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Apr 24, 2014 — by Larry Lipshultz

Dallas Vasectomy Reversal PainRecovery from a vasectomy reversal is relatively swift, but because the surgery itself is more complex than the original vasectomy, you can expect a slightly longer period of discomfort and recovery.

But even with a longer recovery period, pain or discomfort is relatively mild and generally disappears within a few days.

A vasectomy reversal involves reconnecting the vas deferens, the tubes that connect to the testicles and allow sperm to be released in the semen during ejaculation.  Ideally, it is performed by a microsurgeon who specializes in vasectomy reversal.

If you have questions about recovery from a vasectomy reversal, urologist Larry Lipshutz is a world-renowned expert in urological microsurgery and male reproductive medicine who can answer all your questions. He provides services in greater Houston, serving patients from Dallas and other areas of Texas, and can explain the surgery and how vasectomy reversal pain can be managed, ensuring you understand the recovery process. 

The surgery itself is performed through a small incision, less than an inch, in the scrotum. In the first few days after surgery, it is common to experience some discomfort. However, you will be given post-surgical instructions that will explain simple steps you can take at home to manage discomfort and speed recovery.   

Managing Pain after Surgery

The day of surgery you should plan on resting at home after the procedure. Allow a minimum of 24 hours for this; however, a 48-hour period of rest is preferable. Discomfort after surgery can include swelling, bruising, or discoloration in the scrotal area. To minimize discomfort:

  • Elevate your legs.
  • Stay off your feet as much as possible.
  • Use ice packs to reduce swelling in the scrotal area.
  • Wear a support garment to support your scrotum and ease discomfort and swelling.

You can expect some discomfort to linger for the first 48 to 72 hours, but it should be well controlled by over-the-counter medicine.

The principal risk in the first 24 to 48 hours is bleeding inside the scrotum. This is rare, but can be very uncomfortable. Bed rest during the first 48 hours reduces the risk.

Next Few Days

You should continue to wear a support garment, such as a jock strap, for the first week after surgery to ensure proper healing and to avoid discomfort.

Normal, light daily activities can be resumed within a few days after surgery, but excessive walking or running should be avoided during the first two weeks. Lifting should be avoided as well.

First Few Weeks

Excess activity during the first two weeks can increase the risk of swelling and discomfort. Patients should limit activities for two to four weeks after the vasectomy reversal. This includes lifting items that are over 15 pounds, straining, prolonged standing, or exercise.  Your doctor will advise you on whether to continue wearing a jock strap during the first weeks after surgery. 

If you experience pain in the lower abdomen or groin area, this can be a sign of inadequate scrotal support or that you need to cut back on your activity level. Patients should also refrain from ejaculating for two to four weeks to avoid leakage or scarring.

Most people can gradually resume normal activities, even moderately strenuous ones at around four to five weeks, at which point sexual intercourse can resume.

Questions

If you are considering vasectomy reversal and have questions, a personal consultation will provide the most relevant information for your case. Please contact our offices.