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Prostate problems after vasectomy

What Is the Effect of a Vasectomy on the Prostate

  1. Most of the prostate problems reported after a vasectomy are related to complications. The surgery can cause trauma to tissues that often results in bruising and swelling, both of which may affect the prostate
  2. The increased risk of prostate cancer following vasectomy persisted for at least 30 years after the procedure and was observed regardless of age at vasectomy and cancer stage at diagnosis. Adjustment for the number of visits to the doctor and socioeconomic factors did not explain the association
  3. g, but mild symptoms will show up in many men and often it will show up quickly in the few weeks right after the vasectomy since the daily sperm production is trapped inside the man's testicles and this new trapped pressure causes irritations and congestion feelings in the testicles and anywhere the sperm is all blocked off from leaving the testicles
  4. Numerous studies over more than 30 years have shown correlations between vasectomy and increased incidences of many diseases. The list of the diseases studied for links includes prostate cancer, rheumatoid arthritis, erectile dysfunction, chronic testicular pain, chronic inflammation, epididymitis, prostatitis, and testicular cancer
  5. ates the sperm from the ejaculate and this accounts for less than ten percent of the volume. Most of the fluid comes from the prostate and se
  6. Hematoma - Bruising and swelling are common after a vasectomy. More significant pooling and clotting of blood within the scrotum occurs in up to one to two percent of all vasectomy patients. It usually starts within the first week after the procedure and can cause pain or swelling
  7. Some men may report chronic scrotal pain following vasectomy. This pain can range from dull and aching to sharp. The AUA estimates about 1 to 2 percent of men experience chronic scrotal pain after..
BPH in Pictures: Enlarged Prostrate Symptoms, Causes

Prostatitis refers to a loose assemblage of syndromes characterized by urinary problems such as burning or painful urination, the urgent need to urinate, trouble voiding, difficult or painful ejaculation, and pain in the area between the scrotum and rectum (known as the perineum) or lower back One side effect of a vasectomy can be bleeding, pain or the feeling of fullness in the testicles. There are other more serious vasectomy problems that may manifest after surgery such as fever, infection, and a condition known as sperm granulomas, which refers to the back up of sperm in the testicles Symptoms and signs of chronic prostatitis include the following: Post-ejaculatory pain is a hallmark of the condition. Perineal or pelvic pain without any evidence of a urinary tract infection, which lasts longer than 3 months. Pain can be present in the perineum, testes, tip of the penis and the pubic or bladder area Men who had undergone vasectomy more than 20 years earlier were almost twice as likely as their unsterilized counterparts to have been diagnosed with prostate cancer. Overall, the rate of such diagnoses was about 60% higher among the men who had been sterilized

Enlarged Prostate | BPH Treatment Concord & Charlotte, NC

By Robert Preidt. HealthDay Reporter. THURSDAY, July 10, 2014 (HealthDay News) -- Men who have a vasectomy may be at increased risk for aggressive prostate cancer, a new study suggests The best curative treatment is vasectomy reversal to restore normal flow in the system. Neurogenic Pain. Although very rare (1/250 cases), this is the sticky wicket of pain after vasectomy. It may begin with a less than optimal vasectomy experience (try to avoid this!) with pain that doesn't improve, or even worsens

Vasectomy and Prostate Cancer Risk: A 38-Year Nationwide

Symptoms, investigation and managment of an enlarged

The other clear fluid comes from the prostate. My son-in-law had it done after there 3rd child. We have a good relationship so I ask him. He said that it feels the same and the volumes does change some because what comes out now is the fluid from the prostate. If you have any procedure done on the prostate other then the Urolift After vasectomy, male sexual and reproductive physiology remains unaffected, aside from the desired change in fertility. The nerves involved in erectile function and ejaculation are not affected, and vasectomy does not lead to impotence or other sexual difficulties. 13, 14, 15 In a large cohort study, 16, 17 incidence of impotence was 1.9/1000 man-years (MY) of observation in men with.

