take care of him, I promise!
The leaflet says no driving for 48 hours, no lifting heavy things for a week. It seems to suggest that it will be very traumatic.

I have had two children, both pretty easy births but still involving pushing a human out of my fanny while already feeling shit through nine months of working as a teacher while pregnant. As is the modern way, much to my mother’s surprise, I was then expected to look after the baby completely until discharged 24 hrs later. I had it far easier than some and vividly remember seeing a woman stagger down the corridor in the maternity ward with a wheel cot in one hand and a drip stand for her blood transfusion in the other. With baby number 2, I was home a few hour after the birth. The following day I did two loads of washing and the day after that I took my son to school then drove myself and the baby to the supermarket. My husband had to work and we have no family nearby to help. I just had to get on with it. I imagine many women do something similar.
A part of me finds the vasectomy booklet hilarious but another part is annoyed that it suggests men need gentle handling while I and many others just had to crack on.
If you say I am being unfair and that he will be incapacitated then fair enough, he can sit around with an ice pack on his nads or whatever!

OP posts:
scaevola · 28/07/2021 07:15

Vasectomies are far less risky and the level and duration of pain is less/shorter than many other procedures

It's 1:10 - got the serious consequences (these which last 3 months or longer, or require further surgery to fix). That is higher than many procedures

(Some sources put it higher - BMJ was ruling recently of about 18% seeking further medical attention, and 2% having level of pain affecting quality of life a the nasty twist here is that there is no sure-fire treatment for PVPS, and the interventions available (up to and including de-nervation) do not always work. Orchidectomy is avoided wherever possible, but yes the pain can be so severe that it is considered. And these are not failed/botched procedures - they are complications of the procedure itself.

That severity is rare. But the1:10 for the whole range of serious side effects really isn't.

MaMelon · 28/07/2021 08:15

It's 1:10 - got the serious consequences (these which last 3 months or longer, or require further surgery to fix). That is higher than many procedures

Can you link to the source of that figure please?

Workyticket · 28/07/2021 08:22

Dp had one on a Saturday. The doctor who did it gave dp his mobile number in case of any issues. I went in and watched - it's 2 tiny incisions. Less than 1cm each

Dp did his research and bought very supportive jock straps. The nurse was over the moon with them and said he'd heal in no time. He did - said the pain was never over 1/10

scaevola · 28/07/2021 08:37

@MaMelon

It's 1:10 - got the serious consequences (these which last 3 months or longer, or require further surgery to fix). That is higher than many procedures

Can you link to the source of that figure please?

Sure - it used to be in the NHS website, but the 'Choices' section has been completely revamped (across all topics) and I couldn't find it

Instead, this is the European Association of Urology paper

uroweb.org/wp-content/uploads/2012-EAU-Guidelines-on-Vasectomy-61-159-1.pdf

It gives figures in a different way, but chronic pain is 1-14%, does not mention granulomas, and lists all haematomas regardless of severity in with all bleeding, and puts the spontaneous recanalisation rate rather higher than I remembered it

scaevola · 28/07/2021 08:44

www.ncbi.nlm.nih.gov/pmc/articles/PMC7084350/

This metanalysis uses the standard definition of PVPS ie an intermittent or constant unilateral or bilateral testicular pain three months or longer in duration which significantly interferes with daily activities of the patient so as to prompt him to seek medical attention

This gives pain as 15-36% (trad) 4-13% (no scalpel)

And PVPS across all 3-8%

That's just one of the possible side effects. But one worth looking at, because there are no reliable treatments for it.

scaevola · 28/07/2021 08:57

Direct C&P of from the NHS before website revamp (coutestst of another poster on a different vasectomy thread)

Long-term testicle pain
Some men get pain in one or both of their testicles after a vasectomy. It can happen immediately, a few months or a few years after the operation. It may be occasional or quite frequent and vary from a constant dull ache to episodes of sharp, intense pain. For most men, however, any pain is quite mild and they do not need further help for it.

Long-term testicular pain affects around one in 10 men after vasectomy. The pain is usually the result of a pinched nerve or scarring that occurred during the operation. You may be advised to undergo further surgery to repair the damage and to help minimise further pain.

MaMelon · 28/07/2021 09:07

Ah OK, so not 1:10 serious consequences requiring surgery across all complications or for a whole range of serious side effects. I misunderstood your post.

There are a range of different figures for chronic pain, eg. An overview of the management of post-vasectomy pain syndrome - The exact incidence of PVPS is unknown but was estimated to be very low (

Shelllendyouhertoothbrush · 28/07/2021 22:28

I couldn't even talk about it with my husband. He felt faint at the idea. He was at all 3 of my pretty horrendous births. I was told off for being unsympathetic but it all just felt so fucking lame compared to what I'd gone through. Especially since with all 3 he was determined to get me out walking up hills withing 48 hours, "for some fresh air." He had it done and it was fine.

WhereDoILook · 29/07/2021 06:55

@DismantledKing

I had one a few years ago. Mostly ok, but I did suffer from chronic pain on one side for about 3 years afterwards. It seems to have settled now.
Same for my husband. It was very painful for him for almost two years.
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