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Docteur Jean-Philippe Bercier BSc, MD, CCFP

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PRENEZ UN RENDEZ-VOUS

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Introduction

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La préparation

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L’opération

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La guérison

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4 – Guérison

La vasectomie demande une période de rétablissement rapide, on parle ici d’un retour progressif à la normale en 7 jours. Cette procédure n’entraîne aucun changement en ce qui a trait à la libido, à l’orgasme, à l’érection, aux testicules ou scrotums.

On demande aux patients de maintenir les activités au minimum pendant 7 jours. Le patient peut retourner travailler (si celui-ci est sédentaire) la journée suivant l’intervention.

La vasectomie n’affecte aucunement la virilité de l’homme, puisqu’elle n’a aucun effet sur les hormones mâles produites par les testicules.

Le désir sexuel, l’habileté d’atteindre et de maintenir une érection, et la sensation d’un orgasme demeurent les mêmes suivant la vasectomie.

Puisque les spermatozoïdes ne représentent que 2-5% du volume de sperme, la majorité des hommes ne remarquent aucun changement dans les fluides reproducteurs mâles.

Directives à suivre après la vasectomie

  • Après la vasectomie, passez une soirée tranquille à la maison. Étendez-vous dans votre lit ou sur le sofa. Gardez vos activités au minimum.
  • Vous pouvez commencer à mettre de la glace quelques minutes après la vasectomie. Appliquer un sac de glace sur vos sous-vêtements ou sur votre support scrotal pendant 20 à 30 minutes à la fois, toutes les heures, ou au moins 3 fois par jour, pendant quelques jours.
  • Vous pouvez prendre de l’acétaminophène (Tylénol ou générique) si vous éprouvez du mal.  Si ceci n’est pas suffisant pour vous soulager, vous pouvez aussi prendre un anti-inflammatoire comme l’ibuprofène (Motrin, Advil ou générique) ou le Naproxen (Aleve ou générique).
  • Pas de baignade ni de nage (piscine, lac, bain, etc.) pendant 7 jours. Vous pouvez nettoyer votre scrotum sous la douche dès que la plaie est refermée.
  • Vous devriez porter le support athlétique pour les 7 premiers jours suivant l’intervention.
  • Après 7 jours, lorsque la douleur est partie et que la sensibilité est minimale, vous pouvez retourner au gymnase ou faire de la course ou du vélo. Cependant, lors de votre première journée de retour à ces activités, il est préférable de ne faire que la moitié de vos exercices : la moitié des poids; la moitié des répétitions; la moitié de la vitesse; la moitié de la distance, etc. Si la douleur ne revient pas, vous pouvez faire vos activités habituelles la journée suivante.
  • L’Association Américaine d’Urologie stipulent d’attendre une (1) semaine avant d’éjaculer et que vous n’avez plus de douleur ni de sensibilité. La présence de sang dans le sperme lors des premières éjaculations, ou même jusqu’à un (1) mois après la vasectomie, n’est pas commune, mais si c’est le cas, il n’y a pas raison de s’inquiéter. Utilisez d’autres méthodes de contraception jusqu’à ce que l’on vous dise que votre sperme ne contient plus de spermatozoïdes vivants.
  • Puisqu’aucun point de suture n’est utilisé pour fermer la petite ouverture de la peau, une visite de suivi n’est pas requise. Cependant, si vous éprouvez un inconfort excessif ou si vous avez toute autre inquiétude, vous n’avez qu’à nous rejoindre via le Portail de nos cliniques. Environ 10 % des hommes connaîtront un peu de malaise jusqu’à deux (2) semaines après l’intervention et 1-5 % jusqu’à trois (3) mois suivant l’intervention.
  • Il est normal d’avoir un peu de décoloration de la peau à l’endroit où vous avez été piqué. Certains hommes verront une décoloration considérable du scrotum après la vasectomie. Le sang du site de la vasectomie vient à la surface et se présente par une marque bleu violacé. Cette marque devient plus foncée et se propage pour ensuite disparaître avec le temps.
  • Le granulome spermatique est un résultat prévu d’une chirurgie de vasectomie. Une petite masse de la taille d’une amande se forme à l’endroit où le canal déférent (le conduit par où le sperme sort du testicule) a été coupé, ce qui ferme le canal de manière naturelle. Cette petite bosse rétrécit avec le temps et elle est parfois impossible à déceler un an après la chirurgie. Il ne faut ni toucher ni examiner la bosse, sinon des complications pourraient s’ensuivre.
  • Au moins 12 semaines et 20 éjaculations après votre vasectomie, apportez ou envoyer un échantillon de votre sperme au laboratoire. Il est fortement recommandé d’utiliser une méthode de contraception jusqu’à ce que la clinique du Dr Bercier vous communique les résultats de l’analyse. S’il y a absence de spermatozoïdes, une autre forme de contraception ne sera plus nécessaire. Toutefois, dans environ 5-10 % des cas, l’analyse n’est pas concluante. Si c’est le cas, nous vous demanderons un autre échantillon 4 à 6 semaines suivant le précédent. Celui-ci devra être analysé dans un délai de 2 heures suivant l’éjaculation et devra donc être fait au laboratoire même.

