Pre-Operative Preparation:

    1. For any elective surgery you should be in the best of health. It is important to let my office know if you have any other health problems which might necessitate consultation with an internist prior to your surgery.
    2. Avoid aspirin and aspirin products for a week before your surgery.



    1. You will normally be operated on as an out-patient at the Ambulatory Surgical Center. The week before surgery you might be asked (if not already done at my office) to report to the Ambulatory Surgical Center at which time a medical history, possibly a physical examination and necessary laboratory tests will be performed.
    2. On the day of your surgery, you will be asked to report to the Ambulatory Surgical Center at least one hour before surgery and must be accompanied by someone capable of driving you home. You should not have eaten nor drunk anything since dinner the night before. I will meet with you during the hour prior to surgery to examine you and answer any questions.
    3. Surgery will take between two to four hours, depending on the type of surgery necessary to restore your fertility. The procedure is performed under either a general or a spinal anesthetic, both of which are extremely safe and effective.
    4. You will remain in the recovery room for a minimum of one hour, until you feel comfortably alert for travel.


Post-Operative Care:

    1. If rubber drains are placed you will return to my office the morning after surgery to have the rubber drains removed from your scrotum.
    2. A small amount of bright red blood is to be expected. DO NOT be alarmed if you feel that the amount is excessive—call my office.
    3. By the time of discharge from the Ambulatory Surgical Center you will have been given prescriptions for pain medication and, occasionally, antibiotics. When taking pain medication, be careful as you walk or climb stairs. Dizziness is not unusual.
    4. Do not drive for 48 hours after the surgery or while taking pain medication. You can ride in a car or other means of transportation if someone else is driving.
    5. You may shower 48 hours after the surgery. Keep the dressing dry until then. Do not take baths for at least one week after surgery. Remove the scrotal supporter and dressing before showering and replace the supporter (with clean gauze if necessary) following your shower.
    6. Swelling and black and blue are normal and may take several weeks to resolve.
    7. If your job involves only desk work and very light activity, you may return 3 or 4 days after the surgery. It is likely that you will have some discomfort for the first 2 to 3 weeks after surgery.
    8. You will need to wear an athletic supporter (jock strap) at all times, even when sleeping, for 3 weeks post-operatively. It may only be removed while showering.
    9. No heavy work or sports are allowed for 3 weeks post-operatively. After 3 weeks, you should wear a snug-fitting athletic supporter when engaging in sports or strenuous activity.
    10. No sexual intercourse is allowed for 4 weeks post-operatively.
    11. Thereafter, you may resume normal activities as you feel up to it.
    12. Please call my office to make your first post operative visit. This visit should be 2 weeks after surgery.


If you experience any other problems, or have questions after your surgery, please feel free to call the office.

Post-Operative Semen Analysis:
It is important that you have sperm counts obtained after your surgery at the following intervals:

1 month, 3 months, 6 months, and every 3 to 6 months after your surgery until your wife becomes pregnant. At the time of your semen analysis, a blood specimen may also be taken to determine antisperm antibody levels.

At each follow-up visit, I will examine you and review your progress.
In general, it will take between 3 to 12 months for sperm counts to return to normal, although on some occasions it may take up to 2 years.

If you have questions please call me at 516-487-2700