Vasectomy matters. (Letter)

Bacterial epididymitis is rare following elective vasectomy or vasectomy due to prostatitis or cystitis or following prostatic surgery when spontaneous reanastomosis is prevented. 2 relatively common complications of vasectomy may be confused with epididymitis. Congestive epididymitis may occur up to 6 months postoperatively. The epididymis is tender and diffusely swollen but the discomfort abates within a week after treatment. The second condition spermatic granuloma of the epididymis may occur several years postoperatively. Following vasectomy the tubules dilate due to internal pressure and may rupture causing a granuloma. Epididymectomy may be necessary. A vasocutaneous fistula may result particularly when nonabsorbable ligatures are used. This is a type of spermatic granuloma of the vas.