Clinical Hub,Patient Education,Health and Nutrition Facts For You,Genitourinary

Vasectomy (4254)

Vasectomy (4254) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Genitourinary



A vasectomy is a method of permanent sterilization. The doctor will cut the sperm ducts and
remove a piece of each duct. After a vasectomy, you will still make sperm, but they cannot swim
beyond the blockage. Your body absorbs them. There is no change in your sexual function.
Erections, ejaculations, and hormone levels stay the same. A vasectomy does not protect you
from sexually transmitted infection (STI).

There are no known long-term side effects after a vasectomy. About 60-70% of men develop
antisperm antibodies in their blood. This is a harmless allergy to their own sperm. There is no
data that confirms these antibodies have a major effect on other organ systems. Rarely, a man
may have pain around the testicles after the vasectomy. Heat, scrotal supporter, and medicine
may help.

Before Surgery

ξ You will need to stop taking blood thinning medicines at least one week before your
vasectomy. Examples of these medicines include, but are not limited to aspirin and
ibuprofen, Vitamin E and Coumadin .
ξ Do not shave your scrotum or penile area. This may increase your risk of an infection.
ξ You will need to have someone drive you home.

Home Care after Surgery

1. Wear the scrotal support at all times for the first week and then as needed. This will help
prevent swelling. You may want to wear the support for up to a week for comfort. Bruising
of the scrotum and penis may occur.

2. Use ice packs or a frozen bag of corn or peas on the area for the first 48 hours. Wrap the cold
pack in a towel. Use it for 20 minutes on and 30 minutes off. Do not leave it on longer than
20 minutes as it can harm tender tissues. You may also use Tylenol® for pain control.

3. Stitches (if used) will dissolve in about 1-2 weeks. Keep incisions dry for 24 hours. Then,
you may shower. You may gently wash the area with a mild soap and water and pat dry. No
bathtub, hot tub, or swimming pool for at least 7 days or until healed.

4. Nothing strenuous for at least 7 days. This includes sports, aerobics, running, jogging, or
jumping over objects.

5. No intercourse for at least 3 days.

6. Use birth control until your doctor confirms there is no sperm in your semen.

7. You will need to have a semen sample checked at least once or twice after your vasectomy.
The first sample should be brought in 2-3 months after your vasectomy. Please call the
urology lab at (608) 263-5014 to arrange this.

8. You may collect a semen sample when you arrive at the clinic or bring it with you. If you
bring the specimen with you, keep it at body temperature. Please call the urology lab at
(608) 263-5014 for detailed instructions.

9. You can resume taking your routine medicines, except for blood thinners, unless your
primary doctor instructs you differently. Please check with your primary doctor when to see
when you can resume Coumadin®, Plavix® or aspirin.

10. Take acetaminophen 2 tablets every 4 hours as needed for pain. Do not take aspirin or

When to Call Your Doctor

ξ Excess bleeding (bleeding that soaks a gauze in an hour) or swelling of the scrotum.
ξ Temperature greater than 100 θF by mouth.
ξ Skin around the incision is red and hot.
ξ Pus-like drainage from the incision.
ξ Pain that is not controlled with acetaminophen.

Phone Number

Urology Clinic: (608) 263-4757. This is a 24 hour number.

After hours, weekends or holidays this connects you to the message center. Ask for the urology
doctor on call. Give your name, area code, and phone number. The doctor will call you back.

If you live out of the area, please call 1-800-323-8942.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 3/2017. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#4254.