### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Im a 40 year old man who had a bilateral vasectomy done and now on the left side is a mass about 2cm x 3cm x 6cm extending into the scrotum above the testicle.  It was really tender but not as much now after 2 courses of antibiotics.  Its still there, what do I do?

### output:

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from-This could be resolved hematoma-post-vasectomy with infection and induration in it, lately/ or could be FB granuloma with infected stitch in it. As the thing has resolved -after antibiotic, I would suggest you to take Tab Baclofen and Tab Chymotrypsin-for 2 weeks time with PPI like pantoprazole to counter Chat Doctor. Hope this should resolve the issue. But if still persists, then FB granulation -post Vasectomy should be suspected. This would need surgical removal of FB, which would resolve the post-vasectomy mass once for all. Consult Surgeon / Urologist, who would plan the treatment accordingly, after proper investigations. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!