Vasectomy Instructions

Total Page:16

File Type:pdf, Size:1020Kb

Vasectomy Instructions VASECTOMY INSTRUCTIONS Before your vasectomy... 1. Shave the hair from around the penis and entire scrotum the night before or the morning of the procedure. This serves to cut down on the risk of infection and makes the vasectomy procedure easier. 2. You may drive yourself to and from the office for this procedure. 3. Bring a scrotal support/"jock strap" with you to the vasectomy procedure. After your vasectomy... 1. As much as is humanly possible, use an ice pack on the scrotum and rest for at least 48 hours after the procedure. Packages of frozen peas or frozen corn from the grocery store are an easy way to rotate scrotal ice packs. Activity really should be limited to going to the dinner table and getting up to go to the bathroom. Otherwise, no driving, no heavy lifting, no working, running, walking, etc. 2. Many patients find it useful to place a rolled-up washcloth between the legs to "prop" the scrotum up when they are lying on the couch or the Lazy-Boy while keeping an ice pack on top of the scrotum. 3. Wear your scrotal support/jock strap when you must be up. 4. You may shower the day after the vasectomy procedure. No tub baths or swimming for ten days after the vasectomy. 5. Seventy-two (72) hours after the procedure, most men are able to return to essentially regular activities and able to return to work. Regular activities do not include running, biking, jogging, lifting, or heavy, strenuous, or physical exercise. 6. Refrain from any heavy physical exercise, biking, running, jogging, etc., for ten days following the procedure. 7. Sexual intercourse is acceptable five days following a vasectomy procedure. Remember, you are still considered fertile until a follow-up semen analysis shows no sperm. 8. Make an appointment to see Dr. Bruce three months following the procedure, and bring in a semen analysis with you. You will be provided with a specimen cup when you leave the office following your procedure. When you return for the three-month follow-up visit, you will need to obtain a semen specimen by masturbation and bring it with you. If any further questions arise, please notify the office at 244-0161 (extension 40, Laurie). .
Recommended publications
  • Reference Sheet 1
    MALE SEXUAL SYSTEM 8 7 8 OJ 7 .£l"00\.....• ;:; ::>0\~ <Il '"~IQ)I"->. ~cru::>s ~ 6 5 bladder penis prostate gland 4 scrotum seminal vesicle testicle urethra vas deferens FEMALE SEXUAL SYSTEM 2 1 8 " \ 5 ... - ... j 4 labia \ ""\ bladderFallopian"k. "'"f"";".'''¥'&.tube\'WIT / I cervixt r r' \ \ clitorisurethrauterus 7 \ ~~ ;~f4f~ ~:iJ 3 ovaryvagina / ~ 2 / \ \\"- 9 6 adapted from F.L.A.S.H. Reproductive System Reference Sheet 3: GLOSSARY Anus – The opening in the buttocks from which bowel movements come when a person goes to the bathroom. It is part of the digestive system; it gets rid of body wastes. Buttocks – The medical word for a person’s “bottom” or “rear end.” Cervix – The opening of the uterus into the vagina. Circumcision – An operation to remove the foreskin from the penis. Cowper’s Glands – Glands on either side of the urethra that make a discharge which lines the urethra when a man gets an erection, making it less acid-like to protect the sperm. Clitoris – The part of the female genitals that’s full of nerves and becomes erect. It has a glans and a shaft like the penis, but only its glans is on the out side of the body, and it’s much smaller. Discharge – Liquid. Urine and semen are kinds of discharge, but the word is usually used to describe either the normal wetness of the vagina or the abnormal wetness that may come from an infection in the penis or vagina. Duct – Tube, the fallopian tubes may be called oviducts, because they are the path for an ovum.
