Post-reversal Management and Care
Whether for a vasovasostomy or a vasoepididymostomy, post-reversal instructions are critical to the success of the reversal. It is important for the patients to receive detailed and patient-specific verbal and written instructions so that they can understand what they can and cannot do to ensure a comfortable recovery. Discharge instructions should address standard postop and postanesthesia guidelines as well as instructions regarding the use of ice, an athletic supporter, restrictions on strenuous activity, incision care, and discharge medications and supplements. Resumption of sexual activity and follow-up semen analyses are important to clearly address as well.
KeywordsDischarge instructions Prophylactic antibiotics Postop ice Medications Incision care Pain medication Anti-inflammatory medications Blood thinners Activity Work and sports restrictions Resuming sexual activity Follow-up semen analysis Compliance
- 6.Perkins A, Marks MB, Peter Burrows PJ, Marks SF. Anti-inflammatory treatment for asthenozoospermia following microsurgical vasectomy reversal. Presented at American Society of Andrology 38th Annual Meeting, San Antonio, Texas: April 13–17, 2013.Google Scholar
- 7.Fujii MH, Hodges AC, Russell RL, Roensch K, Beynnon B, Ahern TP, Holoch P, Moore JS, Ames SE, MacLean CD. Post-discharge opioid prescribing and use after common surgical procedures. J Am Coll Surg. 2018. pii: S1072-7515(18)30154-6; https://doi.org/10.1016/j.jamcollsurg.2018.01.058.CrossRefGoogle Scholar
- 11.Murphy R, Perkins A, Marks MB, Burrows PJ, Marks SF. Post vasectomy reversal semen analysis compliancy. Androl. 2012;33(Suppl 2):42.Google Scholar