A vasectomy reversal is more complicated than a vasectomy. Although many of the potential side effects are similar to that of a vasectomy, expect the recovery period to take a little longer. It is important to know what side effects are common after a vasectomy reversal so that you know whether any symptoms you develop are a cause for concern. Common side effects include localized pain that improves daily, mild swelling or bruising. Fatigue and body aches are common side effects of the anesthesia used during the procedure. There are, however, side effects that are less common but warrant a call to your physician.
Hematoma
One side effect that may occur after vasectomy reversal surgery is a hematoma. Hematomas develop in approximately 5 percent of patients. They form when bleeding inside the scrotum pools in one spot and leads to swelling. Hematomas can be very painful, and are more likely to develop if you are overly active early in the recovery period or take aspirin before or after the procedure. The hematoma will develop in the initial 24 to 48 hours after the reversal procedure and worsen as more blood pools. It is possible for the blood to become infected. Treatment for a hematoma is typically drainage, antibiotics, antimicrobial creams and hot compresses or baths. It is important to call your doctor if you develop signs of a hematoma.
Sperm Granuloma
Another unpleasant side effect of vasectomy reversal surgery occurs when sperm goes directly into the scrotum after the surgery. This prompts the body to respond as it would to a foreign invader and stimulate an immune response. The granuloma can develop weeks or months after the reversal procedure. A painful mass will develop in the scrotum. Treatment for sperm granulomas is an over-the-counter anti-inflammatory medicine. If the pain persists, the granuloma may require surgical removal. If you notice a newly developed knot in the scrotum after reversal surgery, contact your doctor. Unfortunately, the presence of a sperm granuloma often indicates that the surgery to reverse the vasectomy was not successful.
Damage to Nerves or Blood Vessels
As with any type of surgery, there is a risk of damage to blood vessels or nerves during the procedure. The results can be temporary or permanent. Damage to nerves or blood vessels during vasectomy reversal increases the likelihood that the surgery will not be successful. It can also lead to long-term sexual problems. This is a very uncommon side effect of vasectomy reversal surgery.
