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After the vasectomy

Postoperative supervision

After the vasectomy, the doctor will ask you to stay in our recovery room for 15-20 minutes before leaving. The monitoring period is important to ensure that you do not have any adverse reactions to anesthetic drugs (eg. allergy). With nervousness some patients can experience a temporary drop in blood pressure after surgery. The monitoring period allows to ensure that you are ready to resume your daily activities.

Bandage

Once the surgery is completed, the doctor will place a small piece of cotton and tape on the incision. You have to keep it for about 5 hours after the operation, then you can remove it and it will no longer be necessary to cover the incision. The bandage won't be in the way if you need to urinate after the procedure. This type of surgery will not affect the normal process of urination.

Local anesthetic

The numbness will go away about 1 to 2 hours after the surgery.

Pain

It is normal to feel a tingling sensation once the anesthetic has worn off. Your testicles might feel heavy for 3 or 4 days after the surgery, this is normal. You will mainly feel discomfort rather than pain.

If you want, you can take Tylenol, Advil or Motrin to get rid of the discomfort.

You can also apply a bag of ice bag in a humid wash cloth. Never apply ice directly onto your skin. A small bag of frozen peas is a practical way to apply cold.

Bruising

It is normal to have a small bruise on your scrotum or even on your thighs after the operation. The operation. The bruising will go away after a few days, like any other bruise.

Tight underwear

You must wear tight underwear day and night for 5 days. The less your testicles move the faster the healing process will be. A scrotal support (sold in pharmacies) may be a good idea.

Bathing and Showering

You can take a shower the day after the surgery but you must wait 3 days after the operation before taking a bath or going in a swimming pool or a spa (they might soften your skin to much and re-open the incision).

Walking

You can walk, use stairs and even drive a car right after the surgery.

Physical Effort

It is crucial that you avoid any physically demanding activities for 5 days after the operation.

It is recommended not to lift anything heavier than 20 pounds. Your blood pressure rises whenever your body makes any kind of effort and this might cause some small blood vessels to burst inside your scrotum causing pain and swelling for weeks. This is why it is important for you to relax for 5 days after the surgery and avoid problems for 2 weeks.

Work

Your return to work will depend on what your job entails. If your job does not require any physically demanding activities, then you can start working the day after the operation.

If your job requires physical labour, as mentioned earlier it is important to take 5 days off. The doctor can give you a note if your employer requires one.

Sports

Avoiding any sports is recommended. You can slowly start again one week after the operation. You can always take walks as long as you don't carry anything with you , and you walk at a normal pace.

You should wait at least 2 weeks to practice more physically demanding sports or sports with possible impact to the testicles (martial arts, water skiing, horse back riding, biking, ski-doo, motorcycle, squash etc.)

If you go to the gym, lifting weights is not advised for one week. You can start lifting weights again one week after the surgery but you should reduce your normal lifting weight by 50% for the first 2 days and then if there are no problems you can return to your usual routine.

Sex

If you are felling well, you can have sexual intercourse 5 days after the surgery. There might be a bit of blood in your sperm and you might feel a bit of discomfort at first but this is normal.

Your sex life wont take to long to return the way it was before the operation. Your erections, libido and orgasms will be the same.

The semen only contains 2% of sperm. The rest is a conservation liquid made by your prostate. Once your sperm storage is empty (normally 2-3 months after the vasectomy), you will carry on ejaculating the same way but the sperm will obviously be missing.

Sterility and Spermogram

You will not be sterile immediately after the surgery.

Your seminal vesicles can store up to 2-3 months of live sperm. It takes 2-3 months and about 20 ejaculations to empty them. There is no use in trying to set a record and empty the seminal vesicles in 20 days. The more frequent the ejaculations, the less they contain sperm.

Système reproducteur

After the operation, the doctor will give you a small container and a prescription form for a spermogram 2-3 months after the vasectomy.

This will determine if any sperm remain in your semen. The sample can be obtained at home by masturbation and ejaculation one time into the container. You will then have one hour to bring the sample to the laboratory. It is important to keep the sample at the body temperature by placing it inside the pocket of your shirt or pants.

Dr. Nélisse or Dr. Caouette will receive the results of the analysis one or two weeks later and will call you to give you your results.

You must carry on using contraception until you get your results.

Efficiency

Even though the vasectomy is one of the most effective methods of contraception there is still a chance that the tubes that have been cut during the surgery may reconnect themselves, which happens to about one in a thousand patients.

This usually happens soon after he operation The spermogram will then show the presence of sperm in your semen. A second spermogram will be required one month after the initial spermogram. (some men take longer to get rid of all the live sperm remaining in their seminal vesicles) If the second spermogram still shows the presence of sperm in your testicles, that will mean that the operation did not work and you still need another vasectomy.

The tubes may reconnect themselves years after the surgery but this is extremely rare.

If the initial result of your spremogram is negative, you can consider that you are sterile. If in the months or years after your vasectomy your partner is late with her menstrual periods or has symptoms of pregnancy, it is important to do a pregnancy test.

Complications

This type of procedure is a very safe and presents a low probability of complications. Nevertheless, like every surgery, there is always a small chance that minor complications may arise.

Approximately one out of a hundred patients may develop a small blood clot near a testicle (hematoma). This may hurt for a few days and does not require any particular treatment.

About 1% of patients may develop an infection which usually causes redness on the skin, pain and swelling and can be easily treated with oral antibiotics.

About one week after the surgery, one of the testicles may show a build of sperm. This only happens to about 0,5% of patients. This build up (congestive epididymitis) usually generates a small pressure in the testicles lasting less than a week and is easily treated with anti-inflammatory and ice.

A painful scar or a small clot filled with sperm (granuloma) might develop near the canal in about 1% of patients. This area will remain sensitive for a few weeks. Following the surgery, very few patients will experience chronic pain (0,1%).

No change has been reported concerning sexual function. A vasectomy does not affect libido, erection, orgasm, sensitivity or ejaculation (sperm represent only 2% of the ejaculation).

A small controversy erupted in 1996,when according to a study, it was demonstrated that the vasectomy might heighten the risk of developing prostate cancer. However detailed analysis of this study and the results of further studies have not been able to demonstrate the correlation between prostate cancer and vasectomy.

After the vasectomy