I had an infection (prostatitis) after my vasectomy that seemed to last forever. I have always attributed my enlarged prostate to the infection and how long it lasted after the vasectomy. It's certainly possible the vasectomy/enlarged prostate are related, to be honest I hadn't really thought about that In fact, there is no established biologic rationale for an association of vasectomy with prostate cancer, the authors wrote in the study. With a vasectomy, the vans deferens is cut, blocked. Early Problems After Vasectomy. In addition, no study has ever established that there is an increased risk of death after prostate cancer following vasectomy. Because the question of a relationship between vasectomy and prostate cancer was raised, the American Urological Association first recommended that men who had a vasectomy more than. A previous study by researchers at Harvard in 2014 had cited the high risk of prostate cancer in the aftermath of a vasectomy. They found that vasectomy was associated with about 10% higher overall risk of prostate cancer and about 20% higher risk of fatal prostate cancer

Can prostatitis be caused from having a vasectomy? Men's

Vasectomy, a widespread form of birth control, is associated with a small but significantly increased risk of prostate cancer over the long run, according to a comprehensive analysis of Danish. Vasectomy is correlated with an increased rate of prostate cancer. Scientists argue about why this is the case. For a long time, the consensus view has been that vasectomy does not cause prostate cancer. However, recent studies strongly suggest that a little more than 1% of vasectomies result in prostate cancer There have been more than 30 studies on vasectomy and prostate cancer conducted in the past 28 years, of differing sizes and quality. In 2012, after reviewing the research, the American Urological. Men are now going in for vasectomy for complete assurance. However, there has been a slight connect established between vasectomy and prostate cancer in a study by the Journal of the National. 2. Can a vasectomy cause low testosterone? Though Medical experts say that Vasectomy does not affect the production of testosterone, not much is known about the side-effects after the procedure. Vasectomy is known not to affect the sexuality of a individual or change the volume of their ejaculation

Long-Term Complications of Male Vasectomies - PR

Can vasectomy cause ejaculation issues? Ejaculating too

Once they are cut, sperm can't get into the semen or out of the body. The testes still make sperm, but the sperm die and are absorbed by the body. A man who has had a vasectomy still makes semen and is able to ejaculate. But the semen doesn't cont.. Most men have no problems after a vasectomy. Problems are uncommon but include the following: As with any operation or cut to the skin, there is a small risk of a wound infection. The bruising around the operation site is sometimes quite marked. However, it will go in a week or so The most likely cause of blood in semen are: Trauma from a prostate biopsy. You may see blood for up to four weeks after the procedure. Trauma from a vasectomy. You may see blood for over a week. Treatment of prostate cancer with external beam radiation or brachytherapy. A seminal tract infection or inflammation During intercourse, sperm cells travel from the testicles through the vas deferens, become part of the seminal fluid (which is produced by the seminal vesicles and prostate gland), and are ejaculated through the penis. When the surgeon performs the vasectomy, he cuts through the vas deferens and ties off the two remaining ends

10 Potential Side Effects and Complications After Vasectom

Possible Complications After a Vasectomy - Healthlin

  1. Although some researchers have linked vasectomy and prostate cancer, scientists appointed by the National Institutes of Health have found NO significant relationship between vasectomy and prostate cancer. After the Surgery. Some oozing is expected for a day or so after the operation
  2. Difficulty with Urination. After a prostate biopsy, some men may have a difficult time with urination or be unable to urinate at all. Swelling of the prostate may interfere with urination, according to the Monterey Bay Urology Associates website 4.Only about 1 percent of men who have a prostate biopsy develop this problem after the procedure
  3. The study also found that there was no significant correlation between vasectomy and the overall risk of prostate cancer, the risk of high-grade prostate cancer, or the death rate from the disease. Lead study author and Mayo Clinic urologist Dr. Bimal Bhindi said prostate cancer should not be a factor when a man decides to have a vasectomy
  4. Chronic Hemorrhoids and Prostate Problems. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). This is the most common type of prostatitis. It shares many of the same signs as bacterial prostatitis. The difference is that when tests are run, no bacteria are present with this type
  5. A vasectomy does not stop you from getting an erection or having an orgasm. It doesn't make you more likely to have prostate cancer or other prostate problems. Some men feel sore for a few.
  6. al fluid. When mixed with sperm from the testes, it makes seme

