On the day of the operation, please bring with you a pair of tight fitting underpants (boxer shorts are not appropriate) in order to give as much support to this area as possible after the procedure. There is no need for you to shave around the testicles before your operation. This will be done by the surgeon at the time of operation.
Before the operation, the surgeon will ask you to sign a consent form and will ask you to confirm that you do not want any more children.
The procedure is carried out under local anaesthetic that lasts 1-2 hours. The anaesthetic is administered by injection, after which you will experience slight stinging followed by numbness of the area. It is not advisable to drive straight after the procedure.
The operation is performed by making a small cut in the mid line of the scrotum. The tube which carries sperm from the testicles to join the semen fluid is located on either side. The tube is divided on each side and a portion of each is sent for analysis. The ends are then cauterised with heat and tied with stitches. Any bleeding points are controlled by cautery. The small wound is closed with dissolving stitches and a fast drying spray.
Complete rest for 24 hours after the operation greatly reduces pain and discomfort. After the operation, you should go straight home raise your feet on a stool for the rest of the day. If you feel any discomfort after the anaesthetic has worn off, take paracetamol.
A bath or shower can be taken the next day. The dissolving stitches will come away after two or three weeks or so. There will be a small scar which will disappear as it is in the mid line and among the wrinkles of the scrotum.
Moderate activities can be resumed on the second day after surgery and after seven days sporting activities and intercourse, etc. can be resumed. Intercourse may be uncomfortable for the first few occasions but this discomfort soon disappears. No follow-up is required but if you are concerned for any reason, please contact the nurses at East Quay Medical Centre on 01278 444666
You must provide the first semen sample at least 20 weeks after the operation and the second semen sample at least 22 weeks after the operation.You will be contacted by the hospital on when to bring your samples for testing. The samples will be tested to ensure there are no sperm present. If the sample is not clear, you will be asked to provide further samples.
It is essential that you use a form of contraception until we advise you that you have two free samples. You will be advised further on this on the day of the operation.
Following the procedure you have had, you may experience some discomfort. There are various over the counter remedies that can be useful:
Paracetamol is available both in tablet and soluble preparations and is effective in relieving pain. The maximum adult dose is two tablets every 4-6 hours. Preparations containing paracetamol with codeine are also available and are a little stronger. Please note that many over the counter remedies also contain paracetamol as their main ingredient so it is important to ensure that you do not exceed the daily dose of paracetamol.
Ibuprofen is a non-steroidal anti-inflammatory painkiller, it is quite different to paracetamol and can be taken as an alternative painkiller or together with paracetamol. You should however avoid ibuprofen if you suffer or have suffered from stomach ulcers or excess stomach acidity. Similarly if you have Asthma and ibuprofen worsened your asthma symptoms previously, ibuprofen should be avoided. Some other medicine you take regularly can also interact with ibuprofen, if in doubt see your pharmacist.
If your pain doesn’t resolve or is severe then please contact your GP for further advice. If your GP is unavailable, then please contact Karen Sherring on 01278 440409 who will arrange for a nurse or GP from East Quay Medical Centre to contact you if necessary.
If you have been referred to East Quay Health, you will receive an appointment by post.
Included with the appointment letter are details of what you should do before and after the appointment as applicable.
What if I can’t make the appointment?
If you wish to cancel or change your appointment, please call Karen Sherring on 01278 440409. Please give as much notice as possible so that we can allocate the appointment to another patient.
What do I need to bring?
Please do not bring anything valuable to the centre as we can not be responsible for their loss.
What do I do when I arrive?
Please report to reception on arrival. The receptionist will direct you to the waiting room. You will be called to the clinic when it is time for your procedure.
What happens immediately after the procedure has been carried out?
You may be advised to wait in the adjoining room for 10-15 minutes if the procedure has caused any pain. Most patients are however free to leave straight afterwards but you should not attempt to return home by bicycle, foot or public transport.
What do I do if I experience excessive pain or discomfort after the procedure?
Information on pain relief is included in ourleaflet. NHS direct may also provide useful information, they can be contacted on 111. If you experience severe pain or discomfort, you can contact the nurses at East Quay Medical Centre or your GP.