    [Show full text]
  • Reproductive System, Day 2 Grades 4-6, Lesson #12
    Family Life and Sexual Health, Grades 4, 5 and 6, Lesson 12 F.L.A.S.H. Reproductive System, day 2 Grades 4-6, Lesson #12 Time Needed 40-50 minutes Student Learning Objectives To be able to... 1. Distinguish reproductive system facts from myths. 2. Distinguish among definitions of: ovulation, ejaculation, intercourse, fertilization, implantation, conception, circumcision, genitals, and semen. 3. Explain the process of the menstrual cycle and sperm production/ejaculation. Agenda 1. Explain lesson’s purpose. 2. Use transparencies or your own drawing skills to explain the processes of the male and female reproductive systems and to answer “Anonymous Question Box” questions. 3. Use Reproductive System Worksheets #3 and/or #4 to reinforce new terminology. 4. Use Reproductive System Worksheet #5 as a large group exercise to reinforce understanding of the reproductive process. 5. Use Reproductive System Worksheet #6 to further reinforce Activity #2, above. This lesson was most recently edited August, 2009. Public Health - Seattle & King County • Family Planning Program • © 1986 • revised 2009 • www.kingcounty.gov/health/flash 12 - 1 Family Life and Sexual Health, Grades 4, 5 and 6, Lesson 12 F.L.A.S.H. Materials Needed Classroom Materials: OPTIONAL: Reproductive System Transparency/Worksheets #1 – 2, as 4 transparencies (if you prefer not to draw) OPTIONAL: Overhead projector Student Materials: (for each student) Reproductive System Worksheets 3-6 (Which to use depends upon your class’ skill level. Each requires slightly higher level thinking.) Public Health - Seattle & King County • Family Planning Program • © 1986 • revised 2009 • www.kingcounty.gov/health/flash 12 - 2 Family Life and Sexual Health, Grades 4, 5 and 6, Lesson 12 F.L.A.S.H.
    [Show full text]
  • Chlamydia Trachomatis Infection Mimicking Testicular Malignancy In
    270 Sex Transm Inf 1999;75:270 Chlamydia trachomatis infection mimicking Sex Transm Infect: first published as 10.1136/sti.75.4.270 on 1 August 1999. Downloaded from Case report: testicular malignancy in a young man cobblestone A M Ward, J H Rogers, C S Estcourt A young man with a low risk history for sexually transmitted diseases presented with an appar- ently longstanding, previously asymptomatic scrotal mass, highly suggestive of testicular malignancy on palpation. Ultrasound sited the lesion in the epididymis. Although there was no evidence of urethritis, chlamydia polymerase chain reaction testing was positive. Tumour mark- ers were negative. Complete clinical and radiological response was achieved after a long course of doxycycline treatment, without surgical exploration of the scrotum, confirming the diagnosis of chlamydial epididymitis. (Sex Transm Inf 1999;75:270) Keywords: testicular malignancy; Chlamydia trachomatis; epididymitis A 36 year old Chinese man presented with a 2 Fifteen months later the patient was asymp- day history of a sore scrotal lump. He had no tomatic with normal examination and ultra- urethral discharge or dysuria, and no history of sonography, and negative urinary chlamydia sexually transmitted diseases. He denied any PCR. He declined semen analysis. extramarital sexual partners since his marriage 5 years ago, but acknowledged four or five female partners before that. The couple had one child and were using condoms for contra- Discussion ception. Longstanding, subacute epididymitis, present- Examination revealed left sided scrotal ing with a painless scrotal mass, and without swelling and a mildly tender mass, inseparable evidence of urethritis, is an unusual complica- from the lower pole of the left testis, with an tion of chlamydial infection.1 irregular surface and rock hard consistency.
