r/Vasectomy • u/jokerman4383 • 5h ago
My experience with a vasectomy
Hello friends. I've been lurking here for about 6 months, reading just about every post and comment to educate myself on the general zeitgeist of belief and experiences from actual people going through the procedure. I wanted to share my story to add to the record (such that it is) as well as share a few things I've never heard here before, and had the doctor scratching his head in confusion.
I'm 41 years old, no children, neither my partner nor I ever wanted them. We've been together 15 years. She wanted to get off of birth control and we researched online along with two consultations with different doctors before choosing one of the most popular and reputable doctors in Phoenix, Arizona for the specific procedure.
The business I chose was highly rated as I mentioned and other posts in the past here specifically called out Doctor X by name as a good dude, professional and running a good business. We had an initial screening on the phone where they ascertain if this is what you want, then another one in person along with a brief physical exam, then a 2nd in person appointment for the vasectomy itself.
As mentioned, I'm 41 years old. I was asked why I wanted to have a vasectomy so young. I told him young ended about about 28 and I would have gotten this done at 18 if I knew to ask and had the money. There was an initial, thin barrier of resistance for "pro children" which I find morally improper for a medical doctor to discuss with me.
The absolute instant I said "same partner for 15 years, we both don't want any", they moved immediately into "oh ok, that's fine." territory. I guess their business deals with people who aren't sure what they want? Either way. That was strange.
General experiences up front:
-Super cheap. Maybe 250 dollars all told from what wasn't covered by insurance.
-Business and people were nice. Doc was "in and out" of the room in 3 minutes. Dude had very fast hands. He said he does about 1,000 of these a year.
-I had the scalpel method where the vas deferens were tied off, then a x shaped patch of sticky anti-bacterial tape over the incision. No glues, no stiches.
-They highly suggested laughing gas. I've been sober for ~12 years so it was weird being high again, even if it was for like 10 minutes. The laughing gas did an absolute zero for positively affecting the pain, discomfort, cognition or panic.
-Yes I was worried day of. The complications including perpetual pain and numbness were on my mind. I had trouble calming down for the procedure.
-No infections, no complications. Just tested negative yesterday via a kit the business paid for. They asked me to wait 7 days to ejaculate for the first time. I waited 21. They asked me to wait 3 months and I did, to the day. They asked for 20 plus ejaculations and I did easily over 50. My gear works just fine sans semen, which was the whole goal. No appreciable difference in color, consistency, volume or sensation.
-The first ejaculation did feel super weird though. My testicles bounced around and convulsed and jittered. That calmed down after a few times.
More specific experiences that I haven't heard from others:
-I felt fucking EVERYTHING for the first minute or so. I'm apparently very, very resistant to that type or brand of pain medication(local injection anesthetic). I felt them jab me with a needle in the left vas with a needle and I flinched, crying out in pain. I felt it pierce the skin and the vas and the sensation of the moisture in the area.
-The doc IMMEDIATELY cut into me, pulled and sliced the vas. Like before the nurse was even done injecting me. Again, because I felt it. All.
-I twitched, screamed, spit, teared up, coughed, choked and had spasms on the table before I managed to choke out "PAIN!!!".
-They gave me a 2nd shot at the doctors urging (local anesthetic). This also did nothing. I continued to yell, increasing in volume and frequency. "PAIN PAIN PAIN PAIN!"
-They gave me a third shot and I heard the nurse say "That's all I have!". The whole time the doc is ripping and stripping. He didn't pause, holding my jumping leg down with an elbow as he sliced and diced. I had and rejected thoughts of rolling off of the table to get away. You know, because the man had my scrotum open to the air, holding a scalpel and wasn't pausing one tiny moment.
-Doc and nurse kept politely asking me to be still. "Please be still." "Please don't jump." "You shouldn't be feeling anything." Again, I felt every single tug, pull and slice acutely and uniquely. I recall the brush of fingers on the scrotum, the nurse holding and spreading, everything.
-The locals started to kick in and I think they noticed as I started to be more still and the doc probably sped up. Again, he was in and out of the room in just a few minutes. I spent longer speaking with the nurse beforehand and waiting on the table, breathing deep from the laughing gas.
-The doc walked immediately out and so did the nurse. They... just walked out. Maybe they thought I was being melodramatic, annoying or something. It's their right to think what they want and that's fine. I was in tears, crying and expanded that to sobbing, pants still around my ankles over the next period of time. Something about horrible pain doesn't make you lose your perception of the time involved, it heightens it. I laid for for about 10 minutes.
