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Vasectomy Reversal

Vasectomy, medically termed vasovasostomy reversal procedure to restore fertility by reconnecting the ends of the severed vas deferens, which is located in each side of the scrotum, or by connecting the vas deferens to the epididymis, the small organ on the back of the testis where sperm matures.

When you get home:

Diet

You may return to your normal diet immediately. Stay hydrated and increase your fiber to avoid being constipated.

Activity

Your physical activity is to be restricted immediately following your vasectomy reversal. This is particularly true during the first five days after surgery. During that time you should remain relatively inactive and avoid lifting any heavy objects (anything greater than ten pounds). Apply an icepack directly to the scrotum for the first 5 days. This ice pack should be applied off and on for approximately 48 hours. You should limit stair climbing and avoid driving and limit any car rides. It is extremely important that you do not engage in sexual intercourse, and do not ejaculate for at least 3 weeks following surgery. The vas deferens must be kept "at rest.”

Medication

You will be discharged with a narcotic analgesic. If pain is not too bad, we suggest Tylenol or Motrin over the counter. You will also be discharged with a 5 day supply of antibiotics which you should take according to the directions on the bottle.

Wound

As mentioned above, an ice pack should be applied to the scrotum off and on for the first 48 hours following surgery. You will go home with a jock strap, as well as gauze fluffs protecting the scrotum and incision sites. This gauze should be changed on a daily basis for at least three or four days. You may decide to wear the jock strap for seven to ten days since it will give you additional support and protection. You may start showering 2 days following surgery, but avoid scrubbing the scrotum vigorously and do not take tub baths until told to do so.

Side Effects:

Problems you should report to us:

  1. Fevers over 101.5 degrees Fahrenheit
  2. Excessive swelling of the scrotum and/or bleeding
  3. Drug reactions (hives, skin rash, nausea or vomiting)

Follow Up:

You will need a follow-up appointment to monitor your progress. Call the office within 24 hours to set up your follow up appointment within 10 days. Since it takes over seventy days for sperm to develop, we usually do not perform the first post-operative semen analysis (sperm count) until eight to ten weeks following surgery. Again, it is important to mention that you should not ejaculate for the first three weeks following surgery.