No-Scalpel/No Needle Vasectomy Information

The Weiss Clinic

No-Scalpel/No Needle Vasectomy Information

FIRST CONSIDERATIONS
Vasectomy should be considered permanent and irreversible. Don't be fooled by claims
of reversible vasectomies...there is no such thing. If you attempt to reverse your
vasectomy within the first three years of having it done, you have about a 70% chance of
success (this falls considerably after ten years). The reason for this is simple. It may be
possible to rejoin the tubes (the vas deferens) but the sperm that go through may be
infertile. Most men, after vasectomy, develop immunity, or antibodies, to sperm. This is
not a concern from the point of view of general health. But it means that the body may
inactivate the sperm as they are produced, making successful reversal difficult.
Men under the age of 30, who opt for vasectomy, are statistically 12 times more likely to
undergo reversal surgery...a 3-hour operation under general anaesthetic with a painful
recovery costing many thousands of dollars and with no guarantee of success! Those with
children under 4-6 months of age may want to consider waiting before proceeding to
vasectomy. The risk of sudden infant death syndrome (SIDS) is greatest under this age.
Obviously natural conception is the best method. However it is possible to freeze semen
prior to vasectomy (for a fee) for those with infants or men who have no children.
The bottom line is this: if you are in doubt about whether you want to have any more
children, don't have a vasectomy. Your partner may wish to consider other forms of
contraception.
A vasectomy has no bearing on sexual function. Your ability to obtain and maintain an
erection is unchanged. When you ejaculate after vasectomy there will be an equivalent
amount of semen that comes out. If there are problems in your sexual relations, however,
work them out before you have a vasectomy. It could only magnify problems
psychologically.
You will be asked about any medical conditions, bleeding problems and allergies to
medication or anaesthetics. It is your responsibility to make certain that the doctor is
aware of the presence of any of these.

NO-SCALPEL VASECTOMY
No-Scalpel Vasectomy can be done in the doctor's office. No knife is needed. Using a
special no-needle 'freezing' technique called jet injection, the doctor numbs the area. This
method of local anaesthesia, or freezing, works with air pressure and does not require a
needle. The sensation is like a little pop, not unlike a small rubber band against the skin.
A tiny hole is made with a special instrument and stretched open just enough to lift out
the tube (vas deferens) on each side. The vas is cut and one end is cauterized. One of the
ends is then tucked back into its sleeve, or sheath, which is then closed. The testicles
continue to produce sperm for the rest of your life. After a vasectomy, however, the
sperm are broken down and reabsorbed by the body.
The No-Scalpel No-Needle Vasectomy is faster, safer and more comfortable than
conventional techniques. The surgery itself takes about 5-10 minutes. Add another 5
Copyright © 2009 Dr. Ronald S. Weiss. All Rights Reserved.

---

The Weiss Clinic

minutes for the sterile preparation and you are in and out of the 'operating' room in about
15 minutes (of course the doctor will keep you for 15 minutes afterwards before letting
you leave). The risks of bleeding and infection, the most common complications of
vasectomy, are much less than with conventional vasectomy. The anaesthetic (freezing)
technique causes less discomfort because a needle is not necessary and the numbing
effect with jet injection is more profound. Recovery time is usually faster and less painful
because the procedure itself is less traumatic.

RISKS
Most men report feeling a bruised sensation for a few days to a week following surgery.
Actual bruising is normal. Sperm granuloma is an expected outcome of vasectomy
surgery. A tiny pea-sized lump forms at the cut end of the vas deferens (the tube carrying
sperm from the testicle) naturally sealing the canal. This little lump shrinks over time and
is usually undetectable by one year after your surgery. Do not touch or examine this as it
will cause complications. The risk of epididymitis (tender swelling of the epididymis -
the part of the vas that joins to the testicle) is about 6/1000. The risk of hematoma
(bleeding) and infection are low (about four in a thousand). Serious complications
requiring hospitalization are about 1/1000. There is a rare long-term complication of
vasectomy, post-vasectomy pain syndrome, a kind of chronic ache in the testicle.
Treatment may require reversal of the vasectomy. It is rare, occurring in 1 in 10,000
vasectomies. The risk of cancer (prostate or otherwise) has been investigated for many
years. Most experts agree that vasectomy does not cause cancer or cancer of the prostate
or any other disease. There are no guarantees, of course, that we aren't going to find
something at some point in the future, so each man must decide for himself what he is
comfortable with.

