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Vasectomy

A vasectomy is a minor surgical procedure to sterilize men and provide for permanent birth control. The surgery interrupts the sperm transportation system between the testicles and the urethra by blocking the vas deferens.

Preparing for Surgery

Do not take aspirin, aspirin-containing products, ibuprofen, naproxyn, etc. for at least 10 days before the procedure to avoid risk of bleeding.

You should not eat or drink anything after midnight the night before your surgery. In the morning before your vasectomy, you will need to shave your scrotal area, concentrating on the area toward the base of the penis. Bring loose-fitting pants or sweatpants to the appointment.

You may receive a sedative during the procedure. You MUST have someone present at the time the procedure starts to drive you home. If you do not have someone with you, the procedure will be rescheduled to a time when you can have someone available to drive you home.

Bring a scrotal support (jock strap) with you to wear immediately after the procedure. If you should have any questions concerning the procedure or the preparation for it, please feel call the doctor's office.

Post-op Instructions

  • If you were given a sedative during the procedure, do not engage in activities that require alertness. No driving, machinery, or drinking alcoholic beverages the day of surgery and while taking narcotic pain medication
  • Wear a scrotal supporter or firmly fitting underwear for 1-2 weeks. Thereafter, you may wear it as long as you are more comfortable wearing it than not.
  • You may remove the bulky dressing inside your scrotal supporter the day after the procedure. If you have drainage from your incision, place a gauze sponge inside the scrotal supporter until it subsides.
  • You may resume sexual intercourse when it is comfortable for you, usually after 5-7 days. Avoid strenuous physical exercise for 1-2 weeks, and gradually increase as tolerated.
  • You may shower in 48 hours. Do not scrub the scrotal area; just let the soap and water run over it.
  • Do not take a bath or swim for 5-7 days

Sexual Activity

Continue to use birth control until the doctor has informed you that there are no sperm in your ejaculate. Generally, it takes approximately 8 weeks or 20 ejaculations to clear the sperm. You need to bring a sample of your ejaculate to the office to be checked 8-12 weeks after surgery. You can drop off the specimen at the office.

Medication and Pain Management

You will be given a prescription for pain management. Take your medication at the first sign of discomfort and afterward as directed. If the pain is minimal, we suggest over-the counter acetaminophen or ibuprofen.

Apply an ice pack directly on top of the supporter when you get home (a bag of frozen vegetables works well). Use this on and off for the next 12-24 hours. This will help keep the swelling down and provide pain relief

Stitches will dissolve in 10-14 days. Your incision may not have stitches; if that is the case, the doctor will let you know. You may notice a small separation of the incision and possibly a small amount of discharge or bleeding. This is not a cause for concern unless you develop signs of an infection or bleeding: fever, excessive redness, excessive swelling, foul-smelling discharge, or pain not relieved with pain medication.

If you have decided that a vasectomy is right for you, contact Miami urologist Dr. Marvin Bondhus today. He will explain the procedure and answer any questions you might have. Call (305) 661-9692 or use our secure online appointment request form.