Prostate enlargement (BPH) Also known as benign prostatic hyperplasia (BPH), this is a common prostate problem for men over the age of 50. The prostate usually begins to enlarge after age 40. BPH causes urinary symptoms including slow urinary flow, urinary frequency and urgency, waking up more often at night to urinate, as well as a worsening. swelling in your genital area or scrotum. blood in the semen. Having the peace of mind that a vasectomy delivers sometimes can enhance sex life, with better arousal and erections. About three months after your surgery, you can have unprotected sex without fear a possible pregnancy. However, it is always wise to use protection with a new partner • Latter symptoms of prostate cancer include severe bone pain in your back and neck, drastic weight loss, a low red blood cell count, and weakness in the legs and feet. Natural Remedies to Treat Prostate Problems. Here are some helpful natural remedies that can help treat the symptoms associated with prostate problems: 1 Success rate are based on patency rate, or return of some moving sperm to the ejaculate after vasectomy reversal, and pregnancy rates. With survey result of 95% of men who had vasovasostomy had motile sperm 1 year after vasectomy reversal. Summary. For those who had Vasectomy, fear not, for this is reversible Why is sperm dead after vasectomy? We of course worry about recanalization and failure of the vasectomy, but sometimes sperm can get delayed and stuck at the level of the prostate and ejaculatory ducts which results in non-motile, rare sperm persisting.. Can you get pregnant after vasectomy 10 years? Vasectomy is tremendously effective as a form of permanent birth control but vasectomy.

Prostatitis: inflamed prostate can be a vexing health proble

Having the vasectomy undone doesn't always solve the problem. Studies show men who've had a vasectomy aren't at a higher risk for heart disease, prostate cancer, testicular cancer, or other health problems. After Treatment. You may be uncomfortable after your vasectomy. You may need mild pain meds to take care of any pain Orchiectomy is the removal of the testicles. The penis and the scrotum, the pouch of skin that holds the testicles, are left intact. An orchiectomy is done to stop most of the body's production of testosterone, which prostate cancer usually needs in order to continue growing. Simple orchiectomy is the removal of both testicles through a cut. Vasectomy. Rare causes of blood in semen: Amyloidosis (buildup of abnormal proteins in your organs) Benign growths (cysts, polyps) in the bladder, urethra or prostate. Schistosomiasis. Testicular cancer. Tuberculosis. Warfarin side effects. Causes shown here are commonly associated with this symptom

Vasectomy is a procedure typically done under local anesthesia in the doctor's office. Varicocelectomy, on the other hand, is performed in an outpatient surgery center or hospital. It requires. Møller H, Knudsen LB, Lynge E. Risk of testicular cancer after vasectomy: cohort study of over 73,000 men. BMJ 1994; 309:295. Cox B, Sneyd MJ, Paul C, et al. Vasectomy and risk of prostate cancer. JAMA 2002; 287:3110. Jacobs EJ, Anderson RL, Stevens VL, et al. Vasectomy and Prostate Cancer Incidence and Mortality in a Large US Cohort Sex within 3 months after a vasectomy may still result in pregnancy because your semen may still contain sperm. So use contraceptives until your doctor confirms that your semen is sperm-free. Work With Your Urologist. To prevent any problems and reduce the time you need to be off before resuming normal work, follow post-care instructions.

Prostate enlargement is a very common problem that affects older men and can appear gradually, causing frequency and difficulty in urination. They prefer vasectomy because most reversible methods are less reliable, sometimes inconvenient, and may have unpleasant side effects for the women in their lives Erectile dysfunction (ED) is defined as the inability of a man to obtain or maintain a firm erection long enough to have or complete sexual intercourse, and remains a frequent problem for men following treatment for prostate cancer. While a great deal of research has focused on men who are treated with prostatectomy (surgical removal of the. Prostate problems are common, particularly in men aged over 50. The prostate is a small gland found only in men. It surrounds the tube that carries urine out of the body (urethra). The prostate gland produces a thick, white fluid that gets mixed with sperm to create semen What is a Vasectomy? Vasectomy is a form of birth control chosen by thousands of men annually. It is an office-based procedure that refers to the division, obstruction or partial removal of a segment of the vas deferens (a small tube which connects the testes to the urethra as it passes through the prostate gland) to prevent transmission of sperm from the testicles to the urethra where they. Erectile Dysfunction After Prostate Cancer Treatment. Dr. David Fenig developed and manages a comprehensive program to help preserve erectile function in men undergoing prostate cancer surgery or radiation therapy. The goal of the program is to provide men with improved and earlier return of erections following prostate cancer treatment

