John Curington, MD pt handout

Vasectomy Patient Information Worksheet


Anatomy


insert a photo here
· testis – produces sperm
· epididymis – catches sperm
· vas – tube that carries sperm
· seminal gland – produces semen
· prostate – adds to semen

Procedure


·       Exam
         A few people may be referred out if
         not appropriate candidates for
         “No-Scalpel” technique
·       Numbing with lidocaine
·       Clamp around vas
·       Insert special forceps
·       Cut vas on both sides
·       Cauterize or clamp

Potential Complications


·       Pain
·       Bleeding
·       Hematoma “grapefruit scrotum”
·       Infection
·       Granuloma “scar lump”
·       Long-term ache
·       Continuing fertility

 

Before your surgery


· Sign Consent
· No aspirin for 10 days
· Clip hair and shower at home before surgery
·  

After your surgery


· Day of surgery – home, rest, feet up,
           Ice, wear jockstrap, Tylenol.
· Day 2 – walk, shower, wear jockstrap,
           Take it easy, Tylenol.
· Day 3 – gentle activity, no vigorous activity,
            Wear jockstrap.
· Day 4 – return to work.

Sex After Vasectomy


· Week 1:  1 time at end of week.
· Week 2:  2 times
· Week 3:  as desired,
           But be sure to use contraception until
            semen checks are OK.

Follow-up checks:
· Take semen in labeled container
            to Clinic as on the list.
· Results
           - no sperm
                (all finished, this is good)
           - rare non-motile sperm
                (future pregnancy very unlikely)
           - many sperm
                (may need to repeat vasectomy)

Conclusion:
· After successful semen check,
        you are free to enjoy one of the most
        effective contraceptive methods known!
· Remember, though, condoms are still
        useful for protection against sexually
        transmitted diseases.


I have reviewed this worksheet, I have had my questions answered, and I understand the surgical procedure that I have requested.
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