At the fertility center of Dr. Larry Lipshultz, vasectomy reversal may be performed to reestablish a connection between the two ends of the vas deferens that were separated at the time of the vasectomy. The purpose of the vas deferens is to direct and then propel the sperm into the urethra. The vasectomy reversal procedure is performed under a special microscope. Depending on the type of vasectomy reversal being performed, between 65 and 90 percent of patients can expect a successful outcome with a pregnancy rate between 50 percent and 70 percent.
Vasectomy Reversal Post-op Instructions
For the majority of patients of Dr. Lipshultz’s fertility center in Houston, the vasectomy reversal recovery process is relatively easy. To further ensure an easy recovery phase, patients should diligently follow all post-op instructions. This includes keeping all postoperative follow-up appointments. At 10 to 14 days after the vasectomy reversal, a follow-up appointment will be scheduled to evaluate the healing of the wound. A semen analysis will also be scheduled for six to eight weeks after the vasectomy reversal procedure. A monthly semen analysis will be scheduled for four to six months. In the case that semen quality is less than desired, anti-inflammatory medications may be prescribed to decrease the risk of scarring.
Icing the Area
Many patients find it beneficial to use an ice pack on the scrotal area for the first 48 hours after the vasectomy reversal surgery. An ice pack can help reduce swelling that normally occurs after surgery.
Returning to Normal Activities
A patient should refrain from lifting items that are over 15 to 20 pounds for the first two to four weeks after surgery. Patients should also limit their activities for two to four weeks following the vasectomy reversal procedure. Normal day-to-day activities may be resumed within a few days following surgery. Excessive walking or running should be avoided for the first couple of weeks after surgery. Pain in the lower abdomen or groin area after surgery is usually a sign of inadequate scrotal support, as well as a sign of doing too much too soon.
Supporting the Area
It is often beneficial for a patient to wear scrotal support such as a jock strap for a week following their vasectomy reversal surgery.
Refraining from Ejaculating
After undergoing a vasectomy reversal procedure, a patient should refrain from ejaculating for two to four weeks. Ejaculating too soon following the vasectomy reversal procedure can result in sperm leakage or scarring down the anastomosis.
Pain medication will be prescribed to help relieve pain for the first one to three days after the vasectomy reversal surgery. Over-the-counter pain relievers may also be used during this time to help alleviate any discomfort following the surgery.
For the first few days following the vasectomy procedure, a patient should expect to experience a small amount of bleeding. It is helpful for a patient to add two to three gauze pads under the scrotal support until the bleeding has resolved.
Swelling and Bruising
Swelling and bruising are to be expected in the scrotal area following the vasectomy reversal procedure. It is normal for the swelling and bruising to extend to the penis. While it is normal to have a moderate amount of scrotal swelling after surgery, please contact your surgeon if you experience severe swelling after surgery. It is also normal to experience draining after surgery, but you should contact your surgeon if you soak several pads per day.
Schedule a Consultation
If you would like to find out more about vasectomy reversal, please contact Dr. Larry Lipshultz today.