I had a problem in my prostate, probably prostatitis, that lasted almost 3 months. I nearly went for a vasectomy reversal but I'm gun shy about more surgery that's not guaranteed to do the trick, I do have a nerve block scheduled but even that doctor said a block will not help lead to a fix for all my symptoms. Even after varicocelectomy. Vasectomy Frequently Asked Questions (FAQs) A vasectomy is a popular procedure among men looking for a permanent birth control solution. With many minimally invasive techniques available from skilled urologists like Nikolas Symbas, MD, this procedure is associated with vastly lower rates of potential complications as compared to the equivalent sterilization surgery used for females, which is. Testicular pain after a vasectomy, known as post vasectomy pain syndrome, is a relatively common problem which can have a major impact upon quality of life. About one in six men opt for a vasectomy as permanent form of birth control. A vasectomy is an operation to block, cut or seal the tubes that carry sperm from the testicles to the penis Expert urologist Dr. John Stites, M.D., answers the most common questions about urinary control after prostate surgery below.. Is it common to have urinary control issues after prostate surgery? Recovery of urinary control is one of the most common concerns for men undergoing treatment for benign and malignant prostate disorders

What are the Most Common Vasectomy Problems? (with pictures

Fewer than 10 percent of men who request reversals do so because of physical or psychological problems following vasectomy. Sex After Vasectomy: No Difference? No one knows exactly what causes prostate cancer. Some researchers think environmental factors, such as high-fat diets, may be the culprit; some attribute prostate cancer to genetics. The complications from vasectomy are short-term and long-term issues. While some problems like pain, nerve damage and your body having difficulty controlling the temperature of your testes can start immediately, other take longer to develop. It turns out that small testicles after vasectomy may be the least of your problems Men who have had prostate cancer can still get the same types of cancers that other men get. In fact, they might be at higher risk for certain types of cancer. Men who have had prostate cancer can get any type of second cancer, but they have an in.. Once they are cut, sperm can't get into the semen or out of the body. The testes still make sperm, but the sperm die and are absorbed by the body. A man who has had a vasectomy still makes semen and is able to ejaculate. But the semen doesn't cont.. Prostate surgery. The most common surgery is transurethral resection of the prostate. In this procedure, the urologist uses a tiny tool, inserted through a catheter, to remove a section of the prostate. This treatment is used frequently for urinary retention caused by BPH. Internal urethrotomy. When there is a stricture that cannot be resolved.

Effect Of Masturbation On The Prostate And Testicles Men

Chris Carmichael October 5, 2016 at 12:51 pm. I had my own brush with the PSA and unscientific urologist not long before the USPSTF report on prostate cancer screening was released Hi, It is odd that you have this problem after a vasectomy. I used to come down with this about every 3 to 4 months requiring hospitalizations. I thought that it had to do with me having a neurogenic bladder. In 1999 after my wife and I had four children I decided to have a vasectomy to see if this would bring an end to the infections As the procedure became more popular, concerns arose that it could increase the risk of prostate-related problems, such as; BPH, erectile dysfunction, and especially prostate cancer. Several studies in the 1980s and early 1990s examined these issues and seemed to suggest that men with vasectomies may have a higher risk of getting prostate cancer.

Cryotherapy An Alternative Treatment to Radiation Therapy

Does vasectomy cause prostate cancer

Such studies should be integrated and international. Epidemiological studies, which should cover men aged 20 years or older after vasectomy, should address the following methodological limitations: selection bias, detection bias, and problems with ascertaining exposure (vasectomy) and outcome (prostate cancer) The clinic's urologists have expertise in many areas including the treatment of prostate cancer and other prostate problems, incontinence, erectile dysfunction, kidney stones, other urological cancers, vasectomies, and urinary tract infections. Furthermore, the urology team has extensive training in the use of the latest minimally invasive. July 11, 2014 / 10:05 AM / HealthDay. Men who have a vasectomy may be at increased risk for aggressive prostate cancer, a new study suggests. But the risk is comparatively small, the researchers. The link between vasectomy and prostate cancer is not fully understood yet. Some studies have observed this issue, but there is still no clearly answer. What are the results of these studies? The answer varies. While a few studies found that vasectomy might increase the risk of prostate cancer, most studies found no any connection After a successful, nerve sparing, robot-assisted radical prostatectomy for prostate cancer, I still had some ED (Erectile Dysfunction). Even with exercises and medications the problem was not corrected. A P-Shot was recommended and it provided immediate improvement in erection frequency, rigidity, and duration