-My torso felt very warm and happily the numbing medicine was spreading out, eliminating like 80 percent of the localized pain at that point. After about 10 minutes I started having fantasies of walking out into their busy lobby and screaming and hollering about my level of care and pain I was in but I let it go. This clearly was not a common experience.
-I waited for another 15 minutes and shuffled out like an old man. The locals had worn off. I recall a conversation with the same nurse who aided the procedure and I recall she was nice. But I don't remember a single word that was said. They gave me my care instructions via paper and I went home.
-The drive was about 45 minutes. It kinda sucked but was OK. I chilled the rest of the night, relaying the story to the wife.
-On advice of this sub I got the Undeez brand briefs with the little u shaped Ice packs that insert in the front. On advice of this sub I had frozen bags of peas and corn ready to go. I also had those little ice packs athletic trainers use where you squeeze them and it pops and its like 10 minutes of chemically induced coolness. All of these were zero percent effective. Did nothing, absolutely nothing for the pain. Not nearly big enough, not nearly cold enough.
-Not discomfort. Pain. Screaming, yell out loud pain. Wife wanted to take me to the emergency room, back to the urologist, to urgent care. Where ever. I declined. Sitting completely still in a large comfortable chair and moving nothing had twinges that would escalate into shakes and graduate to large shooting jolts of pain. Some of it remembered trauma from the surgery, some of it fresh, bright and new.
-Advil did nothing. I took 3 days off of work and into the weekend. Sleeping was pain. Urinating was pain. Walking was pain. Bending in any way was unthinkable. I sat in the chair and tried different rotations, varieties and brands of underwear, tight briefs, tighty-whities, every thing I've seen and heard here. Zero percent helpful, any of it.
-I didn't have larger, colder ice packs ready or on hand. That was the problem. I ended up getting these huge 2 feet by one foot gel ice packs on Amazon. Flexicold brand. I froze those things overnight and sat on the whole thing next am. Near instant relief for the first time in days.
-The wife had to help me put my shoes and socks on in the morning. She remarked as I leaned back in bed to offer up a foot that I had some bruising. She took a photo. I won't be sharing it so I'll describe it. I had jet-black bruising half way up my penis, down and of course around the entire sack, spreading out into the v of my crotch, all the way down my taint and encircling my butthole completely. All of it, one solid, jet black bruise.
-I called the urologist back with this information and photo in hand. I described it. The woman on the phone was polite and answered all of my questions. No, that was not normal. No, that was not abnormal also. Yes, I should expect "some bruising". They were primarily concerned with infection, asking several very pointed questions about that and the symptoms involving that. This was... 2 weeks after the procedure. Bending was impossible. A tiny bit of bending in the shower to reach my mid thigh was yanking my innards up through my stomach like a yo yo attached to a string.
-I've never heard anyone here describe this level of bruising, nor the area involved, nor the lack of efficacy regarding any type of commonly used cold application method.
-Waited another week. Paperwork said I should be having sex again at 7 days. That was absolutely a joke. I dropped a bag of pistachios on the ground and my dog ran in like it was Christmas day. I bent and picked up them then screamed and started to shake and sweat. I didn't injure anything but it put me back about a week.
-Going back to my ice packs, they were an absolute blessing. I was sitting on these enormous ice packs, slightly changing the angle of scrotum contact every few minutes, then flipping it around and putting it on top of my lap, sometimes wrapping my junk up like a burrito, then hanging out.
-I'd then shuffle my way to the freezer and take a second ice pack out, immediately sitting on it. People on here said things like 10 minutes on and 10 off. Nope. Zero percent helpful. I'd wrap my shit like a burrito for an hour to stop feeling the pain, the go and get another. They were the only help in this entire process.
-I felt the severed, swollen vas moving around a lot. They writhed around like snakes in fact. At different points it crawled up the skin in the back of penis and got pinched. Nighttime, urination based erections were the cause. Very, very painful. Again, only ice packs helped.
-There is probably some basic science involved as to why the docs don't do this but I wished they cut off several inches of vas to keep them from flopping around. They were swollen to the size of a thick noodle for maybe the next 2 months inside of the sack. There just isn't the space needed for that level of swelling so they kept getting squished, which undoubtedly kept them swollen longer.
