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Because the procedure is so successful, routine follow up is not required, but Dr Al-Ausi will assess any cases that require further follow up. For the vast majority, the only thing you will have to do is produce a semen sample at 16 weeks.

 

Immediate after care

You will usually have no pain whatsoever immediately after the operation. It's a good idea to wear close fitting underwear the night after the operation. It is not uncommon to have some mild discomfort and swelling above the testicles 2-3 days after the operation, so an ice pack for 10 minutes on the scrotum is effective at reducing this. Paracetamol can usually be taken to successfully manage any discomfort.  

General after care

It is usually safe for you to start having showers the day after the operation. The small split heals naturally and the best advice is to leave the area alone. Avoid heavy lifting and all sports for one week following the procedure.

Returning to work

Although full rest is advised immediately following the procedure, most men are able to return to non-manual work within a few days. 

Sex after the operation

Avoid sex and masturbation for two weeks after the procedure.  This is because sperm may leak out of the cut ends of the vas deferens before they have healed, which can lead to the development of painful nodules. Ultimately this may cause the ends of the vas to re-join and render the procedure unsuccessful. There is no evidence to suggest that the procedure alters sexual function in any way.

Contraception

It is essential that you continue to use effective contraception until your semen analysis shows a zero sperm count. Without this, pregnancy is still possible.



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