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1. About the Surgery:
Vasectomy reversal is performed on an outpatient basis under
local anesthesia in our surgical facility. In an effort to make this procedure available
to more people desiring more children, we own all the equipment
necessary to offer this procedure. We use the finest microsurgical
instruments available for this procedure, optimizing your chance for
future fertility and pregnancy. Most couples comment on how easy the process was for them.
You will be asked to arrive at our facility approximately one hour prior
to surgery and can usually leave shortly after the procedure. The surgery
itself takes about two hours to perform. You should
plan only a light breakfast on the day of surgery or a light lunch.
Aspirin and ibuprofen should be discontinued 7 days prior to any procedure as these
medications may act as anticoagulants and lead to an increase in
bleeding during or after surgery.
The
typical vasovasostomy takes me approximately 2 hours to perform, and a
vasoepididymostomy t akes about 3 hours after the initial
setup and preparation. We take no short cuts. There are exceptions to these time estimates of
course depending on the individual patient. We will typically
perform no more than two reversals a day so you are our sole focus with no distractions.
We will make every effort to schedule your procedure as soon as
possible.
2. About Anesthesia:
This
procedure is safely be performed in our surgical facility under local anesthesia.
The scrotum is injected with local anesthesia much like it would have
been with the original vasectomy procedure. This causes a short term
burning sensation that goes away after about a second. After this, there
should be little additional discomfort. The oral medications given
before the procedure provide for additional relaxation.
3. About the Surgeon:
Dr. Michael P.
Daniel performs all surgery personally placing every stitch himself.
Dr. Daniel personally cares for each patient before, during and after
surgery and can be reached by for emergencies or postoperative questions
24 hours a day. Dr. Daniel takes great pride in his successes and feels
it is his great privilege to care for each couple going through the
challenges and emotions of starting a family. He appreciates greatly
receiving photographs of your future children as well as comments as to
your experience and ideas for improving the experience for future
patients. Dr. Daniel is board certified by the American Board of
Urology.
4. About the
Microscope:
We utilize a Carl
Zeiss Surgical microscope, recognized as the best optics available. This
allows for accurate suture placement to be performed. We do not use
surgical loupes which are essentially small binoculars affixed to a pair
of glasses. These do not offer the same degree of magnification and are
not powerful enough to accurately place sutures which can barely be seen
without magnification.
5. Closer Look at
Laser Vasectomy Reversal as regards Lasers:
Presently, there
is no accepted FDA approved technique that allows the ends of the vas to
be “welded” together using laser energy. If you examine
the ads for laser vasectomy reversal closely, one realizes that the
laser is not used to put the vas back together but just used to free the
vas from surrounding tissue and to remove the vasectomy scar. It is conceivable that
the laser energy causes more damage to the vas tissue than a scalpel.
6. Accommodations:
We have arranged for a
special discount for our patients at the Comfort Inn in Burlington.
This is a very clean and new facility located less than 500 yards from our
office. It
is located at 2701 Kirkpatrick Road, Burlington, NC 27215. The telephone
number is (336) 584-4447, or you may contact them at
comfortbrlnc@ctc.net. The Raleigh-Durham Airport (RDU) is about 45 miles to our east on Interstate-40 if you are arriving by commercial
air. There is a large private airport in Burlington about 2 miles from
the Burlington office if arriving by private aircraft. The
Greensboro Triad Airport (GSO) is about 35 miles west.
7. Post-Operative Care:
After the
procedure, you will return to your hotel room if you are from out of the
area or to your home. I like for you to relax as best you can under the
circumstances and really not do very much that day. Use an ice pack 20
minutes on, 20 minutes off for as much as possible that day. You may
continue to use it the following day if you find it helping with the
discomfort. In most cases, you will be able to return home the day
following the procedure. I would like for you to abstain from
ejaculation for a one month. The
stitches in the scrotal skin will dissolve in about two weeks and come
out by themselves. This may cause some itching. You may
shower on the night of surgery but I do not want you to take a tub bath
for at least a week. You may take the pain medication provided as
needed or if it is too strong, a non-steroidal or Tylenol may be
preferred. If
you have traveled a great distance, this may be able to be performed in
your area if it is more convenient.
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