I had a vasectomy two years ago, but I still get swelling in the testicles after sex. Is this normal?

No, that is not normal. You probably follow up examination from your urologist.

Published on Jul 11, 2012

Over the years I have had patients who have had any scrotal procedure and will complain of "swelling." They come in to be evaluated and on exam I see no swelling. I ask, "Do you feel like they are swollen now?" The answer is usually yes. So, I feel that what you are experiencing is discomfort which probably is related to the vasectomy and this is perceived by you as swelling. I tell patients that the dynamics of the production and release of sperm is changed with a vasectomy and this evolves over time. You might consider something like taking an Advil before sexual activity to see if this helps. There is dilation of the tubules on the testicular side of the vasectomy but this is slight and changes slowly over time and would not change at the time of sexual activity.

Published on Jul 11, 2012

The sensation of fullness after ejaculation is sometimes related to what is loosely called congestive epididymititis. If it is actual measurably larger, perhaps an exam is necessary to rule out a short list of other serious issues.

Published on Jul 11, 2012