
Beginning your recovery
You will receive a detailed instruction sheet at the time of discharge about post-surgical care, which you may view here. Share this regimen with a loved one who can help you stay on track.
In the first 5-7 days after surgery, stay at home and off your feet as much as possible to minimize swelling and discomfort. Be certain to follow the instructions regarding the use of ice and pain medications carefully, as this will greatly diminish the discomfort, which can include slight swelling, bruising or discoloration in the scrotal area. In addition, the anesthesia may leave you with mild nausea, dizziness, headaches or body aches in the first day or two after surgery. If you develop chills, fever, escalating or excessive pain, swelling or drainage from the incisions, please notify Dr. Schrepferman immediately, as these can be signs of infection.
The first few weeks after surgery
Twenty-four hours after surgery, it is safe to enjoy the soothing comfort of a shower. However, we recommend you resist the urge to soak in the bath. Tub baths, especially in the 48 hours after your surgery, can increase infection risk and promote swelling. Driving is strongly discouraged, particularly if pain medications are still being used. It is preferable not to leave home the first week after surgery.
After two weeks, it is permissible to experience ejaculation, particularly if there is only minimal residual discomfort. After 3 weeks, all physical activities may resume. It is important to wear a supportive garment (snug shorts or athletic supporter) during all physical activity after surgery. If pain increases, reduce activity and use ice for 24-48 hours. Activity can then be re-attempted slowly.
Your fertility following surgery
Sperm flow through the surgical site begins immediately in many patients but can take up to a full year for more difficult reconstructions. Dr. Shep has had pregnant patients only 5 weeks after surgery on several occasions! It is important to check intermittent sperm samples to be certain that the surgery has been successful and to watch for any signs of delayed scarring or worsening sperm counts. Dr. Schrepferman will schedule a semen analysis every 3-4 months the first year after surgery to monitor progress closely.