Study Links Vasectomy to Aggressive Prostate Cancer - WebM

  1. Most surgeons suggest that vasectomy has to be repeated if sperm present after 2 consecutive semen analysis performed at 6 and 12 weeks postvasectomy. Persistence of o nonmotile sperm after vasectomy is a known phenomenon. Studies reported the occurrence of nonmotile sperm 12 weeks after vasectomy in 33-42% of patients
  2. A vasectomy does not affect the production of male hormones nor does it alter sexual function. The vasectomy involves surgically cutting and closing off or blocking the vas deferens (the tube that carries sperm from the testicle). After the vasectomy, the testes continue to produce sperm cells that are simply absorbed by the body. 2
  3. Sperm banking is the freezing (cryopreservation) of sperm done before surgery to be used at a later time. 2 It's one of the most successful ways to ensure that you're able to father biological children after any type of prostate surgery. Sperm collected for banking can often last up to 10 years or longer, depending on individual factors
  4. What Happens to a Man's Body After a Vasectomy? By Kevin C. Hauber 4/26/01. How does vasectomy affect a man's body? This is a reasonable question, which unfortunately is rarely answered, even after significant effects occur. Let's use an analogy of a 40-year-old fire hose. You hook this fire hose up to a hydrant and turn on the water

Vasectomy. A vasectomy is a surgical form of contraception. The operation involves cutting and tying the tubes (called vas deferens) that deliver sperm from the testes to the prostate to make semen. This stops the sperm from mixing with the seminal fluid made in the prostate. So, when the man ejaculates, there is no sperm in the semen While the idea of getting snipped is painful for some men to even think about, actually having a vasectomy may lead to more than just temporary pain. Findings from a new study published in the Journal of Clinical Oncology show that men who have the surgery have increased risk for fatal prostate cancer.. For 24 years (1986-2010), Harvard researchers tracked the health of 49, 405 U.S. men. Some men worry that they will have problems with erections after vasectomy. However, the procedure does not alter any of the organs or processes needed for erections. Men will still have erections the same way: Sexual stimulation leads the brain to trigger the erection process. Smooth muscle tissue in the penis relaxes 14. Vasectomy should be considered a failure if any motile sperm are seen on PVSA at six months after vasectomy, in which case repeat vasectomy should be considered. Expert Opinion 15. If > 100,000 non-motile sperm/mL persist beyond six months after vasectomy, then trends of serial PVSAs an

Just like after....: The fate of sperms after prostate removal just like that after vasectomy, still existing inside the remaining tubing system of vas deferens and epididymis, and in time, the stagnated sperms will die, disintegrate, and liquefy as protein-rich fluid, which will be reabsorbed into body's systemic circulation acting like a foreign body so to induce sperm antibodies formed in. Often a cause of discomfort after the UroLift procedure, swelling of the urethra is very common. You can mitigate this inflammation by applying ice to the area several times a day and keeping the pelvis elevated by lying down when possible. Infection. Any surgical procedure brings with it the risk for infection Prostate Problems: For men under 50, the most common prostate problem is prostatitis. For men over 50, the most common prostate problem is prostate enlargement, frequent urge to urinate, getting up many times during the night to urinate, blood in the urine or semen, painful or burning urination among other symptoms There's also no proof that a vasectomy could cause prostate or testicular cancer or heart problems. Serious complications are rare. Possible side effects following surgery include swelling, pain and bruising, which should get better within a few days. Severe pain at the surgery site during and after the procedure is rare

Truth About Post-Vasectomy Pain & Ejaculation After The

After two days in which they reviewed research findings and discussed their implications, the panel issued a statement concluding that because of the inconsistency of the evidence for the vasectomy--prostate cancer link and the small size of the association, there is insufficient basis for recommending a change in clinical and public health. A vasectomy is a surgical procedure performed on adult males in which the vasa deferentia (tubes that carry sperm from the testicles to the seminal vesicles) are cut, tied, cauterized (burned or seared), or otherwise interrupted. The semen no longer contains sperm after the tubes are cut, so conception cannot occur three months after their vasectomy, which may require treatment — and, rarely, another procedure — to address. While several studies have suggested that there is a small increase in prostate cancer risk among men who receive a vasectomy, most studies and professional organizations do not support that vasectomy increases prostate cancer risk