-My work was nice enough to let me work from home for about 2 weeks after. If I had a manual labor job as I had in the past I would have been fired. It took well over 2 months before I could bend and crouch like a normal human.
-Putting this at the end because I feel it bears noting. I've broken ankles, ribs, fingers, torn ligaments here and there. I've been in casts, I've has surgeries. I've done years of physical therapy, had concussions, staples and stiches. I am not a neophyte when it comes to injury or pain. I've lived life. I've moved around. I've worked in lumber mills, cut down trees for a living, worked with computers, worked 100 hour weeks in a brightly lit, overly cold cubicle hell and moved all around the US for love and job opportunities and grew up playing every sport I could. I've worked since I was 13 years old under the table helping my neighbor take in his corn crops and bailing hay. Pain is not a new concept. Neither is discomfort. I probably have an average pain tolerance if I was to measure my experiences against what others have shared with me.
-This procedure was right up there. Very, very painful and it took forever to heal. But it was also successful and with no complications. I'm confirmed shooting blanks 3 months out.
-I've had different reviews and takeaways burned into my brain from reading up on it here. Things like:
"Guys, stop complaining it wasn't that bad."
"Sloppy top from the wife at 10 days, was great."
"I waited 3 days, was fine."
"I waited 3 days, it got infected."
"I've had constant pain for 9 months."
"I had constant pain for years and had to pay 30 grand for another surgery that fixed it."
-I'm guessing the stats are something like this:
5% of people are very unlucky. Numbness, pain, permanent loss of fill in the blank.
15% are like me. Slow healers, not great experiences. Ends up being successful, just really, really slow. I still have pain, but not PVPS. Bruising changed color then receded after the 2 month mark. I stopped icing at the 2 month and 3 week mark. Going steady so far. Again, advil and tylenol do nothing.
30% take a few weeks and they are fine. These are the folks who go. "Yeah, just relax for the first day and watch tv, then don't lift heavy things for a week, you'll be fine."
50% of the people are blasting loads after 3 days, jogging after a week and lifting kettle bells while laughing.
I accept that my experiences are just my experiences and I don't believe there was any wrongdoing by the doctor or nurses. I think I was just unlucky to have some enhanced resistance to the pain medication.
TLDR:
The business reached out, asked for a review. I will not be giving one despite the success of the surgery. Nor will I name them here. I don't think they did anything wrong. I think I have whatever gene makes local anesthetic basically water to my body. I felt the majority of the surgery. The bruising was massive and took months to heal. I am very thankful I don't have a physical job anymore. The bill of goods being touted speaks for the majority of people having good experiences and that is correct. But it only briefly mentions the outliers on the bottom end of the spectrum and doesn't mention at all the folk who might just heal really, really slow.
If they told me at the office or someone on here said "Oh yeah, it might just take you months to heal. Stairs are an impossibility and picking anything up off the ground feels like a rope is tied around your testicles and the other end is held by a horse running away from you. Good luck not being fired from your job you need to eat and live and pay your mortgage and not die." I might have not had the surgery.
I recall the brochure, pamphlet, care instructions:
"Some bruising may occur. This is normal and harmless. You should be able to return to jogging, swimming, lifting things after 2 weeks."
Absolutely NOT my experience. It was well over 2 months.
Ok. Well. Shrug. If you got this far, thanks for reading. It's... fine now. I was mildly mentally traumatized from the surgery itself but I got over that.
I hope this helps somebody somewhere. And yes, I do wish the doc flicked me in the sac a few times, pinched it, prodded and asked if I felt anything before he began. It would have been a simple yes, another shot, another simple yes, then the third shot is what did it. He did not wait however.
Maybe I also got a bad batch of the local anesthetic? Who could tell at this point?
Parting thought:
-As I was sitting with the wife, junk wrapped like a burrito and explaining to her why I couldn't bend or lift things for 2 straight months she asked me multiple times what I was going to do about it. Nothing. Just ice and heal and do my best. I recalled a memory from being a teenager. Very unwisely I ate 6 oxycodone with a half a bottle of wine. I was... fine. It didn't mess me up. I went driving. Met up with friends. It was then that I understood I likely had some type of tolerance for pain medication. When I did have my surgeries, accidents and injuries later in life I always turned down whatever the docs offered, saying it never worked. I forgot all about that prior to the surgery.
Anyways, thanks for readying. Hope everyone heals up ok.