The medical community views vasectomy as being a “safe and simple procedure,” and this perspective is presented to patients and media. In reality, vasectomy is not safe, as in approximately 15% of instances a chronic pain syndrome known as Post-Vasectomy Pain Syndrome (PVPS) arises, with severe pain in about 5%. In addition, PVPS represents the tip of the proverbial iceberg, because the procedure produces extensive damage, largely due to how the production of sperm continues after vasectomy, despite the sperm having nowhere to go.


Vasectomy is a “safe and simple procedure” according to many in the medical profession. While the simple part might be accurate, the safe part is definitely not. The cruelest cut of all frequently produces lifelong pain, often worsened by sexual activity, arising months or years after the procedure. Too ashamed to speak up many men suffer in silence unless the pain is severe. For those seeking treatment the options are confusing, expensive, not readily available, and in a worse case scenario involve removing a testicle. With vasectomy labeled as a “safe and simple procedure” by the medical community, men and their spouses are being grossly misled.

     Post-Vasectomy Pain Syndrome (PVPS) truly represents the tip of the proverbial iceberg, and the concern of physicians and researchers as to why this supposedly rare complication occurs is incredibly misdirected, because the theoretical and practical foundation supporting vasectomy is hopelessly flawed. Take a pump and a balloon. As the balloon fills you reduce the pumping pressure and then stop. Now pump up another balloon and do not stop. A young child can predict what will happen—pressure will build and the balloon will burst.

     In a similar fashion the testicles do not stop or greatly reduce sperm production after a vasectomy. Instead sperm production continues unabated as Sir Ashley Cooper noted way back in 1823 when he performed vasectomies upon dogs. Pressure builds leading to “blow-outs” or slow leakage of sperm, both capable of triggering inflammatory reactions and severe pain. What is truly amazing is that most vasectomized men do not experience chronic pain, a real testimony to the compensatory and healing powers of the body and not to the success of the procedure. For those of you who are thinking that the problem shows up soon after a vasectomy and would have shown up by now if you have already been vasectomized, think again—chronic pain can arise at any time, commonly 5 to 7 years and even ten or more years after the procedure.