The pain that only men can feel

For those male readers contemplating having a vasectomy, The Times has an article on the uncomfortable issue of long lasting pain. The solution for some men sounds rather radical:

Dr Black says: “I’ve seen a handful of cases in which pain has continued beyond nine months after the operation.” He suggests that the debate about longer-term post-vasectomy pain exists because of the industry that has sprung up around it. “Some urologists, especially in the US, are making money by removing the epididymis or even the testicles of men in post-vasectomy pain, promising that the pain will disappear,” he says. “But I’ve never seen anyone who really needed this.”

Well, removal of testicles should completely remove the fear of the loose ends rejoining, as is known to happen from time to time.

The problem with this type of issue is that it is very easy for doctors to think it's all in the mind. However, if a specialist himself suffers it, well that's different:

Dr Andrew Dawson, of the Hartlepool Vasectomy Reverse Clinic, is not so sure. He, too, has suffered post-vasectomy pain: “My own problems made me realise that this was something we needed to take seriously. I’ve come across men whose pain has taken over their lives. We’ve performed vasectomy reversals (re-joining the cut tubes) for them, which have been 100 per cent effective and eliminates the pain.”

What might be causing the pain?:

He believes that he can explain what is happening. “Vasectomy is pretty crude really; it just traps sperm in the epididymis. In some, often highly sexed, men this can cause the epididymis to become swollen. Eventually it can rupture — Americans call this a blowout — which will solve the problem naturally but can be very painful. A vasectomy reversal can reduce the pressure.”

I remember asking someone - I forget who - years ago about what happened to sperm that could not get out after a vasectomy. The vague suggestion was something like "the body just absorbs it." Maybe in most people it does, as we don't hear of "blowouts" all that often. Still, it's good to know that my puzzlement about this was in fact a good question.

By the way, this was all dealt with in detail in an episode of ABC's Health Report in 1997! I wonder if there is adequate warning of this possible complication being given now?