PREPARING FOR YOUR VASECTOMY
(Re-read this section the day before your surgery!) If you can, avoid the use of A.S.A. (or
Aspirin®) in the week before, and alcohol the day of, your vasectomy. Don't worry if
you normally use this medication for a medical condition...in that case please take it as
prescribed. Shave the penis, the scrotum and the adjacent areas the day before with the
razor provided in the kit. With this razor you shave dry...no shaving cream, no soap, no
water. It removes all the hair without hurting you. If in doubt about how much to take
off, take off more. Some men have used depilatory (Neet®) cream: experience has shown
that this causes painful sensitivity in many cases. On the day of the procedure take a
shower and scrub the scrotum well with soap and clean beneath the foreskin (if you are
uncircumcised)...if the scrotum is very tight, take a hot bath. Don't use powder or talcum
on the scrotum. Wear the scrotal support (over your underwear) into the clinic, do not
bring it in a bag. Don't bring your 'Vasectomy Kit'. Make sure you wear old clothing
because the iodine used to prepare you may stain; wear a T-shirt because you want to
avoid being over-heated. Have a little something to eat, don’t arrive with an empty
stomach. Take the prescribed diazepam (Valium®) one hour prior to the appointment
Copyright © 2009 Dr. Ronald S. Weiss. All Rights Reserved.

---

The Weiss Clinic

(the doctor may also suggest that you take 50 mg of Gravol® if you get queasy with
medical things). Arrive 15 minutes early (if you are late, your appointment will be
cancelled and you will be charged). Arrange for a lift home 30 minutes after your
appointment time (you will be asked to remain at the clinic for about 15 minutes after the
procedure.) You cannot drive yourself home. In all, expect to be there for approximately
45 minutes. If you have a special work absence form to be completed by the doctor, this
is the time to bring it.
Please do not bring any children with you to your appointment. Our waiting room is
small and we ask this in consideration of our other patients and for your own safety.

AFTER THE VASECTOMY
The tiny opening will, in most cases, be sealed with a special surgical skin adhesive (2-
octyl cyanoacrylate). The advantages to having this 'glue' is that it seals the wound, stops
the bleeding, can help reduce the risk of infection and allows you to shower
immediately. The doctor applies it once after the vasectomy and it falls off on its own
after a few days to a week. There is no need for you to do anything more with it other
than to keep some gauze pads over the area for extra cushioning for the first 2 days.
(IMPORTANT: Do not apply ointment once skin glue has been applied - ointment
removes this glue prematurely!). You may also notice a little blood in the semen the first
few times you ejaculate. You may shower (no swimming or bathing for one week), but
do not pull or scratch the wound while it is healing.
Rest at home after your surgery. Do not lift anything (especially children of ANY age)
and avoid strenuous work or exercise (including golf, shopping, swimming, hockey...you
get the idea) for the first 7 days. If in doubt about what you can and can't do, don't do it!
The better care you take of yourself in the days following your vasectomy, the less risk of
major complications. You don't have to lie in bed...sitting behind a computer is just fine
and you may return to work, if you sit behind a desk, as early as the day after the surgery.
Walk as little as possible in the first week. Place an ice pack on the scrotum (over the
support) several times on the evening of your surgery (10 minutes on, 20 minutes off).
You do not need to ice the scrotum after this unless you want to. You will begin to feel an
aching or bruised feeling within hours to several days, particularly when shaking the
penis after urination. Urination itself is not a problem and normal forcing with a bowel
movement is okay too. It is not necessary to take anything for minor discomfort, but do
use the prescribed medication if you do feel that you require something for pain (even
many days after the surgery). A little bit of everything is to be expected: a little pain and
a little swelling. If there is more than a little bit, or if you are concerned, call the doctor.
Bruising or black marks on the scrotum in the days following your vasectomy are
common and are not dangerous. Wear your scrotal support for four days at least, over
your underwear (the position of the penis is unimportant). It will keep the scrotum well
supported, reducing the risk of internal bleeding. You may wear it for longer if you wish.
It takes, in all, about a month to heal completely after this sort of surgery. But, if you are
okay after a week, you may ease back into your usual physical activities, keeping in mind
that things are still healing up. Wear the support whenever you work out or exercise in
Copyright © 2009 Dr. Ronald S. Weiss. All Rights Reserved.

