This case involves a male patient who underwent a reverse vasectomy. For 2 days after the procedure, the patient experienced continuous pain and incontinence. He called the hospital multiple times but was only told to take pain medication. On the second day after his operation, the patient could not withstand the pain and incontinence anymore and presented to the emergency department. Further workup identified a hematoma in the patient’s scrotum, which was blocking blood flow to the testicle. The patient’s urologist was contacted, who said he had some difficulties during the procedure because the prior vasectomy incision was unusually placed. He stated that there was some concern for the vascular inflow of the testicle, although at the end of the procedure, blood flow seemed normal. The patient was not informed of the complication at any point after the surgery. The patient has since undergone multiple surgeries, but has since lost fertility.