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If you look closely you’ll see small blood vessels along the side of the severed vas deferens. Above the the suture (the vas deferens and the suture have been enlarged about ten times) you’ll note that the blood vessels have been blanched by having been fulgurated. Below the suture (looks like a small brown rope) the blood vessels are red. These blood vessels are tiny and sometimes not seen by the urologist and then after the vas deferens retract back into the scrotum-they ooze.
Like a small oil leak, the blood continues to leak and accumulate until the surrounding tissues stop it. The result is a hematoma. Hematomas can vary in size depending on the size of the vessels and the amount of blood that leaks before the tamponade (presume that stops bleeding) of the surrounding tissues stop it.
Hematomas are not an infection and are not dangerous but both the patient and the urologist wish that it doesn’t happen after a vasectomy. The problem is that this collection of fluid stays around for weeks because it takes time for the body to absorb it. For the most part it is preventable if the urologist is careful to completely occlude these vessels around the vas deferens.
When I do a vasectomy (See A Vasectomy in Pictures) I remove a section and then fulgurate both sides of the vas deferens. This in the majority of cases will handle the small vessels along side the tubes but it doesn’t always. In addition to the above, I place a suture at the very base of of the vas deferens that is beyond where the vas has been dissected thus preventing inadvertent bleeding beyond where the vas has been fulgurated. (These are the red vessels you see near the clamps. The suture is placed and tied just beyond the clamp.)
So…when you talk to people about your upcoming vasectomy and they tell you that they had a lot of swelling of the scrotum that was black and blue…they had a hematoma and in most cases it could have been prevented. Some how attention to these pesky little vessels that travel along side the vas and cause hematomas…were not appropriately given the respect they deserve.
Did you know that if a surgeon needed to or inadvertently cut the testicular artery, that the vasal artery is sufficient enough to keep the testicles alive and viable?
This is why hematomas can be substantial and cause a significant post vasectomy issue.
“Respect thy vessels that accompany the vas deferens!”
A honey of a Georgia reversal success!
” I was one of Dr McHughs patients about 1 year ago. I was emailing to let you all know the operation was a success. We now have a one week old baby boy. Thank you all for everything! ” D.C.
A Reversal “Thumbs Up!”
Kalani was born December 31, 2022 at home under the care of a midwife and nurse at 8:11 pm. It was magical as the fireworks from the New Years celebrations exploded outside along the Florida coastline on a foggy sort of mystical night. Our boys are so in love with their baby sister!
No need to test a specimen…We’re Pregnant!
Atlanta GA Vasectomy Reversal Success! Thank you picture and congratulations!
Vasectomy Reversal Success
Cooper Knox
Vasectomy Reversal Success!
Thanks for coming by the office with the blessed news…on your way home from the hospital! Congratulations.
Blessed vasectomy reversal success!
“Seven months after the vasectomy we were expecting our new daughter. We cannot thank the practice enough and highly recommend them!”
Our little Pumpkin!
Dr. McHugh, my husband had his vasectomy reversed 10/7/21 and we had our sweet baby girl 9/29/22!! Here’s some pictures of our beautiful girl. H.S.
Wonderful Addition!
Vasectomy Reversal
Thank you so much for my husband’s successful reversal that you performed in October 2021. We found out we were expecting in the beginning of January and our son was born on September 7th.
Jen and Kristafur
Thankful for Dr. McHugh’s talent and the whole experience!
Dr. McHugh is very thorough and answered any questions we had prior to surgery. His team was very kind and thorough post surgery as well, following up via phone and email to be sure my husband had the best recovery he could. Our chances for conceiving were less than 50% and we just had our daughter a month before the one year mark from surgery. Leanna T. September 2022
“A beautiful gift from God”
Thank you for the 5 Star Vasectomy Reviews.
Vasectomy Reversal: 0 Sperm to 66 Million!
Reversal easier than the vasectomy? Thank you!
Reversal success times two!
We try to make it “fun!”
“Dr. McHugh is loads of fun. Really nice guy. Excellent staff. Easy, short, and (mostly) painless procedure. Great practice here.” D.D.
Thank you so much for the positive feedback. Enjoyed comparing “Beatles Trivia!” I hope you do well. John McHugh
Happy result in Tennessee!
This is Shawn and Jayna Porter. We are writing to let you all know that surgery was a success and we’d like to send you all pictures of our new addition! Harper Quinn Porter.
Thank you back!
Dr. McHugh and his wonderful staff are without a doubt the best in the industry.
“You and your staff were wonderful! I love the relaxed and laid back atmosphere that y’all provided especially the Music! Definitely helped my anxiety. Thank you.”
Blessing after ten year successful vasectomy reversal!
I appreciate everyone’s friendliness and kindness during the multiple office visits and surgery center procedure. Thank you for the good care you gave me!
P.H.
Thank you!
“You were very professional!”
Thank you!
Two for the price of one!
After extensive research, we found that the technique performed by Dr. McHugh was the best fit for us. It was the least invasive, and offered the fastest recovery. Dr. McHugh & his team delivered a high caliber of service & comfort for me, & I am extremely thankful for his practice.
Naomi was born just 12 months after having my surgery, & we couldn’t be happier with our newest addition!
R.P.
Thank you Dr. McHugh and staff!
Welcome…Ella Grace.
Success!
Thanks for dropping by!
What a delightful surprise!
Dr. McHugh is the best! Our family was also blessed by his surgical expertise.
Fantastic bedside manner, office and surgical staff were top notch. This coming from a nurse of 12 years. I was never nervous or uncomfortable. (Microscopic Vasectomy Reversal)
Stephen
Thank you!
I had my vasectomy reversal in February 2018 and my wife got pregnant in May 2018, only 3 months later! The service and attention received before, during and after the procedure was excellent. The team was very warm and super easy to work with.
My wife and I are happy to announce that we are now expecting in March of 2020. This wouldn’t be possible without Dr. McHugh and his amazing staff! Thank y’all!
We are happy to report that we are pregnant! Thank you to all of you who participated in our care, especially Dr. McHugh. We are so pleased and excited.
With time, prayers and of course a great surgeon we now have a healthy baby boy! Thank you!
Twice as Nice!
My husband asked questions ahead of time and from friends that previously had the procedure. He felt confident going in and completely comfortable during the procedure. Highly recommend them.
Dr. McHugh is the one you should see. We HIGHLY recommend him! Thank you so much again to him and all of his staff. INCREDIBLE!
Pretty in Pink
Another happy reversal result!