LISEZ LES COMMENTAIRES

Colin LumsdenColin Lumsden
20:45 21 Mar 24
Great experience, on time, ready, clear and the receptionist was outstanding. The "blue balls" upon exit was a great touch to add an element of fun to the experience. Highly recommend Dr. Bercier and team!
Corey LecoursCorey Lecours
19:53 21 Mar 24
Great care from the staff
vinetusvinetus
19:38 21 Mar 24
terry luterry lu
23:50 20 Mar 24
I would highly recommend Dr Bercier. They are very well organized there and I was in and out in 15 to 20 mins.
Kevin AmesburyKevin Amesbury
20:20 20 Mar 24
Great service, quick turnaround and excellent communication. I recommend this clinic to everyone I know. Truly a cut above the rest!
Dave TurnbullDave Turnbull
21:26 07 Mar 24
Fast, efficient, business friendly, professional, and painless. Great work. Just follow their instructions regarding before and after procedure and all will be fine. That's how I see it.
Chris ClairmontChris Clairmont
21:50 06 Mar 24
I was very hesitant to book and honestly a little frightened. Upon showing up it was very thorough , very fast and felt absolutely nothing . Leave your pride at the door , and get it on the way out . I had over thought the process , and it was really done before I knew it .I did feel the after care amount of 170$ was quite steep as I feel most of which should be covered under ohip , 50$ for the glue he used? , 12$ for 2 condoms ? Was made mandatory to pay before but on the after care sheet was stated as an option .all in all , I am happy it’s done . And anyone looking to book , know it was a real easy , painless procedure .
Francois DubeFrancois Dube
21:05 06 Mar 24
My appointment was at 10:20, I got there a 10 and at 10:22 I was in my car riding back home. Professional, quick and effective procedure. Did not feel a thing while the doc was performing the vasectomy. 100% recommend this place.
Create , incredible... Make easy service ! The Doctor was relax and very professional! The attitude and the overall atmosphere was very noice and casual
Andre ComtoisAndre Comtois
16:37 06 Feb 24
This clinic is great. They've really perfected the craft. In and out, takes longer to sign in than it does to get the procedure done. Procedure was painless. And I left with no risidual pain either. A big thank you to Dr. Bercier and his team.Note - As part of your mental prep for this procedure, make sure you know what music you want to have playing while it happens. Or else you may end up hearing The Dixie Chicks when you really don't want to hear them.
The best!!!! If I could do the operation again, I would do it again without hesitation! Dr Bercier is the doctor of the situation, my Doctor, our Doctor quite simply! In addition, its painless technique is positioned from afar, in the allegorical floats, in front of the parade, whatever. 🙌🙌🙌🙌Dr Bercier, THANK YOU
My vasectomy with Dr. Dumais went very well. I was worried, but she told me to settle down and not to worry. Well, without other options, I settle into my greatest vulnerability. No discomfort or pain felt. According to some reviews, the post-op kit contains unnecessary items. This is not the case. I try to add a photo of the work, but it doesn’t work :/ Thank you Dre Dumais
Vasovasostomy by Dr. Bercier. Efficient, professional and dedicated. Strongly recommended!
Mike VetteseMike Vettese
02:13 12 Oct 23
The staff and Dr Bercier have created a very calm experience. In and on within 15 mins and the actual procedure was seriously 2 mins. Best in the biz!
Maxx LMaxx L
00:12 06 Oct 23
Amazing. In and out in 20 minutes. Healing is going very well. Hardly feel a thing. In all honesty it's pretty nice to get a few days just to relax. Keep it up!
Rob CarterRob Carter
21:19 02 Aug 23
