With the approval of your Family Dr. or Cardiologist please discontinue your blood thinner’s [aspirin, Eliquis, Coumadin, ibuprofen, Advil, Aleve etc.] no later than one week before your vasectomy and for an additional three days past your vasectomy.  If you need pain control before or after your vasectomy you may use Tylenol, tramadol or the Norco’s we prescribed you.
 

The night before surgery do not take anything by mouth that is either food or drink.  Your anesthesiologist will guide you when and how to take your daily medications.
 

At the time of your pre-operative visit Amy will be giving you two medications prescriptions. A. Levaquin 750 mg, once daily, #10 to help prevent urinary tract infections. B. Norco 10 mg #60, one to two every 4-6 hours for groin pain and spasms. Please fill these prescriptions prior to surgery so that on your day of surgery everything is set at home for your recuperation the day of surgery.  No last-minute pharmacy visits.  Go straight home after surgery to relax.
 

No physical activity for 14 days and no sexual activity for 3 weeks to improve healing and to avoid blood in your semen.  Also apply ice q15 minutes for 6 hours after your spermatic chord denervation procedure to reduce swelling and discomfort for the first two or three days.
 

After your surgery you will have a right and left groin incision about 3 centimeters in length from side to side at the level of the base of your penis.  You will have a plastics closure to minimize your scar so keep clean daily.  If dry skin occurs on the incision it is safe to apply some moisturizer.  It will reduce your scar and incisional pain.
 

There is no guarantee that procedure will cure or decrease your testicular pain after your denervation procedure.  Most patients experience a 70% improvement usually by 6 weeks after surgery.
 

Extremely important after your surgery to wear your scrotal support for at least three weeks to prevent any injury to both your incisional areas.
 

If you have questions about your progress after this surgery please call Amy, Paula or Nicole and they will relate your questions directly to me for further assistance.  Our goal is to have a 100% success rate with our office visits and surgeries.  We are always available by some means during the business days 8-4:30 and afterwards with our answering service for emergencies.