My cremaster muscle has been overactive since having a vasectomy. How do I ease the pain?

I have always had a tight cremaster muscle. It's usually hard for doctors to properly examine me. Despite that, my urologist was able to perform a vasectomy under normal local anesthesia. I'm now 5 months post-recovery and have a swollen epididymis on both sides. The pulling up of the cremaster is causing a lot of pain because it squeezes everything into a space that it now doesn't really fit. I try to stay relaxed and do yoga to help. Anything else I can do?

ANSWERS FROM DOCTORS (1)


Answered by John C. McHugh, MD

The cremaster muscle, like muscles everywhere else in the body, can spasm and cause pain. I'd look at treating this issue like you would a pulled muscle: taking hot baths regularly, anti-inflammatories, and things that reduce stress such as exercise.

In severe and persistent cases, you might ask the doctor for other medical options that address muscle spasms, because the concept and physiology of other muscles and the cremasteric muscles are common in that regard.

Finally, it is always a good idea to have a scrotal ultrasound to rule out an abnormality of the testicle or epididymis that may be acting as a trigger for your symptoms.

Published on Dec 11, 2018

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

The cremaster muscle, like muscles everywhere else in the body, can spasm and cause pain. I'd look at treating this issue like you would a pulled muscle: taking hot baths regularly, anti-inflammatories, and things that reduce stress such as exercise.

In severe and persistent cases, you might ask the doctor for other medical options that address muscle spasms, because the concept and physiology of other muscles and the cremasteric muscles are common in that regard.

Finally, it is always a good idea to have a scrotal ultrasound to rule out an abnormality of the testicle or epididymis that may be acting as a trigger for your symptoms.

Published on Jul 11, 2012


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