Bullet points/instructions for the post vasectomy reversal operative period:
You can shower but for the first two to three days, don’t let water hit the operative site directly.
A thin layer of Neosporin over the suture sites daily is recommended.
A formal dressing is not required but one 4×4 gauze between underwear and the sutures may be more comfortable.
The sutures dissolve-but not all at the same time. Some separation of the skin in areas is not uncommon and resolves.
The feeling of a “lump” under the skin above either testicle is not uncommon, this is where the body is reacting to the surgical procedure. (It is not uncommon to have this on one side but not the other.)
Compression underwear for three weeks. (This is preferred to the traditional “jock strap.”)
No sexual activity for three weeks. Slowly returning to your normal exercise at that time can resume as well.
The more you can be off your feet the first week following the procedure the less swelling you will have. Some bruising of the skin around the suture sites is common.
Patients can walk and even drive if necessary after 5 days if wearing compression underwear and being careful. Again, the more you are off your feet the better.
The testicles begin producing normal sperm again in 4-6 months, depending on the length of time from the vasectomy. (The longer the interval from the vasectomy, the slower return to sperm production.)
If you desire to have an evaluation of a semen specimen to check for the presence of sperm, one would wait until the 4-6 month period after the reversal. The presence of sperm is a very good sign, however it is not unusual for a longer interval is required for the return of sperm. A specimen can be given to our office and can be quickly evaluated for the presence of sperm. If a formal semen analysis is desired which provides an actual count of sperm, an order can be placed to your local hospital negating having to travel to Gainesville.
If pregnancy occurs, it is usually in the 6-18 month time frame.
If pregnancy occurs…we’d appreciate a picture.
Finally…we appreciate the opportunity to participate in your care.
Georgia’s most experienced No Scalpel Vasectomy and Microscopic Vasectomy Reversal urologist.
Browse our site…particularly reversal cost, success rates and the various blog posts. Then arrange for a free consultation for additional information by using the contact form or by calling our office. Dr. McHugh will give you a call an afternoon that suits you.
Before the vasectomy patient can be released by the urologist to have unprotected sex, there must be two consecutive semen specimens with no sperm. It takes about 25 ejaculations to achieve this. We customarily give two specimen containers at the time of the vasectomy and recommend dropping off the specimens at approximately six and eight weeks. Dr. McHugh personally examines all of the specimens with a microscope.
After the initial clearance to proceed with unprotected sex, the chances of the the vasectomy “growing back together” is 1/2000.
In the diagram above you can see why. When Dr. McHugh performs a vasectomy a section of the vas is removed (red), both ends are cauterized (green) and then an absorbable suture (yellow) is placed on both ends as well.
The diagram above also answers another very common question about vasectomies: Does it affect the patient’s sex life?
The answer there is no. As you see, the only thing “tied off” is the vas deferens and this is where the sperm travels. Testosterone, which is responsible for the male’s sex drive, is produced in the testicle, but leaves the testicle in the blood stream not the vas deferens.
So there is a vas deferens between where the sperm exits and how the testosterone exits the testicle!
A sperm granuloma? It’s good thing for a vasectomy reversal.
Ga Vasectomy Reversal: The above picture shows the vas deferens isolated and one can see the clips and a small area of swelling of the vasectomy site. If there is swelling here, a sperm granuloma, then the potential for success is higher. A sperm granuloma is a “pop-off” valve of sorts and protects the sperm producing process of the testicle.
The presence of a sperm granuloma explains why a patient 10 years out from a vasectomy might have a better chance than a patient 5 years out who doesn’t have one. This is a random occurrence and can’t be predicted who or who will not have a sperm granuloma. They are only beneficial for the vasectomy patient who is to have a reversal.
Vasectomy Reversal Success! Thirty years or so after a vasectomy. A sperm granuloma probably helped.
Affordable and Targeted Anesthesia That Matches Your Level of Anxiety.
If you are considering a vasectomy, we can make it easy. Just contact our office using the email form below or call 770-535-0000. We will do our best to make the process and the procedure…as “painless” as possible!
I can’t say enough great things about this place! 100% make sure you choose the nitrous oxide to help. Truly painless and the nitrous oxide put me at a level of peace I had never felt before.
Thanks for everything!
If you’re looking for a vasectomy, look no further. There is a reason for all the five star reviews. Dr. McHugh and his team were as good as you could ask for. Very professional and took excellent care of me. 10/10 experience for something that has the potential to be very stressful.
Highly recommend Dr. McHugh. He was very thorough on explaining the procedure. His team was also very transparent on my options of paying for the procedure and what they would be.
Really glad I stumbled upon Dr.Mchugh. I have chosen him for my vasectomy.I 100% would recommend him to the highest degree for any of your urology needs.
After 5 years of having a vasectomy. My husband and I wanted to give our daughter a sibling. We drove 2 hours to have Dr. McHugh and his team give us a chance at growing our family again. They were informative and the overall surgery was handled smoothly leaving us with high hopes. 7 months later and we were expecting our second daughter. We cannot thank the practice enough and highly recommend them.
JT Mc Dowell
Dr was awesome, staff was all amazingly positive and easy going which made the entire experience a breeze. Even had Slipknot jamming in the room for me during the procedure which was so quick. 10/10 I would recommend anybody to them for their vasectomy needs.
I had a great experience getting my reversal done here. The whole team was great and worked with me to make me feel as comfortable as possible. Dr. McHugh is very personable and is one of the most experienced doctors in the area so it was an easy choice. I would recommend to anyone who wants a vasectomy or reversal done.
Dr. McHugh and his team were great, any questions that may be brought up he had an answer to. I would recommend Dr. McHugh to everyone.
Dr. John McHugh and staff were so friendly and made the whole process super simple and smooth. I will be recommending all of my friends interested in a vasectomy to come straight to him and his team. Don’t hesitate to call them first