I feel a small lump near my incision, should I see the doctor?

The left side of my vasectomy required a larger incision for some reason and it appears the scrotum skin has been folded over when it was sutured. At one end of the incision there seems to be a small lump but it may just be the skin. It's been four days now since the procedure was completed. What should I do, relax and wait a week? Go see the doctor now?

ANSWERS FROM DOCTORS (2)


Answered by John C. McHugh, MD

When I was a resident we were told that the firmness under an incision was called a "healing ridge." We forget that any surgery is a traumatic event to the skin and the tissues and that the body perceives it as so and sends in cells to combat it. This is the usual explanation of a lump near or at the incision. If the lump is deeper then it is the same reaction of the body to the trauma to the vas deferens. This too is normal. In addition to this there can be small collections of blood (a hematoma), a response to leaked sperm (a sperm granuloma) or the normal healing process. In the vast majority of cases areas such as you have described and that I have mentioned go away on their own without need of any antibiotic or a office visit. As always if there is any concern I am sure your urologist will be happy to see you in follow up.

Published on Apr 29, 2017

Answered by John C. McHugh, MD (View Profile)

When I was a resident we were told that the firmness under an incision was called a "healing ridge." We forget that any surgery is a traumatic event to the skin and the tissues and that the body perceives it as so and sends in cells to combat it. This is the usual explanation of a lump near or at the incision. If the lump is deeper then it is the same reaction of the body to the trauma to the vas deferens. This too is normal. In addition to this there can be small collections of blood (a hematoma), a response to leaked sperm (a sperm granuloma) or the normal healing process. In the vast majority of cases areas such as you have described and that I have mentioned go away on their own without need of any antibiotic or a office visit. As always if there is any concern I am sure your urologist will be happy to see you in follow up.

Published on Jul 11, 2012


Answered by Joseph Gillespie, M.D.

The most important concern is infection. If there are no signs or symptoms (i.e. redness or purulent drainage), then typically there is no concern for infection. Likely this will heal itself with time. A small lump of tissue at a vasectomy site can be a reaction to the suture and may persist for sometime after the procedure. Typically, these are not painful and resolve over a period of weeks.

Published on Mar 01, 2017

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8274_1500594277.jpg
Answered by Joseph Gillespie, M.D.

The most important concern is infection. If there are no signs or symptoms (i.e. redness or purulent drainage), then typically there is no concern for infection. Likely this will heal itself with time. A small lump of tissue at a vasectomy site can be a reaction to the suture and may persist for sometime after the procedure. Typically, these are not painful and resolve over a period of weeks.

Published on Jul 11, 2012


Related Questions for General

General -3 answers
My husband had a vasectomy 6 years ago before we were ever together. We want to have a baby together but he does not want to have to go through the pain of reversal due to pain meds ineffective and had to feel everything during vasectomy. Is there a relatively inexpensive way to extract the sperm and not have to reverse the vasectomy?
See More
General -1 answer
I saw a line below one of my boyfriend's testicles. Is it possible he had a vasectomy and didn't tell me? How would I know if he had a vasectomy? Are there any tell-tale signs to look for?
See More
General -1 answer
Start up company in Denmark have developed medical device and method, without surgery or hormones. Tested on animals with success. Have anybody in the US heard about this new contraception for men?
See More
General -2 answers
All 400 to 600 of them, that is.
See More
General -1 answer
What is the possibility to go through TESE to find good sperms enough to be used for IVF from the person who had vasectomy about 20 years ago? He went through PESA but the doctors did not find any live sperms. For the background information, he was a heavy smoker for 20 years. ( 2 packs a day for 20 years) He still smokes about a pack a day. I am sure that smoking causes a lot of health issues including the quality of his sperms. Other than that he is healthy for now.
See More
General -1 answer
What I mean is if you have a testicular torsion, could that lead to having to have a vasectomy?
See More
General -1 answer
My left testicle is roughly twice the size of my right due to the surgery. I'm not sure the exact details of what they did but they went in and secured it to ensure there would not be a recurrence.
See More
General -1 answer
I had a scrotal hematoma on my right testicle 2 years ago. It's the same size as the other one but at the spot of the strike it feels sore certain ways that it's touched. Could this be nerve damage, or what could it be?
See More
General -3 answers
I am a Single man. I'm 58 years old. I'm not Sexually Active even though I've have masturbated. Should I have a vasectomy? I think if I were to marry at this age in my life that I'm too old to Father any Children. I'm too strict.
See More
General -1 answer
I want something that can prevent the formation of sperm or kill them.
See More
Have specific questions?
ASK A DOCTOR

Suggested Doctors

Sorry, there are no matching doctors in your area
Please choose a different location

,

,

See more Suggested Doctors

Related Articles