---

The Weiss Clinic

the 1st month after the vasectomy. If it hurts, back off and go slow. The doctor is happy
to see you at any time if there are problems (he wants to know if there are problems), so
don't hesitate to call in the months or years after your vasectomy.
Avoid sexual activity for one week after your vasectomy. If you get an erection or have a
'wet dream', you needn't worry. However, intercourse in the first week may increase the
risk of failure. Remember that vasectomy does not work immediately, and you can still
get your partner pregnant. Continue to use an alternative method of birth control until the
doctor tells you it is safe to have unprotected intercourse (provided that you and your
partner do not have A.I.D.S. or other sexually transmitted disease). The first ejaculation
should not be painful, don't be scared. After 12 weeks send your semen sample to the
designated laboratory only for analysis. The number of ejaculations during the 12 week
period should be 15-20, if possible. Follow the instructions given to you to produce,
package and post the sample. The result will normally be available within a day of the
doctor receiving it (usually a week after you post it). You are asked to provide a second
sample only if the first result is unclear. About 90% of men will have a zero sperm count
after 12 weeks. Occasionally it takes longer to clear the semen (6-12 months). The
presence of live sperm three months after your vasectomy, however, may indicate
something called 'recanalization'. This is when the sperm have managed to create their
own tunnel to rejoin the tubes. The risk of failure in this way averages 1 in 3 thousand.
No method of birth control is 100%. Vasectomy has the lowest failure rate of any form of
sterilization (lower than a woman having tubal ligation - 'tubes tied'). But - there is a very
small chance of late failure years after your vasectomy. You may consider having a
semen analysis regularly to avoid an unwanted pregnancy. Like a woman's breasts, your
testicles need support. Jockey-type or similar underwear are recommended before and
after a vasectomy for regular use.

FAQ
Q. Is it reversible?
A. It's not ethical to do vasectomies on a hundred men and then go ahead and reverse
them after and see how many are successful. There are those that claim open-ended
vasectomy (the 'technique within a technique' done here) increases the reversibility…but
such claims suffer from the same problem of not having any hard evidence. The bottom
line is you can put the tubes back together in the majority of cases, but you cannot
guarantee that a pregnancy will result. And that is regardless of the method of vasectomy
and the time between the vasectomy and its reversal.
Q. Where does the sperm go after the vasectomy?
A. A man does not eliminate all of the sperm he produces throughout life. The body is
able to break down and re-absorb what is not otherwise ejected. The small volume of
spermatic fluid containing the sperm is thus reabsorbed after vasectomy in a process that
was present before the vasectomy. The prostate continues to make semen, however,
which is ejaculated in the normal fashion after vasectomy…there's just no sperm in it
anymore. You don't notice any difference after vasectomy in this way.

Copyright © 2009 Dr. Ronald S. Weiss. All Rights Reserved.

---

The Weiss Clinic



Q. Does vasectomy cause cancer?
A. A statistical study released in 1996 apparently showed a slightly increased statistical
risk of prostate cancer in men who had undergone vasectomy (the same study also
showed a reduction in most causes of death in men who had undergone vasectomy!).
Subsequent studies and further analysis indicated that there is, in fact, no difference in
risk of cancer in men with or without vasectomy. One study of autopsies in men over age
90 indicated a 100% risk of cancer of the prostate in all men over 90 with or without
vasectomy (most have not had a vasectomy). The bottom line appears to be that
vasectomy doesn't improve health, but it doesn't make things worse either.
Q. Does vasectomy change my sex drive or performance?
A. Many studies have been done looking at tens of thousands of men over decades after
vasectomy. There is no evidence to suggest that vasectomy increases the risk of erectile
dysfunction (difficulty getting an erection) or changes one's sex drive or male sex
hormone level. It is important to note that erection problems are common (about 40% of
men aged 40 and about 2/3rds of men aged 70) and that these problems are often
associated with other medical conditions that increase in frequency with age…with or
without a vasectomy. Male sex hormone levels decline naturally with age…with or
without a vasectomy. All things being equal, age should not preclude the enjoyment of
healthy sexual activity.
Q. Does vasectomy cause dementia?
A. Some women feel that their partners exhibit demented behaviour with or without a
vasectomy. More seriously, no. There was a single study involving a rare form of
dementia in which the researchers suggested that antibodies to sperm may be the cause.
However, this form of dementia occurs in men with or without vasectomy and there is no
evidence in the medical literature to suggest that vasectomy increases the risk.
Q. Can I drink alcohol after my vasectomy?
A. Alcohol and Valium do not mix and so alcohol should not be consumed for some time
after having taken Valium. Consult your pharmacist to determine when it will be safe for
you to have a drink.
Q. Can I take Advil?
A. You can take whatever you want. But if you want my advice, take what I prescribed
for post-op pain.

Q. Can I lift my children after the vasectomy?
A. You should try and not lift anything for one week after the procedure, including babies
and children.
Q. When can I start playing golf again?
A. Refrain from all activities for one week after your vasectomy and try to stay off your
feet as much as possible.
Copyright © 2009 Dr. Ronald S. Weiss. All Rights Reserved.

