Patient Instructions After Vasectomy
The First 48 Hours
There may be a small amount of bleeding from the skin opening. This is normal. Put a bandaid on it daily until there is no more blood. Then just wear supportive underwear for the next 7 days. You may take a daily shower starting the morning after the procedure. Avoid taking baths for 7 days after the surgery.
For the first 48 hours, continue to avoid any alcohol, take 2 tablets of extra-strength Tylenol every 6 hours, if needed, and ice the area regularly.
The First Week
On the third day, take 2 tablets of Ibuprofen (400 mg) every 6 hours with food no matter how good you feel as this will reduce the post-surgical inflammation. Do this for three days. If you get side effects, of course stop the pills. Monitor for high blood pressure and an upset stomach.
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 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.
Some men will develop swelling and tenderness on one side or both. This is usually due to an exaggerated inflammatory response that is often normal and necessary for sperm recycling and reabsorption. It is managed effectively with ibuprofen 600mg 3 times a day. 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
After 3 months, follow up with your semen specimen for analysis as outlined below. Continue birth control until our doctors review your test results. Our nurse will call you as soon as we get the test results.
Call the lab of your choice 2 weeks in advance and book your test (tell them you want a post vasectomy semen analysis).