Are you the guy who goes for the slam dunk on a first date or the guy who knows not to put all his eggs in one basket? Either way you are going to require strong medicine and a good strategy on ‘how to survive the op’ or you could be in for a bumpy ride.
Immediately after your vasectomy, you can usually expect any discomfort to be relatively mild… especially after a no-scalpel vasectomy. Local anesthesia will begin to wear off an hour or so after the procedure. The doctor will advise you of appropriate use of pain relievers and/or antibiotics if necessary. Before you are discharged, read the doctor’s written instructions and review them with your spouse so you can ask any questions you may have with your doctor. In addition, here are some general guidelines for making your recovery uneventful and as comfortable as possible.
Before going home, we will review your instructions with you. You will receive a prescription for pain medicine such as Vicodin to take if you need it. Some men take this and others don’t need to. Do not drive or drink alcohol if you take narcotics. You may also take acetaminophen (Tylenol) or ibuprofen (Advil). Your doctor may advise you not to drive yourself home, so you may need to arrange for transportation in advance. He or she will also determine when you are ready to travel, so don’t try to speed up the process. Go directly home to rest. You can expect to wear a snug scrotal support garment or jockey shorts immediately after the surgery and for about one week thereafter. Wear or bring these with you to your appointment.
Once you get home after the procedure, lie down and put some ice on your scrotum for 20 minutes. Use ice periodically the rest of the day. Ice does two things; it reduces the swelling, but it also blocks the pain receptors and so it reduces the pain. You can shower or bathe the next day. You should count on spending a quiet weekend at home taking medicine as prescribed. You do not have to stay home all day, but don’t plan on lots of activity. Avoid sports or heavy exercise for a week.
The first few weeks after surgery You will have a little swelling and some discomfort. Usually this is gone within a week. If you feel you are having too much pain or swelling, especially if it is getting worse rather than better, please give us a call. We would rather hear from you than have you wondering whether you are okay. Prevention is the best medicine in this case.
You are not sterile right after the vasectomy. The sperm beyond the point where we sever the vas still have to work their way out. Usually the sperm are all gone within 3 months, so we choose that time to recommend that you get a sperm count. You should continue to use some other type of contraception medicine or birth control until you have had an analysis showing less than 100,000 non-motile sperm per ml. We will send you a letter to remind you to do this at 3 months.
Although vasectomy is more reliable than other forms of birth control, it is not 100%. On rare occasion (about 1 in 1000 times), even if you have no sperm when checked 3 months after the vasectomy, the upper and lower ends of the vas deferens eventually find their way back together resulting in sperm getting back into the ejaculate and the possibility of pregnancy.