HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Pain In Testicle Along With Dull Pain In Lower Left Back?

Posted on Mon, 9 Feb 2015

Question: HI, I've recently undergone a vasectomy and after 1 sample i was asked to do another. After putting my second sample in the urologist has asked to see me face to face in 7 days time. Im not sure if this is normal, and I've worked myself up about this thinking they may have detected something in my sample showing something serious like prostate cancer. Since the procedure I've had little aches and pains in my left testicle which i assumed was normal and may very well be. Ive also had a bit of a dull ache in my lower left back which comes and goes, i may not even notice this for days. Should i be worried about them calling me in? They haven't said its urgent or asked me to take someone in. Is it normal to be asked to see your urologist after a result

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
test for azoospermia should be done at 12 weeks

Detailed Answer:
Hello and Welcome

I appreciate your concern

Semen analysis should be done before declaring azoospermia ( lack of sperm in seminal fluid ) in a patient that has undergone vasectomy. Once determined , the surgeon/urologist may allow you to stop using other forms of contraceptives.

Absence of sperms at 3 months is usually taken as an adequate indicator of success vasectomy and sterility. Your urologist may be following up to discuss with you the precautions you need to take further or ideally retested for azoospermia. If you are worried you may call the relevant office directly to share your concern.

Semen analysis or urine R/E cannot be used to diagnose prostate CA. PSA, DRE findings and ultimately biopsy would be required to establish such a diagnosis.

wishing you best of health

thanks

Dr. M.S.Khalil

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Muhammad Sareer Khalil (56 minutes later)

Thank you, so just to confirm, a semen analysis after vasectomy can't even be used for prostate cancer diagnosis

Answered by Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

Brief Answer:
welcome, no it cant be used for Prostate Ca Diagnosis

Detailed Answer:
Hello again.

You are welcome.

No, a semen analysis after vasectomy can't be used for prostate cancer diagnosis.

Thanks.

Dr. M.S.Khalil

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Raju A.T