After the Vasectomy Bullet Points

After the vasectomy bullet points. | FAQ and What to expect after your procedure.

After the Vasectomy Bullet Points: Dr. McHugh is one of the Southeast’s most experienced no scalpel vasectomy and microscopic vasectomy reversals.

You have had your vasectomy…here are some “after the procedure” instructions and a heads up on potential issues that are peculiar to having a vasectomy.

The small opening at the midline of the upper strotum does not have a suture and will close on its own. A thin film of Neosporin ointment daily is recommended. Any spotting/oozing is usually corrected with pressure to the incision site for 30 minutes.
You can shower the day after the procedure, but don’t let water hit the procedure site directly.
Ice to the scrotum after the procedure helps with swelling and with discomfort. (Lidocaine is used at the opening and along the course of the vas tubes so there is anesthesia for an hour or so after the procedure.)
You’ll be given something for pain, this is to be used in an “as needed fashion.” If you don’t have pain, don’t take it or use Advil or Aleve. Taking a half a pill is acceptable.
Try to be off your feet with the scrotum elevated strictly for the first 24 hours and then as much as possible for the next two days. Most patient who have the procedure on a Thursday or Friday take it easy over the weekend and return to work on Monday. If you have a strenuous job, you may want to gradually get back into your routine.
For the first week after the vasectomy, compression underwear to stabilize the scrotum and elevation of the scrotum with a rolled sheet when sitting can reduce any swelling.
No sexual activity for one week.
No unprotected sexual activity until we have evaluated two negative specimens. It takes approximately 25 ejaculations to clear the tube beyond the vasectomy site. (A couple can achieve pregnancy if there is unprotected sexual activity before the sperm has completely cleared.) We recommend evaluation of specimens as a rule at 6-8 weeks. It is not about the time since the vasectomy, it is about the number of ejaculations.
Even though the opening is in the middle of the upper scrotum, the vasectomy sites are on the left and right underneath the skin. Discomfort, bruising or asymmetrical swelling is not uncommon, but should slowly improve over several days.
Each patient is given two specimen containers after the procedure and there are several options regarding checking the post-vasectomy specimen. Dr. McHugh examines semen specimens with a microscope at no expense. (The best days for dropping off the specimen is Monday, Wednesday and Friday-but it best to call to be sure he is available to examine.) For out of town patients, specimens can be taken to a local hospital for a “post vasectomy” semen analysis (we can fax an order) or use online test kits such as spermcheck.com.
It is not unusual, maybe 5-10% of specimens, will have a rare sperm. This just means that more time/ejaculations are necessary to completely clear all of the sperm. We will require two consecutive completely negative evaluations.
There are no special instructions about the specimen. If you obtain the specimen in the morning and drop off later in the day, this is not a problem. We are not doing a formal count, only the presence of absence of sperm. We will call you back with the results that day.

Concerns you may have after the procedure-How to contact us.

If any issues arise that you have questions about, feel free to contact us using the form below.
We will be happy to speak to you (770) 535-0000 or if you feel it is necessary, we will arrange for an examination in the office at no expense to you.
Our email: ngurology@gmail.com (Dr. McHugh replies on weekends!)
You also can utilize our text to email option. (You text your comment/concern and it comes immediately to our email. We check our email numerous times a day and on weekends.) The response comes back to you as a text. Here’s the number: 770-376-5616

Thank you for allowing us to participate in your care.

Kevin Restrepo

2026-05-11

Amazing experience. Quick, easy and painless. Did not even have to use nitrous oxide. Awake the whole time and the doc makes it such a smooth 9 min process.

Basic Dad Email

2026-05-04

Great crew. Answered all my questions. Excellent customer service. Provided great follow-up and checking in post op. Glad this is only something you do once. So grateful for their expertise, kindness, and patience.

Daniel Brown

2026-04-16

Dr. McHugh is a pro. He knows his craft well. Everyone at his office was so professional. Everything was straightforward with no hassle. The vasectomy surgery was a snap (pun intended). And actually almost no pain or complication. I had a hernia surgery two years ago that was so much worse. Didn't post pictures for obvious reasons. Can't recommend him more.

Casey Shoemate

2026-04-13

We are thankful we found Dr McHugh when we did to do my husband’s vasectomy reversal. He is a wonderful doctor and Nurse Lacey was such a blessing. It’s obvious Dr McHugh is experienced, loves his family, and wants to give other families their best chance. I wish it wasn’t so hard to find a good doctor to help bring a life into the world and I feel sad for those who have had to go through what I have to find one.

Stephen Ferrell

2026-04-12

Great staff! They make the experience as easy as possible!

Garrick Richards

2026-04-10

Best medical experience I have had! The team is amazing and I can confirm why they are highly recommended!! Thanks Megan, Daphne and staff!! My wife is a practice administrator and she was seriously considering poaching some of y’all!! Lol!

Joseph Tapley

2026-04-06

Excellent experience. Very nice people with great knowledge and concern for your needs. My recovery has been great with no issues. Thanks again team. 😎😎😎

Jeff McHugh

2026-03-27

I cannot recommend Dr. McHugh and his team highly enough. From the moment I checked in to the moment I walked out the door, the entire process was seamless and professional. The customer service was incredible; the administrative staff made the paperwork easy, and the nurses were absolutely fantastic—personable, reassuring, and clearly experts at what they do. Dr. McHugh himself was phenomenal. He talked me through the steps, and the procedure was over in a surprisingly short amount of time. I felt zero stress throughout the visit. If you’re considering this procedure, this is the place to go. I’m extremely grateful for the top-tier care I received! -TM

Jacob Born

2026-03-20

The experience was great. This was something I dreaded doing but these guys made the experience a breeze. I will recommend to anyone who will listen!

Casey King

2026-03-16

Dr McHugh and his staff did an amazing job with me and my wife during my reversal. They treated us so well from the beginning to the end. We went to Dr. McHugh because he was the most experienced and happens to be 5 hours away. I’m day 4 right now and am doing well. I will update if the surgery was successful. If the Lord allows we may have another baby. Also, I love the fact that if I have questions I can ask the Dr himself or his lovely staff.