Archive for August, 2008

No suture used – is this normal?

From John:- When I asked my doctor about a suture he said that it is not necessary because the incision is cauterized. Within two days the incision was open and has yet to heal on day 6. Is it normal not to use sutures? Should I be putting something on the wound area to promote [...]

Vasclip “Gone missing”

From Sarah:- My husband got a vas clip almost 2 years ago now and he checks for the clips often. The other night he was checking and we can not find the right one. And his left one is causing him pain. it is very sensitive to touch. Where could that second clip have gone? [...]

Vasectomy reversal semen analysis results questions

From Lynette:- Background: My husband had an 8 1/2 year old vasectomy reversed in April of this year. We have a microscope and we’ve been keeping an eye on things at home since 1 month post-op. At one month we saw a few sperm. 75 days post-op we saw about 15 (per view field at [...]

Is ejaculation necessary to clear out sperm?

From Robert:- Does a man have to ejaculate after a vasectomy to remove access sperm or is there another way of sperm extraction possible? A man needs to ejaculate after a vasectomy to clear all sperm from the reproductive tract downstream from the vasectomy. Studies have shown that it can require as many as 24 [...]

How likely is it that a vasectomy reversal will work for us?

From Carrie:- First and foremost I would to thank you for your time in answering my question. I have done so much research on the internet and they all give and take my hope away.I am a 25 year old healthy female. I have been in a relationship with a man who is 42 at [...]

Question from a doctor regarding incidence of testicular loss when vasectomy is performed after excision of a cord lipoma

From Andrew:- I am a second year surgical resident, and the question was posed to me during an inguinal hernia repair: What is the incidence of testicular loss when vasectomy is performed after excision of a cord lipoma? I have looked in textbooks, medline, and online for hours, and have yet to find an answer. [...]

Sperm count now zero after second reversal. Is this due to infection or inflammation?

From Jim:- I had a 2nd reversal done 5 months ago. The first reversal was a success in that my wife conceived within 3 months. However, when we started trying again my sperm count was 0! Now – recently 6 weeks post op my count was good but viscosity ++++ and motility only 20 % [...]

Confused about vasectomy reversal semen analysis

From Melissa:- I’m trying to make heads or tails out of the findings discussed at the time of the actual reversal procedure regarding the seminal fluid. Could you please explain the findings to me so I can better grasp what each is really saying: Heads and tails seen, clear fluid but no sperm present, whole [...]

Is this normal healing?

From Anthony:- I found your site while trying to find out if my incision was healing normally. I did not see any pictures like mine so I have attached one you may add to your page (a great idea, thanks for starting and maintaining it!). I’m pretty sure this is considered “normal” healing because the [...]

Can frequent ejaculations help speed up time to getting clearance?

From Jennifer:- My husband is going to be getting a vasectomy in the next few months. I am fully supportive of his choice, and am looking forward to the freedom it will give us. I am aware that after receiving a vasectomy, the male’s sperm counts take several months to reduce and disappear… Is there [...]

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