Before and After Your Vasectomy
Before the Vasectomy
Once you have considered the pros and cons of a vasectomy, contact our office to schedule your consultation with one of our physicians. At that time, he will review the procedures with you and answer any other questions you may have. Advanced Urology offers an initial consultation AND your procedure all in the SAME DAY. You have kids = You are busy. Why not get this done all in the same day and get back to your family, work, and your everyday life.
There are several things you can do—as the patient—to insure you are ready for your Vasectomy:
- Please make sure you have somebody available to DRIVE you TO/FROM our office. We may prescribe a mild sedative for patients to take prior to surgery to reduce any anxiety. If you do take the preoperative sedative, please arrange for a family member or friend to drive you to and from the office on the day of the surgery and arrive to your appointment on-time.
- AVOID any blood thinners and aspirin products 1 week prior to the procedure. Please contact prescribing physician prior to discontinuing any prescribed medication or contact our office with concerns.
This includes: Coumadin, Plavix, Ecotrin, Aspirin, Ibuprofen, Advil, Motrin, Aleve, Fish Oil, or Vitamin E.
- Please wear comfortable clothing—including supportive underwear (i.e. brief-style) – and shave any pubic hair in the scrotal area.
- Possible arrangements may need to be made with your job or life-style because the doctor requires:
**Please remember to have your:
- Insurance Card and Photo ID when you check-in at the front desk.
After the Vasectomy
Once your procedure is complete, you will leave to go home with your ride. Upon returning home, relax and take it easy for a couple of days. TWO DAYS of relaxing, maybe watching some sports on the couch. This is to decrease the amount of swelling and protect the incision site. After 48 hours, you can increase your activity based on your own comfort. Avoid exercise and heavy lifting for one week.
Levels of post surgery discomfort vary for each man. You will experience some soreness in the scrotum, which varies from person to person. Regardless, here are a few recommendations:
- Avoid bathing/swimming for 5 days.
- Avoid heavy lifting or exercise for a week.
- It is normal to see some redness, swelling and bruising around the surgical area.
- It is normal to feel some discomfort to the surgical area for a few days after the procedure. Using an ice pack or wearing supportive underwear may be attempted.
- Taking medication to relieve mild discomfort (such as Tylenol or Ibuprofen) is allowed.
- if your work requires lifting or strenuous activity, you may want to wear an athletic supporter or jock strap for a week or two after the procedure
- For any pain of discomfort, we recommend taking acetamiophen. Some patients also use and ice pack or sit on a frozen bag of peas to help with discomfort.
- You may shower the day after surgery, but avoid bathing or swimming for 2 or 3 days.
CONTACT OFFICE IF EXPERIENCING:
- Fever or Chills
- Persistent Pain
- Difficulty Urinating
- Marked Scrotal Swelling
- Continuous Bleeding or Drainage of Wound
You may resume sex after 48 hours when you’re comfortable. However, continue using birth control!!
- The Vasectomy procedure has a success rate of about 99.8 percent. But you are still “potent” after the vasectomy. Even though the sperm is blocked, there will still be sperm in the semen. It generally takes at least 15 – 20 ejaculations or 2 months—until your semen samples are considered free of sperm, but it may take longer to flush them all out. So you will still need to practice other forms of birth control until your semen is sperm-free.
- We recommend patients get their first semen analysis done about eight weeks after the vasectomy, the second about twelve weeks after surgery. Once two consecutive tests show no sperm, you are considered sterile and will no longer need to use other methods of birth control.
- You must have 2 Consecutively NEGATIVE semen analyses before you can discontinue using any contraceptive devices or precautions.
LOCATIONS for SEMEN ANALYSIS:
- Quest Diagnostic (3 locations)
- Provena Saint Joseph Medical Center
- Silver Cross Hospital
- Morris Hospital