After your vasectomy, you should go home and rest for the remainder of the day and evening. Minimize any kind of activity. Some men have no pain at all while many others have aches in the groin. That’s because the testes originate from the abdomen as an embryo and share some of the same nerve supplies. Anything in the scrotum may be perceived in the abdomen as well.
Our no-scalpel no-needle technique will minimize your discomfort compared to a conventional vasectomy procedure, but you should still plan on taking good care of yourself after your surgery – especially during the first two days. You will want to relax and take it easy.
The First 48 Hours
Take the medication in your Reddoch pack as ordered. Stay off your feet as much as you can for the first two days. Use an ice pack on your scrotum for 20 minutes every hour (except when you’re sleeping) for the first two to three days after your vasectomy. You should repeat the icing as often as you can in the first week. You can make your own ice pack by putting ice in a plastic bag and wrapping it in a dish towel, or use a bag of frozen peas. Gel packs also work well.
There may be a small amount of bleeding from the skin opening. This is normal. Put the antibiotic ointment on the gauze and change the gauze twice a day. Do this until there is no more blood, then just wear the scrotal support over your underwear without the gauze for the next 7 days. You may take a daily shower starting the morning after the procedure. Avoid taking baths for 48 hours after the surgery.
For the first 48 hours, continue to avoid any alcohol, take 2 tablets of extra-strength Tylenol every 6 hours and ice the area regularly.
Do not have sex or lift anything heavier than 15 pounds.
Keep the incision clean and dry, although it is acceptable to take a gentle shower after your surgery.
Wear your scrotal support for the entire week unless doing so causes you discomfort
Leave some clean gauze with antibiotic ointment applied at the opening in the scrotum for a day or two.
It is possible that this practice may further reduce post-operative infection rates.
Call Dr. Reddoch if you notice ongoing bleeding or a swelling bigger than a marble around the opening or in the scrotum.
Call Dr. Reddoch if you get a fever, your scrotum gets very red or you notice any unusual discharge.
After the procedure, Dr. Reddoch is available on his office phone at: 613-933-9997 for your concerns should any arise.
Remember no sex or ejaculation for a week. Light blood in the semen is normal in the first few ejaculations after your vasectomy, and no cause for concern.
For the entire first week, avoid any exertion, exercise, extensive walking, climbing, jogging, or sports…you get the idea.
When pain and tenderness are minimal, you may return to your usual activity but on the first day back start off at ½ your usual workout. In general, avoid lifting more than 15 lbs (including babies or children) in the first week.
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. You might notice a lump on each side of your scrotum after your vasectomy for the new 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.
Post-Vasectomy Semen Testing
Because you are not sterile right after your vasectomy, temporary birth control is needed until a follow-up semen analysis confirms that no sperm are present. You will be given 2 sample containers and lab requisitions for semen tests to be done at 2 and, if needed, 3 months after your procedure.
You present a lab requisition to the lab of your choice with your semen sample produced at home. In Cornwall, please take your sample to the LifeLabs at 820 McConnell Avenue, Suite 121. If you live elsewhere, please call the lab of your choice ahead of time to be sure that they accept semen samples for analysis – they may direct you to another lab. Please do not bring samples back to our office.
Confirm Vasectomy Effectiveness
By the time of the first sample, two months after your procedure (and after at least 20 ejaculations), 50% of men are sterile. By the second sample, three months after your procedure, up to 95% of men are sterile. A few percent of men may require up to six months and repeated samples to confirm sterility.
These tests are very important!
The chance of a sperm passing through the blockage in the sperm tubes is extremely small, especially once the sperm tubes are cut, cauterized and then separated by the fascial sheath barrier. But failure is possible; the incidence of failure is estimated between .1% and 1%, and varies with the skill and experience of the operator and with the approach used to block the tubes. It is for this reason that testing semen samples is essential. We are pleased to report that the Pollock Technique, over many thousands of surgeries, has demonstrated an outstanding success rate with a very low complication rate.
Important information on post-vasectomy semen analysis
Please abstain from having sex or ejaculating for two days before you collect your specimen.
Collect the semen by masturbating directly into a sealed, sterile specimen container. If you lose a portion of the semen, throw the container out and collect your specimen at another time.
If you’ve misplaced the container, please get another one – ask for a urine analysis container. Please do not use any other type of container.
Close the container tightly. Label it with your first and last name, date of birth, plus the date and time you produced the sample.
Deliver your specimen to the laboratory immediately (within 1 hour) after collection, keeping the container warm in your pocket or next to your body en route.