Urology Book

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Vasectomy Postoperative Counseling

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  1. Physician Follow-up
    1. Postoperative Care Handout describing below
    2. Call patient to check on status on day 1 or 2 post-op
  2. Pain reduction
    1. Wear athletic supporter (jock strap) for first 3-4 days
    2. Medications
      1. NSAID (e.g. Ibuprofen) for daytime use
      2. Consider Narcotic (e.g. Tylenol 3) for night pain
  3. Postoperative Activity
    1. Off Work for 1-3 days
      1. Day 1: Supine with ice on scrotum for 20 minutes/hour
      2. Day 2: Minimal activity but patient may shower
      3. Day 3: Activity as tolerated
    2. Limited activity for 2 weeks
      1. No strenuous Exercise or risk of local trauma
      2. Sexual activity no more than twice per week
  4. Indications to call office
    1. Pain not relieved with Analgesics given
    2. Scrotal swelling beyond expected
    3. Persistant scrotal bruising beyond 2 weeks
    4. Stitches still present beyond 2 weeks after procedure
    5. Signs of scrotal infection
      1. Redness
      2. Swelling
      3. Tenderness
      4. Fever
      5. Pustular discharge from incision site
  5. Post-Vasectomy Semen Analysis
    1. Timing of samples
      1. First: 6 weeks after Vasectomy (10-15 ejaculations)
      2. Second: 3 months after Vasectomy (10-15 ejaculations)
    2. Findings with successful Vasectomy
      1. Median time to loss of sperm motility: 3 weeks
      2. Median time to azoospermia: 10 weeks
      3. Rare non-motile sperm after 12 weeks
  6. References
    1. Pfenninger (1984) 30(4):177-84

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