Mark S. Hickman, MD, FACS

• Call Dr. Hickman at the numbers that were given to you after surgery if you have any concerns.  You may e-mail with any questions, however, please don’t wait for a return e-mail if you are having any urgent problems.  Use the e-mail address you were given after surgery.

• Pain Medication:  It is suggested to take Advil (ibuprofen) 400 – 800 mg (2 – 4 tablets), as tolerated, every 8 hrs the first          two days after surgery, then 200- 400 mg three times daily as needed for pain.  As an alternative, Tylenol (acetamenophen)   1000mg three times daily for the first two days followed by 500-1000mg as needed.  A prescription narcotic pain medication, Lortab 5 (depending on any allergies) will be provided for break through pain.

• You may take a shower immediately after surgery.  Do not submerge (take a bath, get into a swimming pool or a hot tub) for at least ten days after surgery. 

The outside stitches will dissolve between 15-20 days. However, you should remove them after ten days. If they fall out at any time, this is NOT a problem.  If the stitches should come out early, the wound may gape open.  This is NOT a cause for concern, and it usually heals on its own without additional stitches or the need for any type of tape, which may cause an infection.

Slight bleeding might occur for 24-36 hours after surgery. There is the possibility of very light bleeding or blood tinged drainage for about two weeks. The use of any dressing is to keep the drainage off of your clothing.  You do not need to use sterile gauze.  You may use clean cotton cloth or gauze.  Wear a dressing until you are sure there is no more bleeding.  Bleeding should never be heavy, so please call if it is.

The purpose of the snug fitting brief underwear or better yet, compression shorts is to hold the bandages next to the scrotum to keep blood off your clothing.  Wear what is most comfortable for you.  Many patients find the extra support decreases discomfort in the first few weeks after surgery.

There will be some swelling and bruising after surgery. Bruising may extend up the shaft of the penis. This is not unusual. Dr. Hickman does not ask you to use ice because of the pain associated with icing the scrotum. However, you may use an ice pack if you desire (a bag of frozen peas often molds to the area well and can be easily reused).  Apply ice for 10-20 minutes, alternating between both sides for the first couple of days after your procedure.  If you are concerned about the amount of swelling, contact Dr. Hickman.

Infection is rare.  However, call Dr. Hickman if redness, swelling, tenderness, fever(>101), or oozing of pus from the incision occurs.

It is very important to limit your physical activity after the procedure, especially the first day. Normally, you will feel like going back to work within a week. However, there is considerable variability concerning this, and some return to work after only a few days. Return to LIGHT activity as you feel able.  No lifting, pulling, tugging, shoving, dragging anything over 10-15 lbs. for four weeks.  Also, no exercise routines, running, or sports for 28 days.  Take the elevator instead of the stairs.  however, stairs can be climbed, slowly one step at a time.  

Several weeks after surgery, you may notice small nodules in the scrotum that feel like a bag of marbles.  These are your body’s reaction to the suture ties that were used during surgery to control bleeding and they should resolve within 4 - 6 months.

No sexual activity for 21 days.  You and wife may then come back together after that time period.  There will likely be some scrotal / testicular soreness with intercourse for the first couple of months after surgery.

Avoid the use Neosporin or any ointments or creams on the incisions unless directed to do so.

Microsurgical Vasectomy Reversals