will my recovery from surgery be like?
This surgery requires and general anaesthetic for
almost 2 hours. Discharge from hospital is usually
the same day and a family member or friend will be
required for the transfer home. Although able to
walk comfortably, men should not not drive a motor
vehicle for 24 hours after the operation.
What symptoms will I experience after surgery?
Following the operation men may experience some
symptoms which may last for a day or two such as:
fatigue and muscle pain;
mild nausea related to the anaesthetic;
pain at the site of the incisions. This may be
referred to abdomen. The pain usually disappears
within 24-48 hours and oral pain killers such as
Codeine or Panadol are usually sufficient
mild bleeding or discharge form the incision
site for a few days is common.
How soon after Surgery can I have Sex?
Sexual intercourse should not resume for two to
three weeks. I recommend light physical duties for
the first week and if necessary medical leave should
be applied for up to three weeks to avoid heavy
lifting or straining. Complete healing is not
achieved for six weeks in total. From the time of
discharge and up to six weeks firm supportive
underwear is recommended and avoidance of contact
sports which could result in scrotal trauma.
What is the likelihood of a vasectomy reversal
The most important factor predicting success is the
time since the initial vasectomy. For those men less
than three years since the procedure the chance of
reversal resulting in satisfactory sperm counts is
approximately 90%. At five years this reduces to 70%
and if more than ten years has elapsed only 50% of
men will have a satisfactory semen analysis. The
pregnancy rate after reversal is approximately two
thirds (66%) of these men with satisfactory sperm
count. Other important factors include:
type of procedure performed initially;
complications such as infection at the time of
previous history of infertility or poor semen
medical conditions such as diabetes or chronic
What factors will affect the chance of pregnancy?
Consideration of any female factors likely to
compromise fertility should be discussed prior to
vasectomy reversal. In particular, the following
female factors may reduce the chance of pregnancy:
female age more than 35 years;
history of female pelvic infection;
history of tubal surgery;
history of previous infertility
What are the possible complications of surgery?
No surgery is without risk however, the risk
associated with this surgery is small. An antibiotic
injection is given during anaesthetic to reduce the
risk of infection. Complications such as bleeding at
the site of scrotal incisions is usually minor
although men are encouraged to rest for the first 24
hours following discharge and report any significant
bleeding. Bleeding within the testis with damage to
the testis occur rarely and if this happens further
surgery may be required. Anaesthesia itself is never
without risk and the risks are greater for men who
smoke or who are significantly over weight.