Principles of the Procedure
This procedure is performed to return fertility to a man who has had a prior vasectomy. The site of the prior vasectomy on both sides of the scrotum is dissected out and the scarred vas is excised back to healthy tissue. Then, with the use of an operating microscope the two fresh ends of the vas are joined together with very fine sutures.
You will be admitted the day of the procedure. No specific preparation is needed apart from fasting for about 6 hours prior to the surgery. You should continue to take your usual medications unless directed otherwise by your Urologist or his anaesthetist. Please inform us if you are taking any anticoagulant (blood thinning) medication.
Expected Post-Operative Recovery
Depending on your degree of post-operative discomfort, you will either be able to go home on the same day as the procedure, or stay overnight in hospital. Some scrotal swelling and discomfort is to be expected over the next week or so, as this surgery is more complex than a vasectomy. This swelling always settles, though it is advisable to wear firm fitting underwear during this time to minimise discomfort. You should hold off from sexual activity for a couple of weeks after the surgery to allow everything to heal up. Some blood in your initial ejaculates is often seen and is normal.
Risks - as per your discussion with your Urologist
Bleeding / scrotal haematoma
Scrotal swelling / pain
Failure of sperm counts to return to normal