Majicdan (imported) wrote: Mon Jun 29, 2020 5:24 am
Absolutely.
I suffered with uncontrolled testicular pain after a vasectomy for over twenty years before I found a Urologist who agreed to perform my bilateral orchiectomy.
It has been twenty years now since my orchiectomy.
It was the best thing that I ever did.
I did had to stop my testosterone after my diagnosis of prostate cancer about five years ago.
I now take low dose estrogen to protect my bones and to help prevent hot flashes and the night sweats.
Way back in the 1960s doctors were worried that after a vasectomy sperm leaking into the scrotum might cause inflammation and pain.
So, they started doing "closed" vasectomies. This means that after cutting the vas deferens the urologist seals up both ends - the end near the testicle and the end that leads to the seminal vessels.
Therefore the sperm created by the testicles is trapped inside the testicles. Urologists will admit this can create a feeling of congestion in the testicles (referred to as blue balls). However, urologists claim that the blue balls will go away in a couple of months.
It is true that only 1% to 2% of patients go back to the urologist to complain of blue balls after about 8 weeks. Urologists take this to mean the patient is not having any issues. Of course, this makes no sense. Many men weren't that thrilled with the idea of getting a vasectomy in the first place. So, about the last person they want to ever see again is the doctor that snipped them and left them in pain. Especially since the doctor told them that the pain is going to go away in a couple of months.
If pressed, most urologist will admit that tieing off the end of the vas deferens near the testicle causes multiple problems. Some men even end up with granulomas (lumps) of sperm in multiple places in their testicles. An ultrasound exam will show these to not be cancer and the doctor will tell the patient all is well. The fact that these granulomas hurt like hell is normally not a concern for the doctor.
Besides the concern that escaping sperm could cause irritation inside the scrotum, the other reason urologists justify tieing off the vas deferens on both ends is the very slim chance that the end tied off near the body leading to the seminal vessels might open up again. If the upper end of the vas deferens were to open up and the lower end were to have been left open, there is a very small chance some sperm might migrate into the upper vas deferens and be ejaculated out.
Sperm migration is a pretty lame excuse for tieing off the lower vas deferens near the testicle. First, the upper vas deferens seal would have to fail. Then, one or two sperm would have to find their what to the now open upper vas deferens. Then, that sperm would have to find its way to the egg to impregnate it. The average ejaculation in a man without a vasectomy is hundreds of millions of sperm. Even with that huge number, only a tiny percent make it to the egg to try to fertilize it. The idea that only one or two sperm could make the whole journey to pregnancy is not impossible but, it is highly unlikely.
Today, more and more urologist are at least offering what is referred to as "an open vasectomy" where the lower half of the vas deferens is not tied, clipped or sealed up. Sperm then leaks into the scrotum and does not cause congestion or granulomas in the testicles. Further, the fear that this leaking sperm might cause irritation inside the scrotum with pain has turned out to not be true. Men with open vasectomies report no congestion (blue balls) and never develop lumps in their testicles from granulomas.
You would think that all urologists would at least offer a vasectomy with the lower vas deferens left open. You would be wrong. Some are now offering it but, most still never mention it as an option.
Urologist are surgeons by training. It has been said that the difference between God and a surgeon is that God doesn't do surgery.