Dr.Shu went to Haiti for his 2016 Haiti mission in the end of October. This is the second time that Dr. Shu participated in the Haiti mission through No Scalpel Vasectomy Inc. (NSVI), and it is also the fourth time that he participated in the international mission in the past two years.
For the first time, in October 2016, two NSVI teams provided vasectomy procedures and training at two sites simultaneously in northern Haiti. Over four days, this enabled the team to provide vasectomies at five sites, visiting some sites on more than one day. Each team was composed of three international vasectomy experts and either an experienced Haitian vasectomist or a Haitian trainee. About 122 vasectomies were performed during the October mission alone. In total, 289 vasectomies were performed during the three Haiti missions of 2016.
Our “Guest Vasectomist” volunteers not only paid their own ways to Haiti, but also made generous donations to help cover NSVI expenses.
From distant locations in North America, our vasectomists met the Floridians in Miami.
Although an Easy™ vasectomy reversal is one of the safest procedures, there are still chances of minor complications, such as infection, bleeding, prolonged pain or transient bruising, temporary swelling or fluid accumulation. Most patients experience a dull ache in the scrotal region, but this usually resolves with time. We avoid the risks related to general anesthesia or intravenous sedation by using the local anesthesia only, and the risk from local anesthesia is almost zero.
The potential risks and complications:
Hematoma(collection of blood) in the scrotum occurs in less than 5% of men. Mild swelling, bruise and pain are expected after such surgery, but excessive scrotal swelling and bruise could be a hematoma, the patients should report immediately if they suspect to have a hematoma. Small hematoma usually resolves by itself, and the patients may take the pain medications and antibiotic for pain management and infection prevention. Large hematoma needs to be drained to facilitate recovery. Very occasionally, the patient needs to be operated in order to stop acute arterial bleeding. We didn’t have any case of large hematoma or arterial bleeding since we offered the vasectomy reversal service.
Seroma (collection of fluid) can accumulate in the scrotum after surgical trauma and local anesthesia. It happens rarely. In some cases that prone to develop hematoma or seroma, Dr. Shu preventively put small Penrose rubber tube in the scrotum to drain the blood or fluid over 24 hours.
Infection occurs in the wound or inside scrotum, more common if there is a hematoma beneath the skin. The risk of infection in vasectomy reversal procedure is less than 1%. The patients usually take oral antibiotic in the first week of post-op to minimize it. If scrotal infection happens, abscess needs to be drained, and the patients will be given a different oral antibiotic, or in its most serious form, intravenous antibiotics in the clinic or hospital.
The patients should watch for the signs of infections in the first week, such as worsening pain, swelling, redness, or purulent drainage, and fever. We didn’t have any case of scrotum infection since we offered the vasectomy reversal service in our clinic.
Postoperative acute pain (mild) in the first week or occasional prolonged dull ache (congestion) in the testicles, usually disappears within a few weeks or months.
During or after vasectomy reversal, when a small amount of sperms and fluid leaks out of the reconnected site of vas, it may induce an inflammatory reaction termed a granuloma (risk less than 1%) that may be painful, but usually resolves with time. Rarely this will disrupt the reconnection.
Epididymitis, when the packed vas tube behind the testicle becomes inflamed and swollen, although very rare, can be treated with heat application and medication.
Sexual difficulties for the man due to psychological and emotional responses to a vasectomy reversal.