---

The Weiss Clinic

Q. Is it better to wait longer to get back to certain sports like Hockey?
A. You can wait as long as you like. However, in my experience, unless you are talking
about horseback riding (where you are practically sitting on your testicles), easing back
into most sporting activities is okay after 7 days. If your vasectomy was on April 1st,
you can start easing back on April 8th. Not the 7th. Not the 6th…
Q. Can I take a Sauna/bath/Jacuzzi/Whirlpool?
A. You don't want to bathe the scrotum in hot water no matter what…hence the
recommendation to ice the scrotum the day of surgery. Also, even if you have the wound
closed with skin glue, it is pushing it a bit to be immersing yourself in water. Showers are
fine.
Q. Do I have to put ice on afterwards?
A. It is a good idea to ice the scrotum the day/evening of the vasectomy. The reusable gel
ice pack provided in your kit is placed over the support, not directly on the skin, for 5-10
minutes on and 20 minutes off. Repeat this 3-4 times the day and evening of your
vasectomy.
Q. What happens if I get an erection during the procedure?
A. Funny you should ask. Out of some 30,000+ vasectomies, I have seen this occur only
once. It is not an issue.

Q. Is there anyone else in the room during the procedure?
A. You will always be asked if someone else is to be present. On occasion the doctor has
other physicians visiting to observe the procedure. All physicians greatly appreciate the
opportunity to learn from others…but you may decline if you feel strongly otherwise. On
the same note, however, no family members or partners will be allowed to attend. There
is a difference between watching to learn as a physician and watching a loved one go
through a surgical procedure.
Q. Can I waterski/ride horseback/snowmobile/bike/ride a motorcycle/do martial arts?
A. The idea here is that you want to avoid trauma to the scrotum for 30 days after the
vasectomy. If there is a risk of receiving a blow to the scrotum, wear a hard cup or don't
do it for 30 days. There is no harm in exercising…just not if you're going to increase the
risk of internal bleeding which will take you out of action for another month or two.
Q. How many procedures do you do in a day/week/month/year?
A. About 2,800 a year. You can do the math.
Q. Am I going to gain weight after my vasectomy?
A. Only if you eat too much and don’t exercise enough.

Q. Why wait 12 weeks for testing after the vasectomy?
A. Because the sperm live for some time in your body. We want to be sure that enough
time has passed so that all the sperm 'downstream' have died before doing the test. If your
test shows zero sperm, it won't be an issue. However, if a second test is necessary, and we
find a few dead sperm (which is not unusual) we can be sure that they are just 'leftovers'.
Copyright © 2009 Dr. Ronald S. Weiss. All Rights Reserved.

---

The Weiss Clinic

Doing the test earlier risks finding these 'leftovers' still alive and then we have to wonder
if they are new (meaning a failure of vasectomy) or old.
Q. How soon can I travel afterward?
A. The considerations here are two-fold. Firstly, should a problem arise, it is a good idea
to be able to come back to see the doctor to check things out. Secondly, you want to
avoid lifting luggage. It's probably best to consider avoiding travel for 7-10 days after the
surgery.
Q. How long does it take the Valium to wear off?
A. For the most part, the Valium wears off after about 4 hours. You are advised to avoid
driving for the remainder of the day of your vasectomy.
Q. When can I shower afterwards?
A. You can shower immediately, but wait until you get home. Otherwise wait 48 hours.
Q. Do I have to re-apply the glue?
A. No. The physician puts on a sufficient amount to last until the wound begins to close
naturally.
Q. Does the iodine come off?
A. Yes, in the shower.
Q. Do the clips set off airport metal detectors?
A. No.
Q. Will vasectomy improve my singing?
A. Vasectomy doesn’t improve your voice or make you speak or sing in a high voice.

Q. Is it better not to shower even if I have the glue?
A. With the glue, showering is really not a problem and you don't have to wait. Just be
gentle and don't scrub the area.
Q. Do I have to count the number of ejaculations before the test or is it 12 weeks no
matter what?
A. 12 weeks regardless of the number of ejaculations. Sperm do not live for 12 weeks and
so if there are live sperm at the 12 week mark, I am concerned and would want to repeat
the test. Dead (or non-motile) sperm at 12 weeks is less of a worry.
Q. Can I do the post-vasectomy test in 8 weeks instead of 12? How about 10 weeks
instead of 12?
A. You can do the test before 12 weeks. But it will be useless regardless of the result.
Most failures occur in the first 12 weeks. You can have a clear test at 11 weeks and then
see sperm at 12. No matter how you figure it, 12 weeks is 12 weeks. Doesn’t matter if
you’re going on a cruise or going to Las Vegas or whatever. We cannot give you the
green light unless the test is done after 12 weeks and it is clear.
Q. I’m worried because my mail-in sperm count showed sperm in the result and now I
have to do another test. Does that mean the vasectomy failed?
Copyright © 2009 Dr. Ronald S. Weiss. All Rights Reserved.

