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Spermatic Vein Ligation

WHAT YOU NEED TO KNOW:

A spermatic vein ligation is surgery to repair a varicocele. A spermatic vein ligation helps improve blood flow and decrease vein swelling. This may help improve the flow of sperm and improve fertility.

DISCHARGE INSTRUCTIONS:

Call 911 for any of the following:

  • You feel lightheaded, short of breath, and have chest pain.
  • You cough up blood.

Seek care immediately if:

  • Blood soaks through your bandage.
  • Your stitches come apart.
  • Your leg feels warm, tender, and painful. It may look swollen and red.

Contact your healthcare provider if:

  • You have increased pain at your incision site or in your scrotum.
  • You have a fever or chills.
  • Your wound is red, swollen, or draining pus.
  • You have nausea or vomiting.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Prescription pain medicine may be given. Ask how to take this medicine safely.
  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Care for your wound as directed:

Carefully wash the wound with soap and water. Dry the area and put on new, clean bandages as directed. Change your bandages when they get wet or dirty.

Elevate your scrotum:

Elevate your scrotum by resting it on a rolled towel while you are lying down. This will help decrease swelling and pain.

Apply ice:

Apply ice on your scrotum for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain.

Wear an athletic supporter:

Wear an athletic support or snug briefs when you are up and walking around. This will help decrease pain, swelling, and pressure on your scrotum.

Return to activities as directed:

You may be able to return to your usual activities in about a week. This includes sexual activity. Avoid strenuous activity for 2 weeks. If you work in an office where you are less active, you can usually return in 2 days after surgery.

Follow up with your healthcare provider or urologist as directed:

You may need to return to have your stitches removed. Your healthcare provider may want to check another semen sample in a few months. Write down your questions so you remember to ask them during your visits.

© 2015 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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