Is it normal for a vas clip to come out of my insicion 3+ weeks after surgery?

I've been to my urologist twice because of pain and pus coming out of the insicion. Now what looks like a vas clip just protruded from my incision almost 4 weeks post surgery. Should I be concerned?

ANSWERS FROM DOCTORS (2)


Answered by John C. McHugh, MD

Regarding the "pus" coming out of the incision, infections following a vasectomy are uncommon and usually is associated with the skin opening. In this case topical application of Neosporin is all that is necessary. If indeed there is an infection of the deeper level or surrounding skin of the scrotum then an oral antibiotic is necessary.
It is possible for a clip to come out of the incision. After the vasectomy is done the vas tubes are returned to the scrotum and usually the urologist will put traction on the testicle to be sure the vas tubes are back in their normal location. If the clip meets resistance from the tissues in this process it is conceivable that it could come off and then find its way to the skin. There is no real harm in this as the vas is usually clipped on both sides and there is most probably some scarring that occurs where the clip came off resulting in obstruction of the vas. You will be assured of this when you have your specimen checked to confirm sterility.

Published on Nov 12, 2017

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

Regarding the "pus" coming out of the incision, infections following a vasectomy are uncommon and usually is associated with the skin opening. In this case topical application of Neosporin is all that is necessary. If indeed there is an infection of the deeper level or surrounding skin of the scrotum then an oral antibiotic is necessary.
It is possible for a clip to come out of the incision. After the vasectomy is done the vas tubes are returned to the scrotum and usually the urologist will put traction on the testicle to be sure the vas tubes are back in their normal location. If the clip meets resistance from the tissues in this process it is conceivable that it could come off and then find its way to the skin. There is no real harm in this as the vas is usually clipped on both sides and there is most probably some scarring that occurs where the clip came off resulting in obstruction of the vas. You will be assured of this when you have your specimen checked to confirm sterility.

Published on Jul 11, 2012


Answered by Roscoe S. Nelson, MD, FACS

It is not normal for clips to fall out, it was infected. Your doctor needs to look at it as you may need antibiotics and have the clip removed.

Published on Nov 11, 2017

Answered by Roscoe S. Nelson, MD, FACS (View Profile)

It is not normal for clips to fall out, it was infected. Your doctor needs to look at it as you may need antibiotics and have the clip removed.

Published on Jul 11, 2012


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