Vasectomy reversal

Vasectomy reversal, accomplished by one of the two methods listed below, is intended to restore fertility.

• Vasovasostomy reconnects the two cut and blocked ends of each vas deferens.
• Vasoepididymostomy connects the vas deferens to the epididymis.

Post-op instructions

• Recline with feet elevated for the first 24 hours following the procedure.
• For the first six hours, ice packs should be applied (15 minutes on/15 minutes off) to the scrotal area through the clothing. If necessary, ice packs may be continued throughout the next day.
• Wear tight-fitting shorts or an athletic scrotal support for the first 48 hours.
• Avoid sexual intercourse and ejaculation the first week. Sex is OK after that, if you feel comfortable.
• Avoid strenuous exercise (jogging, etc.) for the first ten days.
• Avoid lifting over ten pounds for the first ten days.
• Avoid aspirin and Motrin and/or ibuprofen, because they may increase bleeding.

Concerns that are normal:

• Minor abdominal pain
• Spot bleeding

Concerns that should be addressed at once:

• Redness or increasing pain in the scrotum or the incision
• Severe groin pain
• Steady scrotal swelling
• Temperature greater than 101º
• Uncontrolled bleeding, or reoccurring bleeding or pus, from the incision

Note: Semen analyses at six and nine weeks post-op are necessary to determine fertility.