Recovery is generally rapid with virtually all patients leaving hospital within 24 hours of vasectomy reversal. There may be some minor discomfort from the operation site. Most men can do normal non-strenuous day-to-day activities within the first week after vasectomy reversal. Within a month virtually everyone will be back to all normal physical activities.
Usually a drain will be placed on either side of the scrotum during surgery to limit the possibility of a collection of blood underneath the wound. As the dissolvable stitches used to close the skin are both very delicate and placed just underneath the skin, it is uncommon for them to cause any problems. Gentle washing of the area of the operation is permitted the day after surgery. Padding is usually placed within firm fitting underwear for support.
Once you go home from hospital after your vasectomy reversal you should be prepared to rest. Watching television or videos is a sensible past time for the first week. Having someone to assist you for the first week would be wise particularly if your home has a staircase or is situated on an incline. In the second week post operation light physical activity is reasonable. You can aim to return to all normal physical activities about 4 weeks after your reversal.
It is important to take care with physical activity for 2 to 3 weeks following your vasectomy reversal. Excessive movement of the site of your surgery may place tension on the very fine sutures that hold the ends of the vas deferens together. From the perspective of healing any movement between the ends of the anastomosis of the vas deferens may lead to abnormal circumferential scarring and so increase the chance of occlusion of the vasectomy reversal. Common sense is important - you should only undertake light physical activity during this early recovery phase. The essential rule is: "If it hurts - do not do it".
The same rules apply to sex. It should be avoided for 4 weeks after your vasectomy reversal.
Most can return to work within 1 to 2 weeks of vasectomy reversal. Some people who work in sedentary occupations could do so earlier.
Please contact my office if you have any questions or concerns or if you think you may have developed a complication of surgery.
The most common complication is a collection of blood in the scrotum around the site of the operation due to the leaking post-operatively of the microscopic blood vessels that can be damaged at the time of the surgery. It is unfortunately not possible to tie all these vessels off as they often go into spasm once they are cut and bleeding only restarts some time after the operation is completed. The use of drains in the scrotum dramatically reduces the incidence of this problem.
Is common for the scrotum to appear up to 2 times larger than normal after the operation due to tissue fluid engorging the area. This generally rapidly subsides without great difficulty. Occasionally walking is a problem until it has subsided.
Substantial pain after vasectomy is uncommon although it can occur. Simple analgesics such as Panadol or Digesic (but not Aspirin or Ibuprofen) are recommended. Very rarely discomfort can persist for several weeks.
This is exceptionally rare, but should there be any dramatic increase in swelling or pain after the operation, you should contact this surgery and antibiotics will most likely be prescribed. Unfortunately any operation that opens the body to the atmosphere can have bacteria contaminate it and lead to infection.
Clots in the legs
Occasionally with any surgical procedure it is possible to develop clots in the legs that can, on rare occasions, travel to the lungs. This is an exceptionally rare complication.
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