NOW THAT YOU'VE HAD YOUR VASECTOMY
Day #1 - When you leave the office, you will be wearing an athletic supporter filled with gauze. This is fine for day 1. When you go to the bathroom, replace the gauze or use a washcloth to keep pressure on the scrotum. This reduces swelling and bleeding. Use an antibiotic ointment over the wound for the first 2-3 days.
Day #2 - Athletic supporter.
Day #3 - Athletic supporter until comfortable without it.
1st Week - Once* after 1 week, if comfortable
2nd Week - 2 times*
3rd Week - As desired*
* Remember to use contraception until you have two negative semen checks.
Infections - are rare, but call if excessive redness, swelling, tenderness, fever, or oozing of pus from incision occurs. This usually will occur after the second day but infections have been identified up to 6 weeks after surgery. It's OK to put antibiotic ointment on the surgery site if you want.
Bruising - over the scrotum is normal for up to about 2 weeks. You may get a "purple penis".
Swelling - a small amount is not uncommon. Anything more should be reported. You will feel a small "lump" inside where the surgery was done for a few weeks. It will go away.
Granuloma - some men get another type of nodule where the vas was cut. Usually this is not painful and will go away. If it is larger than 1/2 inch, call me and we will begin medication to shrink it. This can start a few months or even years after a vasectomy. (Remember, a small lump can usually be felt for up to three months in most cases.)
Failure - is always a possibility. Use contraception until you have two semen checks without sperm in them.
Bloody Ejaculate - rare but possible for up to six months.
Pain - like an old fracture, a few men can have a long-term ache in the scrotum (or even in the groin) where the surgery was done. Rarely is any treatment even needed.
Long Term - No long term side effects like prostate cancer, high blood pressure, etc. have been proven with vasectomy.
Problems After Hours Call the hospital (989-839-3000) and ask them to page Dr. Pfenninger.
SEMEN CHECKS : We will do two semen checks to confirm sterilization. Although no appointment is needed, call to be sure that the office is open. The first will be done at 6 weeks after the procedure or after 15 ejaculations (which ever is later). The second will be done at 3 months after the procedure. There is no extra charge for this. Bring a semen sample in a clean jar or in the container provided within an hour or two after ejaculation. If ever you are concerned or want reassurance of sterilization, we will examine your semen for one year, at no charge. Be sure your name is on the container. Please use the OSHA approved medical hazard Ziplock bags.
ANOTHER FORM OF CONTRACEPTION SHOULD BE USED UNTIL YOUR SECOND SEMEN SAMPLE IS CLEAR OF SPERM. YOU ARE NOT STERILE UNTIL IT HAS BEEN DOCUMENTED THAT YOU HAVE HAD TWO NEGATIVE SAMPLES.