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After Microsurgical Vasectomy Reversal Surgery

Vasectomy Reversal Post Surgery

A vasectomy reversal procedure does not require an overnight hospital stay and lasts from 3 to 5 hours at an outpatient surgery center.

IMPORTANT: YOU MUST BE ACCOMPANIED BY A RESPONSIBLE ADULT UPON DISCHARGE AND FOR 24 HOURS AFTER SURGERY.

Pain and discomfort after the vasectomy reversal procedure may be similar to the pain experienced after the vasectomy. Swelling, bruising, or discoloration of the scrotal area is normal and generally does not need doctor’s attention. Immediately after the surgery, ice packs placed on the scrotum area are recommended to reduce any swelling and pain. A prescription pain medication will be available for the first two days after the vasectomy reversal procedure and can be taken is necessary. Often times after the second day, Tylenol, Motrin or Advil will be sufficient to eliminate discomfort or pain.

Due to the superficial nature of the procedure risks, post op discomfort and disruption of normal activities are limited. Patients routinely return back to desk type work in approximately three days and physically strenuous work within 4 weeks. Sexual intercourse can be resumed as soon as three weeks post vasectomy reversal.

View complete post-operative instructions (1 page PDF)

Vasectomy Reversal Complications

If patients experience pain or unusual swelling in the scrotum area, contact Dr. Bastuba immediately. For acute medical problems, someone is always on call. If you are not able to get to Dr. Bastuba directly, you MUST call the main office number directly to contact the physician on call. Routine operative complications include infections, bleeding and anesthesia.

Special side-effects for this procedure may include delayed scar down (rate: 2% per year for the first 5 years post-op), moderate swelling, bruising in the area, discoloration in the area, even of the penis as blood can travel underneath the skin. Other side-effects may include post-operative pain, continued absence of sperm from the ejaculate, continued inability to initiate a pregnancy, high riding testicles, especially if large portions of the vas deferens were removed at time of the initial vasectomy or if it is a redo vasectomy reversal. Even loss of testicular tissue is a possibility. Though Dr. Bastuba has never experienced this in any of his patients it has been reported in literature. Severe complications that require additional surgery are rare.

Patient Care After the Vasectomy Reversal Surgery

Immediate post-op patient care includes a follow-up consultation to evaluate the healing process at approximately one week and a semen analysis approximately after 4 weeks. Sperm concentration in the ejaculate will be monitored until results are consistent. When good seminal parameters are contained, Dr. Bastuba recommends early consideration of freezing of sperm, since there is a low but present possibility of scar down of vasectomy reversal.

Starting or enlarging a family may require more than just the vasectomy reversal. A good practice dedicated vasectomy reversal surgery is characterized by adequate post-op patient care. After the procedure is complete, close follow-up is important until desired family size is achieved. For Dr. Bastuba, this attention to detail leads to more timely and successful pregnancies of his patients. Besides having a vasectomy reversal, the close medical care with Dr. Bastuba plan can make all the difference for a couple. Some additional strategies include initial evaluation of the female partner, sperm freezing at time of reversal and/or sperm banking after successful return of sperm to the ejaculate. These details are the true measure of a caring vasectomy reversal expert and something Dr. Bastuba takes has his life mission.

View complete post-operative instructions (1 page PDF)