With the approval of your Family Dr. or Cardiologist please discontinue your blood thinner’s [aspirin, Eliquis, Coumadin, ibuprofen, Advil, Aleve etc.] no later than one week before your vasectomy and for an additional three days past your vasectomy.  If you need pain control before or after your vasectomy you may use Tylenol, tramadol or the Norco’s we prescribed you.
 

The night before surgery do not take anything by mouth that is either food or drink.  Your anesthesiologist will guide you when and how to take your daily medications.
 

At the time of your pre-operative visit Amy will be giving you two medications prescriptions. A. Levaquin 750 mg, once daily, #10 to help prevent urinary tract infections. B. Norco 10 mg #60, one to two every 4-6 hours for groin pain and spasms. Please fill these prescriptions prior to surgery so that on your day of surgery everything is set at home for your recuperation the day of surgery.  No last-minute pharmacy visits.  Go straight home after surgery to relax.
 

No physical activity for 14 days and no sexual activity for 3 weeks to improve healing and to avoid blood in your semen.  Also apply ice q15 minutes for 6 hours after your vasectomy to reduce swelling and discomfort.
 

After your surgery you will have a groin incision about 3 centimeters in length from side to side.  You will have a plastics closure to minimize your scar so keep clean.
 

You are not sterile until you hand in an ejaculate sample with no sperm in it. After your vasectomy you will need to ejaculate 20 times to not have any sperm in your semen.  Again, you are not infertile until I tell you your semen analysis has no sperm and make sure you ejaculate at least 20 times after surgery to almost insure a good result on your semen analysis.
 

Ten to twenty percent of men after a vasectomy begin to experience permanent testicular or groin pain.  This problem is minimized in my experience with my inguinal utilization versus a scrotal incision.
 

Extremely important after your surgery to wear your scrotal support for at least three weeks to prevent any injury to your incision area.
  

If you have questions about your progress after this surgery please call Amy, Paula or Nicole and they will relate your questions directly to me for further assistance.  Our goal is to have a 100% success rate with our office visits and surgeries.  We are always available by some means during the business days 8-4:30 and afterwards with our answering service for emergencies.