    [Show full text]
  • Sterilization and Abortion Policy Billing Instructions
    Sterilization and Abortion Policy Billing Instructions Table of contents Table of contents ...................................................................................................................................... 1 Hysterectomy ............................................................................................................................................ 2 Acknowledgement forms ..................................................................................................................... 2 Prior authorization requirements ......................................................................................................... 2 Covered services ................................................................................................................................... 2 Intrauterine Devices and Subdermal Implants ......................................................................................... 4 Family planning: sterilization .................................................................................................................... 4 Prior authorization requirements ......................................................................................................... 5 Covered services ................................................................................................................................... 5 Abortion .................................................................................................................................................... 6 Claim
    [Show full text]
  • Non-Certified Epididymitis DST.Pdf
    Clinical Prevention Services Provincial STI Services 655 West 12th Avenue Vancouver, BC V5Z 4R4 Tel : 604.707.5600 Fax: 604.707.5604 www.bccdc.ca BCCDC Non-certified Practice Decision Support Tool Epididymitis EPIDIDYMITIS Testicular torsion is a surgical emergency and requires immediate consultation. It can mimic epididymitis and must be considered in all people presenting with sudden onset, severe testicular pain. Males less than 20 years are more likely to be diagnosed with testicular torsion, but it can occur at any age. Viability of the testis can be compromised as soon as 6-12 hours after the onset of sudden and severe testicular pain. SCOPE RNs must consult with or refer all suspect cases of epididymitis to a physician (MD) or nurse practitioner (NP) for clinical evaluation and a client-specific order for empiric treatment. ETIOLOGY Epididymitis is inflammation of the epididymis, with bacterial and non-bacterial causes: Bacterial: Chlamydia trachomatis (CT) Neisseria gonorrhoeae (GC) coliforms (e.g., E.coli) Non-bacterial: urologic conditions trauma (e.g., surgery) autoimmune conditions, mumps and cancer (not as common) EPIDEMIOLOGY Risk Factors STI-related: condomless insertive anal sex recent CT/GC infection or UTI BCCDC Clinical Prevention Services Reproductive Health Decision Support Tool – Non-certified Practice 1 Epididymitis 2020 BCCDC Non-certified Practice Decision Support Tool Epididymitis Other considerations: recent urinary tract instrumentation or surgery obstructive anatomic abnormalities (e.g., benign prostatic
    [Show full text]
  • Ultrasonography of the Scrotum in Adults
    University of Massachusetts Medical School eScholarship@UMMS Radiology Publications and Presentations Radiology 2016-07-01 Ultrasonography of the scrotum in adults Anna L. Kuhn University of Massachusetts Medical School Et al. Let us know how access to this document benefits ou.y Follow this and additional works at: https://escholarship.umassmed.edu/radiology_pubs Part of the Male Urogenital Diseases Commons, Radiology Commons, Reproductive and Urinary Physiology Commons, Urogenital System Commons, and the Urology Commons Repository Citation Kuhn AL, Scortegagna E, Nowitzki KM, Kim YH. (2016). Ultrasonography of the scrotum in adults. Radiology Publications and Presentations. https://doi.org/10.14366/usg.15075. Retrieved from https://escholarship.umassmed.edu/radiology_pubs/173 Creative Commons License This work is licensed under a Creative Commons Attribution-Noncommercial 3.0 License This material is brought to you by eScholarship@UMMS. It has been accepted for inclusion in Radiology Publications and Presentations by an authorized administrator of eScholarship@UMMS. For more information, please contact [email protected]. Ultrasonography of the scrotum in adults Anna L. Kühn, Eduardo Scortegagna, Kristina M. Nowitzki, Young H. Kim Department of Radiology, UMass Memorial Medical Center, University of Massachusetts Medical Center, Worcester, MA, USA REVIEW ARTICLE Ultrasonography is the ideal noninvasive imaging modality for evaluation of scrotal http://dx.doi.org/10.14366/usg.15075 abnormalities. It is capable of differentiating the most important etiologies of acute scrotal pain pISSN: 2288-5919 • eISSN: 2288-5943 and swelling, including epididymitis and testicular torsion, and is the imaging modality of choice Ultrasonography 2016;35:180-197 in acute scrotal trauma. In patients presenting with palpable abnormality or scrotal swelling, ultrasonography can detect, locate, and characterize both intratesticular and extratesticular masses and other abnormalities.
    [Show full text]
  • Everybody's Got Body Parts – Part
    Everybody’s Got Body Parts – Part Two A Lesson Plan from Rights, Respect, Responsibility: A K-12 Curriculum Fostering responsibility by respecting young people’s rights to honest sexuality education. ADVANCE PREPARATION FOR LESSON: NSES ALIGNMENT: • Go through the website and video, http://kidshealth.org/teen/ By the end of 8th grade, students sexual_health/guys/male_repro.html and https://medlineplus. will be able to: gov/ency/anatomyvideos/000121.htm, which you will use to AP.8.CC.1 – Students will be provide the answers to the activity in this lesson. able to describe the male and female sexual and reproductive • Speak with your IT department to make sure both of the above systems including body parts websites are both unblocked for your classroom and that your and their functions. computer’s sound works for the video. • Make sure your computer is queued to both the website and TARGET GRADE: Grade 7 video right before class. Lesson 2 • Go through the anonymous questions from the last class session to be prepared to answer them during class. If there TIME: 50 Minutes are no or very few questions, feel free to add in a few. LEARNING OBJECTIVES: MATERIALS NEEDED: By the end of this lesson, students will be able to: • Desktop or laptop with internet connection 1. Name at least two parts of the male internal and external • If you do not have hookup sexual and reproductive systems. [Knowledge] for sound, small speakers to connect to your computer 2. Describe the function of at least two parts of the male • LCD projector and screen internal and external sexual and reproductive systems.