After vasectomy some men may notice a slight change in the color of their ejaculate because of the absence of sperm but the volume of fluid is only minimally decreased and often not noticeable. Vasectomy Myth: After vasectomy the amount of fluid you ejaculate during intercourse decreases. Vasectomy causes prostate problems Oregon Urology Institute Radiation Center is proud to offer advanced prostate cancer patients PROVENGE ® (sipuleucel-T), the only personalized treatment that is clinically proven to extend life in certain men with advanced prostate cancer. PROVENGE ® is an immunotherapy that takes your own immune cells and reprograms them to target and attack your prostate cancer

A major problem in assessing the health risks of vasectomy is that both the procedure and prostate cancer are common and have been increasing among American men Post-vasectomy pain: About 10% of men will develop an episode of scrotal pain at some point after a vasectomy. This is most likely due to the congestion of sperm after the vas deferens have been cut. Ninety percent of these men will get better with conservative measures (anti-inflammatory medications, rest, etc.) Rarely, the first vasectomy will fail to completely sterilize the man, and the vasectomy will have to be repeated. A few older studies have raised the concern that vasectomy could increase a man's risk of prostate cancer. However, recent research has failed to demonstrate any relationship between prostate cancer and vasectomy Epididymitis What is it? An inflammation of the epididymis, the tube that transports sperm from the testicle towards the penis. If the swelling affects the testicle as well as the epididymis, the condition is known as epididymo-orchitis. What are the main symptoms? Severe pain in the scrotum A swollen area that may feel hot to the touch Fever What's the risk? It's unusual, although it's more. Treatment options for enlarged prostate are generally determined by the patient's overall health, the severity of their symptoms, and personal preference. Fortunately, there are several proven treatment options which can help to alleviate symptoms or correct the problem

5 ways an enlarged prostate could affect your sex life. Prostate enlargement and erectile dysfunction (ED) are separate problems. Both increase with age, but one causes problems in the bathroom. However a study released by the Journal of Clinical Oncology on 7-July-2014 has linked vasectomy to prostate cancer. While the study did not show that vasectomy caused prostate cancer it showed that the group of men they studied had a increased risk of aggressive prostate cancer from 16 in 1000 to 19 in 1000 Pacific Urology offers treatment of kidney stones, impotence, incontinence, bladder and kidney cancers, prostate challenges and children's urological conditions. Our urology specialists also excel in vasectomy reversals and infertility treatment, and have advanced skills in surgery - including performing robotic surgery with the da Vinci.

Vasectomy risks: Possible short- and long-term

Prostate surgery — Men who have had a transurethral prostatectomy (removal of prostate tissue through the urethra) have a 10-15 % chance of retrograde ejaculation. A prostatectomy (surgery to remove the entire prostate gland, either for cancer or benign enlargement) results in a higher risk of retrograde ejaculation after the procedure The prostate is a small gland that is part of the male reproductive system. It helps with making semen. The urethra is the tube that goes from the bladder, through the prostate gland, to the outside of the body. It is used to pass urine and seminal fluid. Prostate problems. The three main problems that occur in the prostate include With a vasectomy, the urologist makes one or two small openings in the skin of the scrotum to access the vas deferens. The vas deferens is cut, and a small piece may be removed leaving a short gap between the two remaining ends. Next, the urologist may cauterize the ends of the vas, then ties the cut ends with suture material or use clips

Strong study shows no link between vasectomy and prostate

After vasectomy, the ejaculate fluid should appear unchanged in amount and consistency to the naked eye, but it will contain no sperm. Only under a microscope is the change perceptible. The sensation of orgasm and ejaculation are unaffected, and the operation does not affect libido (sex-drive) or erections Vasectomy for sterilization has been linked to prostate disorders and even cancer. Zinc deficiency is linked to enlargement of the prostate. Soil used for farming is often deficient in zinc, and unless you eat hulks of cereals or brewer's yeast, it is difficult to get enough zinc in the diet what is post care for vasectomy? Rest up to 24 hours, ice pack/scrotal support (aka jock strap) for swelling & acetaminophen/ibuprofen for pain. Follow-up visit in 2 months for a sperm count which has to be ZERO (alternate birth control until sperm count at 0). OR sperm count after 20 events of ejaculation

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