Hey fellas, Alex Hughes here—lead APP at Austin Urology Institute. Let’s have a quick, real-talk moment about something that might show up after your vasectomy: the hematoma. It’s not common, but when it happens, you’ll know.
A hematoma is basically a big ol’ bruise caused by bleeding under the skin. During a vasectomy, we carefully cut and seal the vas deferens. Sometimes, a small blood vessel doesn’t get the memo and leaks, forming a firm, painful mass. It can look scary, feel worse, and give you some serious “what did I sign up for?” energy.
Vasectomy Bruising: Signs it Could Be a Hematoma
- One testicle feels significantly larger or tighter than the other
- Deep purple or black bruising that spreads into the groin or thigh
- Pain that feels more intense than expected
- You’re waddling, icing, and saying words your kids shouldn’t repeat
Hematoma After Vasectomy: What You Should Do
Ice packs are your best friend. 20 minutes on, 20 minutes off—repeat like it’s your job.
- Supportive (and yes, tight) underwear keeps swelling down.
- Rest. Elevate. Netflix and literally chill.
- If pain or swelling seems to be getting worse—not better—call us. You’re not bothering us. Seriously.
We do a ton of vasectomies, and 95% go without a hitch. But if you’re the lucky 1-in-20 who gets a hematoma, don’t panic. It’s treatable, and we’ll walk you through it. Contact us today to set up a consultation!
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