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Complications of a vasectomy

Side effects of a vasectomy

A vasectomy is usually a very safe type of surgery and serious side effects are rare.

Side effects include:

  • mild bruising and swelling of the testicles
  • a small yellow lump (or lumps) on the scrotum – these lumps are made up of sperm (sperm granuloma) and are usually harmless
  • infection

Bruising and swelling of the testicles should go away as your scrotum recovers from surgery.

Sperm granulomas should also go away by themselves. Anti-inflammatory types of painkillers, such as ibuprofen, can help with pain caused by a granuloma.

An infection will need treating with antibiotics.

Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if:

After your vasectomy :

  • the pain and swelling in your scrotum and testicles suddenly gets worse or shows no sign of getting better after a few days
  • you have a high temperature
  • you notice blood, pus or liquid leaking from the wound
  • a lump develops inside your scrotum (the skin around your testicles) and it keeps getting bigger

You can call 111 or get help from 111 online.

Post-vasectomy pain syndrome (PVPS)

An uncommon side effect of vasectomy is long-term testicular pain. This is known as post-vasectomy pain syndrome (PVPS).

PVPS is usually treated with anti-inflammatory medicine, or medicines for nerve pain.

Some people may need surgery to remove some of the nerves in the testicles that cause pain.

Page last reviewed: 28 February 2024
Next review due: 28 February 2027