Dr. Harold Reed Blog

Category Archives: testicular congestion syndrome


Having a vasectomy is a safe and effective means of permanent contraception. Approximately 500,000 vasectomies are performed in the United States every year.

How is a Vasectomy done?

This procedure performed under local anesthesia takes about 10 minutes. The experience of the surgeon is the single most important factor assuring a smooth convalescence. A collection of blood under the skin called a hematoma occurs in 2% of patients and usually reabsorbs spontaneously. Prolonged pain in the testicles may occur in 3% of patients and has been called by some, the “testicular congestion syndrome.”  Post-operative instructions include bed rest overnight, application of a cold compress in a pillowcase to the scrotum overnight, no ejaculation for 1 week, protected sex until all sperm above the incisional area are cleared, and returning to the office for a seminal analysis to confirm the absence of sperm in the ejaculate after 8 strong ejaculations. Others say after 2 months.

The American Urological Association recommends a second analysis to confirm the absence of sperm.  Although there is a very low rate of re-canalization of the vas, the few sperm that may again appear in the ejaculate usually do not render a patient fertile.  If you are married we ask you to provide a letter of approval from your spouse.   We can do the procedure with the so called non-scalpel technique in which a bleb of anesthesia allows us to puncture the skin with tiny sharp scissors, or do the same with a small nicking incision, again under local anesthesia.  Plan on gong home afterwards and lying down with a cold scrotal compress in a pillowcase applied overnight.  This reduces pain and bruising.

This procedure performed under local anesthesia takes about 10 minutes.

Comprehensive fee: $500.00.  Outside confirmation of a vasectomy specimen by a registered lab is available.

The Reed Centre for Ambulatory Urological Surgery – Miami