Had my vasectomy performed by Dr Dumais, who has taken over for Dr Weiss who has since retired. She was absolutely excellent. Great bedside manner, clear explanations of what was happening and any potential discomfort that might be felt during each step. Entire procedure from freezing to finish took under 10 minutes.Before beginning Dr Bercier confirmed my age (31), that I had no children, and that I was 100% certain I never wanted to have any (and that my partner felt the same way). She reiterated that while surgical reversal is sometimes possible, the procedure should be considered permanent.Nurses/office staff were friendly and efficient. Got up from the table a bit too quick and ended up sitting down in the chair and fainting. They were right on top of things and immediately went into their usual routine for when those things happen. We had a little chuckle about it, and at no point did it feel weird or judgemental which I very much appreciated.A couple of other notes based on some things mentioned in a few other reviews here:- Total out of pocket fees are $170, consisting of a $20 deposit and $150 on the day of the procedure. Those costs are detailed in the attached photo of the “Pre and Post Vasectomy Kit”. As detailed on the page patients can choose to pay only for the specific items/services they want, and they also give you a week post-procedure to request a refund and pay only for the needed items. This information is not provided anywhere before going in, so most will just pay the $170 and be done with it. While some of these costs are certainly quite highly inflated, they do help make up for the fairly minimal compensation the clinic receives from OHIP for each procedure.- Website is a bit of a mess, although most of the important bits are easy to find (and all the most important info is attached to the emails you’ll get). Specifically one thing they have changed is that you do *not* need to travel to the office to pick up your vasectomy package before the procedure! You are given it after your appointment just before leaving.- To the few complaining about pain/discomfort lasting more than the first week and “not being made aware of the risks”… did you not bother to fully read through the documentation available both on the website as well as repeatedly sent to you in the emails? All of the risks and rates of various complications are explicitly laid out in advance. Every body is different, and there is a small chance of a variety of complications. Choosing to ignore the provided information and then complaining that you wouldn’t have gone through with it if you knew is just ridiculous.One last recommendation for the doctors here: I highly recommend investing the few thousand dollars towards having a professional web design company re-build you a new website from the ground up. The current site is a mess, particularly on modern phones, and this is something that will radically improve the patient experience.Edit 2023/10/24: Wow, the new website is looking great!
Gaignun KukaiGaignun Kukai
03:43 18 Jul 23
Dr. Valerie Dumois did my vasectomy, and she was really quite kind willing to answer questions. It was for the most part painless and the pain you feel is minimal. Reception was also pretty great they answered all my questions to male sire I heal properly. Was great meeting them all and doing it the modern way or a scalpel and needle is definitely in every males favour. Thank you so much for being such great people
Garlic Jr.Garlic Jr.
18:19 06 Jul 23
Half an hour to my appointment they told me to wait outside(35 degrees celcius) until exactly my appointment. Dr. Bercier if you can call him a doctor had the most rude and disrespectful attitude I've had from a doctor. I asked him three questions to which he said he didn't care. During the procedure I simply asked how long does it take and he replied with "How long do you think it takes? Did you see me with the other patients?" I think his attitude was racially motivated because I'm not French. Don't come here! Go somewhere else!
BongoBongo
19:58 19 Jun 23
Great clinic, 5 stars all around. Leading up to the appointment they provide you with fantastic information that explains everything in detail. Great communication, super organized, friendly and professional. Everyone from reception, to the nurse, to the doctor - all were pleasant, efficient, and professional. It was a huge piece of mind. The doctor played my choice of music during the procedure. It was practically painless, with only minor discomfort for a brief moment, and it was quick. I am now recovering comfortably with very detailed instructions about how to enhance my recovery. Thank you Dr. Weiss and Dr. Bercier! Highly recommend.
Louis KearnsLouis Kearns
16:14 28 Apr 23
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