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Dr. Jean-Philippe Bercier BSc, MD, CCFP

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Introduction

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Preparation

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Operation

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Recovery

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4 – Recovery

You will undoubtedly be relieved to get up and walk around after four hours of lying supine. However, we ask you to return home or to your hotel room and minimize activity. Spend the evening in bed or on a sofa; read or watch television (your scrotum should be as high as your heart to minimize scrotal venous pressure and bleeding).

Backaches are possible during the overnight hours. We suggest you sleep on your side with hips and knees flexed or on your back with your legs elevated on five or six pillows so that your hips and knees are flexed at a 60-degree angle. Doing so will keep your lumbar spine straight and eliminate the lordotic curve, providing excellent relief for most back-pain sufferers.

Post Vasectomy Reversal Instructions

  • Eat whatever you like, as much as you desire.
  • Take the antibiotics per prescription schedule.
  • The scrotal support should be left on during bowel movements.
  • If you have any discomfort at all, plain Tylenol will help. Do not take aspirin.
  • Extra gauze will be provided. Change the gauze through the scrotal support opening when it becomes blood stained over an area about the size of a half dollar.
  • Keep your follow-up appointment on the day after the procedure. At that time, I will remove the small drain tube inserted at the time of the reversal, a process that most patients don’t even feel. The incision is left open to allow drainage and healing from the bottom to the surface.
  • If you leave the office by car, your partner should drive. Once you have returned home or to your hotel, you should be in a reclining position for at least a few hours after the drain removal. Air travel is not permitted until two days after the reversal.
  • You may remove the scrotal support and gauze and take a shower two days after the procedure. Gently wash the scrotum with soap and water, pat it dry and reapply a scrotal support. (Soap and water will not infect the wound.) At this point, you may use the more traditional “jock strap” athletic supporter, the top of which must be lowered for urination. However, we ask you to wear the scrotal support for three weeks: day and night for the first week (except during showers); daytime only for the next two weeks. Use gauze if there is any spotting from the incision site, just to keep your support unstained.
  • Skin may be discoloured around the incision. This is normal. This discoloration sometimes extends part way down the shaft of the penis, and the incision may not close for two or three weeks. Apply a few drops of hydrogen peroxide in the incision daily to keep it clean.
  • You may return to light work on the fourth post-operative day while wearing the scrotal support. Do not lift more than 20 pounds during a two-week period.
  • Unless otherwise instructed during your follow-up appointment, intercourse may resume intercourse three weeks following the procedure. Allow your partner to dominate until you sense that you are well into the healing process. You may notice some blood in the ejaculate; however, this is no cause for concern.
  • Bring a semen sample in the container provided or in any tightly sealed, clean container to a medical lab one month after your reversal. The test may be repeated three to six months later. This will depend on the sample results and possibility of pregnancy.