The following rare complications may occur during the transection of the vas deferens (vadectomy) over the scrotum:
Postoperative bleeding or bruising according to literature in 4-22% of operations.
Often it is only superficial discoloration of the skin of the scrotum. Sometimes these discolorations (so-called suffusions) spread over the common layers of the scrotum and penis on this. Therapy is usually not required.
However, if it comes to a (painful) swelling with or without skin discoloration you should contact your doctor immediately. For this purpose, they were informed of an emergency number at the latest after the operation.
A postoperative infection in the operating area is reported in the literature as 0.2-1.5%. Most of these, however, are irritations in the area of the scrotum skin, which are caused by the self-dissolving seam. In these cases, the suture removal is sufficient.
In case of (painful) swelling in the operating area or in the area of the epididymis or spermatic cord, they should contact their doctor immediately. For this purpose, they were informed of an emergency number at the latest after the operation.
Chronic testicular pain is described in less than 1% of interventions in the literature and is usually the result of inadequate education or insecurity of the man if he really wanted to have this procedure done. Therefore, do not let anyone push you to carry out this procedure – no matter how well meant – especially not if all questions and ambiguities have not yet been answered. If you allow enough time for the decision to have the vasectomy, do not rush it!
The onset of a reproductive capacity through spontaneous early
Recanalization (in 0.2-5.3% of all operations) or late recanalization (after 0.003-1.2% of all interventions) is described in the literature.
The early recanalization can occur during the healing phase and is usually revealed by the obligatory (necessarily / necessarily) required microscopic examination of the seminal fluid. Your surgeon checks the semen under the microscope at the earliest after 6 weeks and only then gives the go-ahead to other (previous) contraceptive methods to do without, if he can detect a single sperm cell in the liquid. Even after that, another check after 4-8 weeks is of course possible again.
Late recanalizations were also described after 8 years. However, these were always isolated cases where the exact circumstances were unknown. In any case, it is extremely unlikely that re-growth and reoccurrence of patency of the vas deferens will go unnoticed by the patient. In case of swelling in the scrotum or spermatic cord area and inflammation of the genital organs, the control of the seminal fluid should always be considered!