Docteur Jean-Philippe Bercier BSc, MD, CCFP
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Introduction
La préparation
L’intervention
Le rétablissement
4 – Rétablissement
Vous serez sans aucun doute soulagé de vous lever et de marcher après avoir passé deux à trois heures en position couchée. Cependant, nous vous demandons de retourner à la maison ou à votre chambre d’hôtel et de limiter vos activités. Passez la soirée dans le lit ou sur le canapé; lisez ou regardez la télévision. Votre scrotum devrait être à la même hauteur que votre cœur pour limiter la pression veineuse dans le scrotum et les saignements et ce pour 72 heures.
Directives à suivre après la vasovasostomie
- Mangez ce que vous voulez et autant que vous le souhaitez.
- Prenez les antibiotiques selon l’horaire prescrit.
- Gardez le support scrotal lorsque vous allez à la selle pour les premiers 48-72 heures.
- Nous vous suggérons de glacer l’avant de votre scrotum, par-dessus le support scrotal, pendant 72 heures, 30 minutes avec glace, 10-60 minutes sans glace.
- Avant de quitter nous vous donneront une prescription pour de la Prednisone et du Celebrex.
- Si vous ressentez toujours un inconfort malgré la Prednisone ou le Celebrex, prenez du Tylenol. Ne prenez pas d’aspirine.
- Des gazes supplémentaires vous seront fournies. Changez la gaze par l’ouverture du support scrotal lorsque la taille de la tache de sang atteint celle de la moitié d’un dollar.
- Gardez votre rendez-vous de suivi le lendemain de l’intervention. À ce moment, le petit tube de drainage inséré lors de l’inversion sera retiré, une étape que la plupart des patients ne sentent même pas. L’incision est laissée ouverte afin de permettre le drainage et la guérison dans toute la profondeur.
- Si vous quittez le cabinet en voiture, laissez votre partenaire conduire.
- Les voyages en avion ne sont pas permis dans les deux semaines suivant l’inversion.
- Vous pourrez retirer le support scrotal et la gaze et vous doucher deux à trois jours après l’intervention. Lavez doucement votre scrotum avec du savon et de l’eau, séchez-le en tapotant avec une serviette et remettez un support scrotal. Vous pouvez également appliquer quelques gouttes de peroxyde d’hydrogène sur l’incision quotidiennement pour la garder propre.
- Deux à trois jours arpès l’intervention, vous pouvez utiliser une coquille de protection plus traditionnelle (le « jockstrap ») et la baisser lorsque vous urinez ou allez à la selle. Nous vous demandons de porter le support scrotal pendant deux à quatre semaines. Utilisez une gaze s’il y a des taches de sang du site d’incision, simplement pour ne pas tacher votre support.
- La décoloration de la peau est possible autour de l’incision. C’est normal. Cette décoloration s’étend parfois à la base du pénis, et l’incision peut prendre de deux à trois semaines à se refermer.
- La plupart des hommes peuvent reprendre leurs activités normales et travailler environ 14 jours après l’inversion. Pour ceux qui ont des occupations ou des passe-temps exceptionnellement physiques tels que: l’haltérophilie, les squats, les redressements assis, le vélo de route, l’équitation ou des activités similaires, nous les encourageons à éviter celles-ci pendant 4 semaines complètes.
- Les éjaculations doivent reprendre deux semaines après l’intervention. Vous pourriez remarquer du sang dans l’éjaculat; il n’y a cependant pas de quoi s’inquiéter. Par la suite, nous suggérons une éjaculation au moins toutes les 48 heures.
- Prenez un RDV dans un laboratoire médical afin de produire un spermogramme un mois après l’inversion. L’analyse pourrait aussi être refaite de trois à six mois plus tard. Cela dépendra des résultats du prélèvement et d’une éventuelle grossesse.
- La fréquence des rapports coïtaux optimaux sont toutes les 48 heures, de 6 jours avant le jour de l’ovulation à 1 jour après le jour de l’ovulation. Le taux de succès étant encore meilleur 3 jours avant le jour de l’ovulation jusqu’au jour de l’ovulation.
- Il est également important d’éviter une chaleur excessive au niveau du scrotum tant et aussi longtemps que vous essayez de concevoir. Évitez les longs bains chauds, les saunas, les bains à remous, etc.
LISEZ LES COMMENTAIRES
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!
I would highly recommend Dr Bercier. They are very well organized there and I was in and out in 15 to 20 mins.
Great service, quick turnaround and excellent communication. I recommend this clinic to everyone I know. Truly a cut above the rest!
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.
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 .
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
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!
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!
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!
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!
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
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!
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.
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