Vasectomy Post-Operative Instructions

What to do After the Vasectomy?

When You Get Home

  1. Ice your scrotum 20 minutes every two hours when awake for 24 hours. This will reduce the chance of scrotal swelling.
  2. Wear cotton, boxer briefs or briefs under shorts for increase support and comfort.
  3. Avoid heavy lifting or vigorous exercise for seven (7) days after surgery.
  4. You can shower 36 hrs after surgery. Avoid rubbing the scrotum when drying. No baths, swimming, hot tubs for 10 days, or when skin looks completely healed.
  5. Sexual activity can begin one week after your vasectomy when scrotal swelling and tenderness subside
  6. CONTRACEPTIVE PRECAUTIONS ARE ABSOLUTELY NECESSARY UNTIL THE SEMEN ANALYSIS PRODUCES NEGATIVE RESULTS.
  7. Eight to Twelve (8-12) weeks after your vasectomy, you need to do a Semen Analysis twice.
  8. Please call our office immediately if you have any post op complications including:
    • Infection
    • Bleeding
    • Increasing pain
    • Swelling
    • Temperature of 101 or greater

General Expectations

You can expect some bruising and redness at the site of the incision. The sutures in your incision will dissolve and fall out within 5-10 days. There may be some yellow or white discharge from the incision as the sutures dissolve, this is normal. You may notice a small open gap at the site of the incision after the sutures fall out, this is normal and will close up over time. You may notice some firmness in and around the incision site, it will soften, flatten and return to normal within a few weeks. A vasectomy does not make you immediately infertile, it takes 6-8 weeks (30-40 ejaculations) for all the sperm to leave your body. Instructions will be provided the day of your procedure for follow up semen testing.

Pain Control

Tylenol (acetaminophen) for pain relief is acceptable. You may take two extra strength or three regular strength tablets every 6 hours. It is the safest of all the pain relievers. Either ibuprofen (Advil or Motrin) 600mg every eight hours or naproxen (Aleve) two tablets twice daily may be taken instead of Tylenol if you prefer. The doctor may also provide a narcotic medication as well.

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