Patient Instructions After Vasectomy

Detailed Patient Instructions After Vasectomy

1. Wait 24hrs to take a shower.
2. Wear the supportive underwear provided for 48hrs and then as needed after that.
3. It is important to start ejaculating after 1 week but not before that. Blood in the semen within the first month or two after a vasectomy is normal and no cause for concern.
4. If you have worsening discomfort post operatively or reoccurrence of pain having been pain free, please call us on the numbers provided.
5. On the same day of your vasectomy, you should go home and rest for the remainder of the day and evening after the procedure. Minimize any kind of activity. Some men have no pain at all while many others have mild aches in the groin like being kicked in the scrotum or abdomen. That is because the testes originate from the abdomen as an embryo and share some nerve supply. Anything in the scrotum may be perceived in the abdomen as well. The normal healing time after vasectomy ranges from 1 to 3 weeks with an average of about 14 days.
6. You will have only one small wound less than 1 cm after your procedure. It may be felt anywhere from the base of your penis to anywhere on your scrotum. We will also apply a thin layer of specially formulated skin glue that works immediately to help stop bleeding, helps prevent infection and promotes healing of the wound faster. The skin glue may peel off after just a few hours (often same day) but will continue to work and the wound will then usually seal in 3-4 days. A little bleeding from the wound is normal.
7. For the first 48 hours, take 2 tablets of Panadol every 6 hours and ice the area regularly (every half hour as much as practical in the first 24 hours). If Panadol is insufficient, please step up to Solpadeine as directed on the packet. Panadol instead of anti-inflammatories like ibuprofen is preferred because
   inflammation is a normal component of the initial healing process and we prefer not to interfere with it.
8. After 48 hours, take 2 tablets of 200mg ibuprofen (400mg total) every 8 hours (max 1200mg total in 24 hours) no matter how good you feel, as this will reduce the post-surgical inflammation. Do this for a minimum of four days. You may continue this up to two weeks if desired. If you get side effects, then of course stop the pills. If you have kidney problems, please let us know as you should not take any antiinflammatories in this case.
9. For the first week, continue to avoid any exertion, exercise, extensive walking, climbing, jogging, cycling or sport. In general, avoid lifting more than 7 kg (including babies or children) in the first week. After one week, when pain and tenderness are minimal, you may return to your usual activity but on the first day back start off at 1/2 your usual workout.
10. It is normal to have some discoloration of the skin (blue and black) around the puncture site a few days after your vasectomy. This will gradually go away.
11. Some men will develop swelling and tenderness on one side or both after a few days or up to 3 months after a vasectomy. This is usually due to an  exaggerated inflammatory response that is often normal and necessary for sperm recycling and reabsorption. It is managed effectively with Ibuprofen 600 mg 3 times a day for 7 days. You might notice a lump on each side of your scrotum (sometimes up near the abdomen) after your vasectomy for a few weeks. That is a scar where we cut and sealed your vas. It usually feels like a knot the size of a pea and may swell to the size of a marble and be tender for a few
    weeks after the procedure but then becomes smaller and non-tender.
12. Please remember that you need to do a semen check after 4 months following your vasectomy. Continue other contraception methods until the doctor reviews your test results. You will want to achieve 25 ejaculations within the first 4 months of your vasectomy to flush out the existing sperm in
    your reproductive tract.
13. You have telephone access to our doctor for any issues up to one year. Otherwise, for non-emergency issues please book an appointment with our office.