Why do i have lower abdominal pain before ejaculation a year and a half after my vasectomy?

I don't think it is from vasectomy. It can be from chronic prostatitis and seminal vesiculitis. Plan to have check up by urologist.

Published on Jul 11, 2012

When you have a minute, Google "vas deferens anatomy" and you'll see that it courses up from the testicles, through the inguinal canal and then behind the bladder to the prostate. Because of this vasectomy, patients often feel pain in this area that is "referred" from the site of the vasectomy. I'd recommend an exam and possible antibiotics from your urologist if you feel your symptoms warrant it. Occasionally, prostatitis or potentially a sperm granuloma can cause this referred pain. As well, anything related to ejaculation from the muscles around the prostate, the testicles or the vas deferens can refer pain to this area.

Published on Jul 11, 2012

This is very unusual. Nerves from the testicle do travel to the abdomen, hence the experiencing of abdominal pain after receiving testicular trauma. You should see a urologist. It's possible that the testicule obstruction fiollowing the vasectomy is resulting in pressure and inflammation at the time of ejaculation.

Published on Jul 11, 2012

This is not an uncommon complaint. It is likely due to vascular congestion at the time just before ejaculation as a result of arousal. Hopefully, the discomfort is not too bothersome.------ Dr Karasis - urologist

Published on Jul 11, 2012

Lower abdominal pain after a vasectomy is very uncommon. It is probably not related to the vasectomy. You need to see your urologist to be checked and then you will need an evaluation by your primary care doctor.

Published on Jul 11, 2012

That can be due to inflammation at the vasectomy site or congested tubes full of sperm or a low-grade prostate and vas infection. This probably can be treated.
Russel Williams, M.D.
Houston

Published on Jul 11, 2012