This case involves a male patient who underwent a reverse vasectomy with the defendant urologist. During the several days following the procedure, the patient kept experiencing increasing pain, discomfort, and incontinence. Each time he called the urologist, the patient was told to take pain medication. A week after the operation, the patient could not withstand the discomfort and incontinence anymore and presented to the emergency room. Further workup identified a hematoma in the patient’s scrotum blocking blood flow to the testicle. The patient’s new urologist contacted the defendant urologist and was informed that the vasectomy reversal had been difficult. In particular, the site of the prior vasectomy was extremely low with the testicle. The defendant urologist stated that there was some concern for the vascular inflow of the testicle. Although at the end of the procedure, the testicle did appear viable and pink. Neither the patient nor his wife were informed of this at any point after the surgery. The patient has since undergone multiple surgeries including having one of his testicles removed and has lost fertility.