Vasectomy

Preparing for Your Vasectomy

You must have had a vasectomy consultation with your health care provider prior to this procedure.

***YOU MUST HAVE SOMEONE TO DRIVE YOU HOME***

ONE WEEK PRIOR TO VASECTOMY:

‐ Stop taking all aspirin, ibuprofen and Aleve‐containing products.  Aspirin products and all other non‐steroidal anti‐inflammatory products (NSAIDS), such as those listed, “thin your blood” and will make you more susceptible to have bleeding and bruising afterwards.

‐ Purchase an athletic supporter such as a jock strap.  You MUST bring this with you to the procedure.  Any type of athletic supporter will work, but the best you can purchase will have a pocket in the front which is designed to hold a hard sports cup.  You will not need the cup; however, the pocket is ideal for holding a small cold pack in place.   

‐ Obtain or make several flexible cold packs.  You MUST bring one cold pack with you at the time of your procedure.  There are some commercially available gel‐type cold packs.  If you are unable to find these, you may purchase unpopped popcorn kernels and freeze them in a snack‐size zip lock bag.  The kernels will hold the cold and will also remain flexible with repeated thawing & refreezing.  They arealso the perfect size to slip in the pocket of your athletic supporter.

‐ Clear your calendar for the 48 hours following the procedure.  If possible, make child care arrangements so children will be elsewhere during the immediate recovery period.  Just as a suggestion, this is helpful so you can remain in a lying down position as much as possible for the next 48 hours.  Do not plan to work sitting down, go to events or travel…etc.

THE DAY BEFORE THE VASECTOMY:

‐ Shower the evening before the procedure.

THE DAY OF THE VASECTOMY:

‐ Shower again.  You do not need to shave any hair for the procedure.

‐ Do not eat or drink for 6‐8 hours prior to the procedure.  You may have breakfast, but it is suggested not to have lunch.  You may have water up to the time of your procedure.

‐ Wear comfortable clothing.  You will be able to keep your clothes on from the waist up as long as the sleeves are able to be pulled up.

If you have any questions concerning the instructions mentioned above, please contact our office at (865) 539‐0270.

After Your Vasectomy

Keep the wound clean and dry.
You will have a small wound less than ¼ of an inch on your scrotum, just below the penis.  There will be a small amount of weeping for the first couple of days.  We will give you Polysporin, an antibiotic ointment, and some gauze pads.  You will apply a small amount of the antibiotic ointment to the wound and cover with 1‐2 gauze pads.  Change the gauze pads as often as necessary.  There should not be a
great amount of bleeding, just weeping.

Apply cold packs to the scrotum off and on for the first 24‐48 hours. 
Insert cold pack into the pouch on the front of the athletic supporter.  You will have less swelling and discomfort if you keep cold around the area for the first 24 hours.  Spend as much time lying down as possible for the first 2 days.  The more time you are upright, either sitting or standing, the more swelling and related discomfort you will have.

Wear the athletic supporter.
Wear the supporter for a week, or longer if it feels more comfortable to you.  The added support to the area will decrease the swelling and discomfort.

Avoid strenuous activities for 5‐7 days.

Talk to the physician about returning to work if you have a job that requires manual labor or heavy lifting.  Most patients return to work 2 days after a procedure, but if your position requires lifting or straining, the physician may give you a written excuse for limited lifting for a specified length of time.

Do not sit in a bathtub or go swimming in a pool or lake until the wound is completely healed.
Doing this would increase your risk of infection and delayed healing.   

You may shower 24 hours after the procedure.
Pat dry the wound and reapply the antibiotic ointment, gauze and athletic supporter when dry.

Do not ejaculate for one week after your procedure.
After one week, you may resume sexual activity as tolerated, but YOU MUST USE AN ALTERNATE FORM OF BIRTH CONTROL.

Do not rely on the vasectomy as birth control until you are given clearance by your health care
provider.
Three months after the procedure, you will need to take a semen samples to Parkwest Medical Center for analysis.  You must use an alternate birth control until you receive notice from our office of a ZERO sperm count.

If you have any questions or concerns, please contact our office at (865) 539‐0270.  We will be glad to assist you in any questions, concerns or complications you may have. 

 

QUESTIONS FOLLOWING VASECTOMY:

1. INTERCOURSE: No ejaculation for one week. This increases the success rate. Except for soreness, there is no reason to delay longer than one week before resuming normal relations. There is no loss of or change in normal sensation of intercourse after vasectomy. Sex drive will continue as before surgery. Some individuals claim that their sex life improves greatly due to the elimination of the fear of pregnancy. USE BIRTH CONTROL UNTIL WE TELL YOU THAT YOU ARE STERILE!

2. HOW LONG BEFORE I’M COMPLETELY STERILE? Vasectomy stops the flow of sperm to the seminal vesicles. However, one must deplete the stored sperm. ONE SHOULD CONSIDER HIMSELF FERTILE UNTIL HIS SEMEN IS CHECKED MICROSCOPICALLY THREE MONTHS AFTER SURGERY TO DETERMINE THE ABSENCE OF SPERM.

3. WHEN AND HOW DO I BRING IN THE SEMEN SPECIMEN: Three months after surgery, take a specimen in a clean container provided to you by our office to the Ft Sanders Parkwest outpatient lab within two hours of collection. Do now use a condom- many contain materials that kill sperm. We will call you with the results.

4. WORK? Most men return to work within two to three days if they do not perform manual labor. If one does manual labor, we suggest waiting about five to seven days before returning to these heavy activities.

5. SPORTS? As with manual labor, strenuous athletics should be avoided for five to seven days following the vasectomy.

6. STITCHES? There will usually be no stitches that need removal. You will be told if there are stitches to be removed.

7. ANTIBIOTICS AND HEALING? Antibiotics are not given routinely following vasectomy. If the area is not dry and healed in about two weeks, CALL YOUR PHYSICIAN.

8. WILL I PRODUCE AS MUCH SEMEN? Since the sperm make up a very small part of the total bulk of semen you will note little, if any difference in the amount of semen produced.

9. WHAT HAPPENS TO THE SPERM AFTER VASECTOMY? Sperm reproduction continues but at a slower rate that before vasectomy. Production of fully mature sperm comes to a virtual standstill. A few mature sperm are produced and disintegrate in the tubules of the testicle.

10. HOW ABOUT MY MALE HORMONE (TESTOSTERONE)? Male hormone production continues undisturbed by the vasectomy. The production of sperm and the production of hormones are two entirely different mechanisms.

11. WILL I BE IMPOTENT? There is no physical reason for impotence to follow vasectomy. If the physician gives a good explanation of the simplicity of the procedure and the patient understands the same, impotence should not occur as a result of vasectomy.

12. DOES THE VAS DEFERENS EVER “RECONNECT” BY ITSELF? For varying reasons-type of suture, infection, type of operation or otherwise- occasionally a man will redevelop sperm in his semen at some time after vasectomy. This is why the operation is advertised as 99.9% successful. This is why we insist that a semen specimen be examined in three months after final clearance is given. Even with the finest physician the vas deferens will occasionally recanalize. This is very rare though. If one is checked after vasectomy and told he is sterile the possibility of spontaneous reconnection is remote.

13. SHOWER OR BATH? You may take a shower 24 hours after your vasectomy. It is best not to sit down in water in a tub, pool, lake, etc. until the incision is completely healed.