    [Show full text]
  • U.S. Medical Eligibility Criteria for Contraceptive Use, 2016
    Morbidity and Mortality Weekly Report Recommendations and Reports / Vol. 65 / No. 3 July 29, 2016 U.S. Medical Eligibility Criteria for Contraceptive Use, 2016 U.S. Department of Health and Human Services Centers for Disease Control and Prevention Recommendations and Reports CONTENTS Introduction ............................................................................................................1 Methods ....................................................................................................................2 How to Use This Document ...............................................................................3 Keeping Guidance Up to Date ..........................................................................5 References ................................................................................................................8 Abbreviations and Acronyms ............................................................................9 Appendix A: Summary of Changes from U.S. Medical Eligibility Criteria for Contraceptive Use, 2010 ...........................................................................10 Appendix B: Classifications for Intrauterine Devices ............................. 18 Appendix C: Classifications for Progestin-Only Contraceptives ........ 35 Appendix D: Classifications for Combined Hormonal Contraceptives .... 55 Appendix E: Classifications for Barrier Methods ..................................... 81 Appendix F: Classifications for Fertility Awareness–Based Methods ..... 88 Appendix G: Lactational
    [Show full text]
  • Case Report Erectile Dysfunction Due to a `Hidden' Penis After Pelvic Trauma
    International Journal of Impotence Research (1999) 11, 53±55 ß 1999 Stockton Press All rights reserved 0955-9930/99 $12.00 http://www.stockton-press.co.uk/ijir Case Report Erectile dysfunction due to a `hidden' penis after pelvic trauma LAJ Simonis1, S Borovets1, MF Van Driel1*, HJ Ten Duis1 and HJA Mensink1 1Department of Urology and Traumatology, University Hospital Groningen, The Netherlands We describe a twenty-six year old patient who presented us with a dorsally retracted `hidden' penis, which was entrapped in scar tissue and prevesical fat, 20 y after a pelvic fracture with symphysiolysis. Penile `lengthening' was performed by V±Y plasty, removal of fatty tissue, dissection of the entrapped corpora cavernosa followed by ventral ®xation. Keywords: erectile dysfunction; pelvic fracture; symphysiolysis; hidden penis; penile lengthening Introduction At the physical examination we observed the man with a midline lower abdominal scar and a scar in his left groin, normal pubic hair and a 3 cm penile A twenty-six year old man was referred to our length at stretching simulating an erection. A hospital because of a very short penis, both diastasis of the pubic symphysis and normally sized functionally and cosmetically. In his view he would corpora and glans could be palpated, although they not be able to have sexual intercourse, which was were more or less buried in the diastasis and the main reason for avoiding sexual relationships. scrotum. The urethral meatus could be visualised The other reason for avoiding sexual contact was centrally on the glans. The scrotum was developed persistent urinary stress incontinence for which he normally, there was a normal testicle on the right used bandages.
