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Vasectomy

A vasectomy is a minor surgical procedure designed to interrupt the sperm transportation system between the testicle and the urethra by blocking the vasa deferentia. The procedure is performed in your urologist's office. In general, vasectomies are for male sterilization and/or permanent birth control. 

Pre-treatment:

In the morning before your vasectomy, you will need to shave your scrotal area concentrating towards the base of the penis. Bring or wear loose fitting slacks or sweatpants. You may have a light breakfast the day of your procedure and may take any medications with sips of water. You may be receiving a sedative during the procedure. It is absolutely necessary that you have someone present at the time the procedure starts to drive you home. If you are unable to have someone with you, we will need to reschedule the procedure when you can have someone available. Please bring a scrotal support (jock strap) with you as it will be necessary to wear this immediately after the procedure. If you should have any questions concerning the procedure or the preparation for it, please feel free to call your doctor's office. Do not take aspirin/aspirin containing products/ibuprofen/Naprosyn, etc. for at least 10 days before the procedure.

When you get home:

Activity

  • If you have been given a sedative during the procedure, do not engage in activities that require alertness; no driving, machinery, or consumption of alcoholic beverages today or while taking narcotic pain medication
  • Wear a scrotal supporter or firm fitting underwear for 1-2 weeks. Thereafter, you may wear it as long as you are more comfortable with it than without it
  • You may remove the bulky dressing inside your supporter the day after the procedure. If you have some drainage from your incision, place a gauze sponge inside until it subsides
  • You may resume sexual intercourse when it is comfortable for you, usually five to seven days. Avoid strenuous physical exercise for 1-2 weeks, and gradually increase as tolerated. You may perform all other normal duties
  • You may shower in 48 hours. Do not scrub the area. Just let the soap and water run over your scrotal area. Do not take a bath or swim for 5-7 days

Medication

  • You will be given a prescription for pain management. You can begin taking your medication at the first sign of discomfort and thereafter as directed. However, if the pain is minimal, we suggest Tylenol or Motrin over the counter
  • Apply an ice pack directly on top of the supporter when you get home (a bag of frozen vegetables works well). Use this for the next 12-24 hours. This will help keep the swelling down and provide pain relief
  • Continue to use birth control until you have been told that there are no sperm in your ejaculate. Generally, it takes approximately 20 ejaculations to clear the sperm or 8 weeks. You need to bring a specimen to the office at 8-12 weeks to be checked. You can drop off the specimen at the office.

Side Effects:

All stitches dissolve in 10-14 days. Your incision may not have stitches and the physician will inform you of this. You may notice a small separation of the incision and possibly a small amount of discharge or bleeding. Do not worry about this unless you develop signs of an infection or bleeding: fever, excessive redness, excessive swelling, foul smelling drainage or pain not relieved with pain medication.

Follow Up:

You do not need to be seen unless you have a problem or question. You will be called later in the day with the results.