Doctor insights on:
Vas Deferens Enlarged
My left vas deferens is a little bigger than my right when i inspect it while laying down but when i stand up it becomes even bigger is it a problem?
Not vas deferens: You can't feel the vas deferens as it is a small diameter tube. You may be feeling the epididymis which lies next to the testicle and can vary somewhat in size from one side to the other. Lastly, dilated veins in the scrotum, benign and called a varicocele, can produce a palpable abnormality that varies in size depending on position. All of these are benign. ...Read more
Why?: There is no advantage to removing more vas than a centimeter. It doesn't make it more successful and can increase complications. ...Read more
Yes: Prior vasectomy is a common reason for such surgery with excellent success rates in many patients. Other causes of blocked vas are rare. Epididymal blockage on the other hand is more common from std's and other infections. Surgery to correct this is possible but much lower success rates can be expected. Subspecialty urology would be the best answer for this type problem. ...Read more
No: Vas is nowhere near.Get a more detailed answer ›
Fertility: Performed to correct blockage of vas deferens, usually following vasectomy, or epididymal duct. Obstruction to permit passage of sperm. Procedure bypasses obstruction, experts at micro-reconstructive urology believe procure has higher success rate for reanastomosis than vasovasostomy vasectomy reversal. ...Read more
Vas deferens is duct: Sperm is produced in the testis, they pass into the vas (1) via the epididymis ; thence to the ejaculatory duct. Most of your semen is produced in the prostate gland (3) ; seminal vesicles (2). Some men are able to ejaculate a second time 15 - 30 minutes after the first. Men tend to produce less semen as they age ; thus take longer before they can ejaculate again. Hope this answers your question. ...Read more
When one has vas deferens infection, does the discomfort last the whole day or a few times a day?
Discuss w/ your doc: You have been asking questions about this for several weeks. I don't know if you have had other replies. But this is an extremely unusual situation; I have no idea how one would diagnose an infection limited to the vas deferens; what might cause it (except an STD like gonorrhea or chlamydia, if you had epididymitis); or what discomfort might persist after cure. Discuss w/ the doctor treating you. ...Read more
What to do if I'm suffering from vas deferens blockage with t.b bactiria..pls suggest any solutions for my problem?
I believe: the development of MR (magnetic resonance) imaging has enabled the visualization of the vas deferens (there are two). The most natural abnormality of a vas is non-development/lack of it. Or, scarring could have resulted from a surgical procedure to cut them blocking sperm movement, i.e. a vasectomy. I'm not sure what the indication is for detecting this, but I'm certain your Urologist can help. ...Read more
Epididymitis?: Re-read reply yesterday. I've never heard of infection limited to the vas deferens and don't know how it could be diagnosed. If you had testicular pain and swelling, maybe it was epididymitis. (Some doctors might describe epididymitis as an infection involving the vas deferens.) If this seems to make sense, read about epididymits. At your age, almost all cases are STDs, chlamydia or gonorrhea. ...Read more
What can cause vas deferens/epididymis to not work properly after even the infection has recovered?
Here are some....: Yes, it is possible, but how this concern may apply to personal clinical profile in a sensible way should hinge on the clinical concern such as the issues of infertility, genitourinary symptoms, etc. Note: Our body has a strong healing ability to return its functional state in a great degree, though never be perfect as that at birth since life is a one-way street of accumulation, modification,... ...Read more
Masturbated and during & after ejaculation, both sides vas deferens swells & tenders when touched. It gets normal after 15 mins. What it could be?
I have what feels like a rough mass around my vas deferens of my left testical. I have noticed slight discomfrt from yesterday. Could it be cancerous?
Get evaluated.: To be reassuring, what you are describing sounds like an epididymal cyst, a very common, benign, and non-cancerous condition. Masses outside of the testicle itself are rarely malignant. However, i recommend you get an exam to make sure it is not something that may warrant a testicular ultrasound. I applaud your use of testicular self examinations. Continue them to see if you notice any changes. ...Read moreSee 1 more doctor answer
Can I request to get my vas deferens blocked by burning rather than getting cut or tied during my vastecomy? If yes how to make sure I communicate this accurately to the doc? Thanks
Almost never: Used to be common for some urologists to tie of the vasa deferentia (plural) after open prostate surgery, which was associated with about 2% incidence of epididymitis & when fewer different antibiotics were in existence. Turp is associated with lower incidence of postoperative infection & catheters remain inplace for shorter time compared to open surgery. Thus no need for vasectomy with turp. ...Read moreSee 1 more doctor answer
Can MRI scan detect if there is any damage part in the vas deferens or whether there is any blockage?
No,...: The sensitivity of MRI is not enough to delineate the fine lumen of vas deferens; in fact, it is wasting resource. Besides, it is good idea to know almost all medical care is still based on indirect evidence. For detail of related subjects, go to articles listed in http://www.formefirst.com/onLifeBasics.html. Best wish... ...Read more
How much of the vas deferens would constitute too much removed, to be able to have a vasectomy reversal?
Vas reversal: Successful fertility after vas reversal depends on many factors. Length excised is usually not well documented. A more identifiable determinant would be length of time since vasectomy. The greater the number of years, the less the success. At best, the success rate rarely is above 50% (using pregnancy as the determinat of "success"). ...Read more
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