    [Show full text]
  • Anatomy and Physiology of Erection: Pathophysiology of Erectile Dysfunction
    International Journal of Impotence Research (2003) 15, Suppl 7, S5–S8 & 2003 Nature Publishing Group All rights reserved 0955-9930/03 $25.00 www.nature.com/ijir Chapter 2 Anatomy and Physiology of erection: pathophysiology of erectile dysfunction Reporters and participants of the 1st Latin American Dysfunction Consensus Meeting International Journal of Impotence Research (2003) 15, Suppl 7, S5–S8. doi:10.1038/sj.ijir.3901127 Anatomy deep dorsal vein, the circumflex veins, the emissary veins, the cavernous veins and the crural veins). The lacunar spaces drain into small venules, which flow The penis, the male genital organ, has two func- together into a subalbugineal plexus, which in turn, tions: sexual and urinary. It is located above the emerges as emissary veins4,5 (Figure 1). scrotum, and it is linked to the pubic symphysis by two ligaments. It has a three-cylinder shape, integrated by two CROSS-SECTIONAL SECTION OF THE PENIS vascular tissue bodies (corpora cavernosa) (CC) and Superficial dorsal vein the corpus spongiosum (CS). The CCs have two Dorsal artery of penis Dorsal nerve of portions: a fixed posterior one, or perineal, and one penis that is anterior or free. At its base, the ischiopubic Deep dorsal vein Colles’ fascia rami are fixed, surrounded by the ischiocavernous muscles. The CS, in turn, stems from the perineum, Buck’s fascia Circumflex Vein surrounded by the bulbocavernous muscle. The Corpus urethra runs most of its length. At the distal end, cavernosum Tunica albuginea the CS dilates into a structure known as glans, Cavernous artery where the urethra opens to the outside of the Corpus spongiosum Urethral artery body through the meatus.1,2 Urethra Adapted and Modified from the 2ndBrazilian Consensus on Erectile Dysfunction2 The penis has an epidermal layer, underneath which is located the superficial fascia (Colles’), Figure 1 Cross-sectional section of the penis.
    [Show full text]
  • Patient Instructions for Post-Vasectomy Fertility Test: Semen Specimen Collection
    Patient Instructions for Post-Vasectomy Fertility Test: Semen Specimen Collection Semen specimen 12 weeks after your vasectomy: Twelve weeks (3 months) after your vasectomy, you should collect a semen specimen in the container provided to you by the Urology Department. It is recommended that you have at least 20 ejaculations within the 12-week period after your vasectomy. Depending on the results of your initial sample, you may be asked by your physician to provide another sample. You must utilize an alternate method of contraception until cleared by your physician. You are considered fertile following vasectomy until, as per the American Urological Assn. recommendations, at least one semen analysis shows no fertile sperm. On rare occasions, the vasectomy can fail and the vas deferens tubes can rejoin. Your semen specimen can be brought by yourself to the Urology Clinic only if: It can be in the laboratory within one hour of collection, and It is kept at room temperature during that time. It is suggested, however, that you create your semen specimen while you are at the Urology Clinic. Your semen specimen deposit should be scheduled in advance by Kathy Stevens: call 434-924-9548 or 434- 924-9560. Please note the following important instructions and guidelines for semen collection: The sample should be collected after a minimum of 2 days, and a maximum of 7 days, of sexual abstinence. If you choose to collect the specimen at home, it must be collected in a clean specimen container with a secure lid, such as one with a screw-on cap.
    [Show full text]
  • Opinion Study on Vasectomy, Sterilized Version of Male Keywords: Vasectomy; Contraception; Sperm; Gonads Contraception
    Opinion iMedPub Journals Journal of Contraceptive Studies 2017 http://www.imedpub.com ISSN 2471- 9749 Vol. 2 No. 1:5 DOI: 10.21767/2471-9749.100028 Opinion study on Vasectomy, Sterilized Audrey Kanes Version of Male Contraception Department of Endocrinology, Universidad de São Paulo, Brazil Abstract Corresponding author: Audrey Kanes Vasectomy, it is well known heard around the world as the extreme perfect [email protected] sterilized process of contraception which is known to be synonym of contraception for males, male animals too. Amid vasectomy, a medicinal services supplier closes Professor, Department of Endocrinology, or obstructs the tubes that convey sperm. At the point when the tubes are shut, Universidad de São Paulo, Brazil. sperm can't leave a man's body and cause pregnancy. Sperms are made in the Gonads will go through two tubes called the vasa differentia to different organs Tel: +55 19 3521-7000 and blend with original liquids to frame semen. Vasectomy obstructs every vas deferens and keeps sperm out of the original liquid. Sperms are consumed by the body as opposed to being discharged. Without your thickened sperm (discharge) can't bring the suspect chance on pregnancy. Citation: Kanes A. Opinion study on Vasectomy, Sterilized Version of Male Keywords: Vasectomy; Contraception; Sperm; Gonads Contraception. J Contracept Stud. 2017, 2:1 Received: March 02, 2017, Accepted: March 09, 2017 Published: March 16, 2017 Sterilized Procedure There are diverse routes for men to be cleaned. One write does not require an entry point - a cut. Alternate sorts of vasectomy require an entry point. Cut strategies take around 20 min [1-3].
    [Show full text]