---

The Weiss Clinic

A. At our clinic, vasectomy is better than 99.9% successful in the first 12 weeks (that is,
1:3,000 fail in this time period). But 10% of men will carry dead sperm in their ejaculate
for months or years after their vasectomy…so the second test is to make sure that
whatever sperm are there are dead. Our success rate after 12 weeks is better than
99.99%! Vasectomy is the most effective birth control method. Period.

Q. How large is the ‘clip’?
A. It is several millimeters long and placed in such a way that you will not be aware of it.
However…if you search for it and poke around, you will cause inflammation and pain. It
is normal to have a tiny lump at the point of the vasectomy, with or without a clip. Leave
it alone!
Q. Do I have to wear the support 24 hours a day? To sleep?
A. You should wear the support while you are awake for the first 4 days and then anytime
that you work out or exercise for the first month. You might be more comfortable
wearing the support or snugly fitting underwear to bed for the first 4 days also, but that is
your choice.
Q. When can I pick up my kids? (I put this in again because it gets asked so many
times!!)
A. 3 guesses and the first 2 don’t count. No lifting for the first week.
Q. Do I have to ejaculate 20 times before doing the test?
A. What you tell your partner is your business…but time is more important than the
number of ejaculations. Do your test at least 12 weeks after the vasectomy regardless of
the number of ejaculations, although I recommend as many as possible.

Q. How can a vasectomy fail if you’re cutting and burning the tubes?
A. The body has a remarkable ability to heal itself and, in rare cases, the tubes will
‘rejoin’ (about 3 in 1000 on average, 1 in 3000 cases for Dr. Weiss). Nothing in life is
100%. However, vasectomy has the lowest failure rate of any form of contraception.
Period. Can it fail even after a clear test at 12 weeks? Yes, but this is extremely rare. You
can test your semen every year, if you choose, but this is very seldom done.
Q. What was the “older” technique and what is the advantage of “no-scalpel-no-needle”?
A. We used to use a scalpel, or knife, to cut through the skin and all the layers of tissue to
get down to the vas deferens, the tube that carries the sperm. That means that we cut
through blood vessels on the way down. With no-scalpel technique, we make a tiny
opening and stretch it just enough to pull out the vas deferens and block it. By stretching
a tiny opening, we push the blood vessels to the side instead of cutting through them. You
would think that this results in less bleeding and that is precisely what it does…by about
90%. And remember that bleeding is the major painful complication of vasectomy. No-
needle anaesthesia (freezing) uses air pressure to push the anaesthetic solution through
the skin quickly and easily. Instead of a needle, you feel a ‘pop’ like a small rubber band
against the skin. Aside from the fact that “you don’t have to get a needle down there”,
this method results in a more rapid (seconds) and profound (deeper) freeze. Many men
feel nothing during the vasectomy, others may feel some pressure or pulling, as a result
of the better ‘freezing’.
Copyright © 2009 Dr. Ronald S. Weiss. All Rights Reserved.

---

The Weiss Clinic

Q. Why did my vasectomy not ‘hurt’ until 3 days after?
A. The body responds to any injury or insult with what is called an inflammatory
reaction. Your immune system gets geared up and the healing process begins. Everyone
is different and some may not feel these effects for several days. It is also a function of
how you are built and how difficult the vasectomy was…how much the doctor had to pull
etc.. The anti-inflammatories that were prescribed to you are just the right thing for this
kind of discomfort. Of course, everyone has a different ‘pain threshold’ and one man
might feel discomfort while the next feels nothing at all.
Q. Will it hurt to pee (urinate)?
A. No.

Q. What holds the testicles if you cut the tube?
A. The vas deferens, the tube that carries the sperm, is only one of many structures that
hold the testicles in place. There are blood vessels and other tissues that provide support
and these are not disturbed. Your testicles will still be supported after the vasectomy, they
won’t roll around loosely in your scrotum.
Q. Can any lab do the post-vasectomy test?
A. No and yes. The lab we recommend processes literally thousands of tests each year for
us according to our exacting specifications. Other labs may also infrequently perform
such tests. In general, it is best to have the test done where they are most familiar with
doing it.
Q. Will the sample remain fresh in the mail? Won't it go bad?
A. The mail-in option for post-vasectomy testing has been used in England for over 10
years with great success. They receive samples from as far away as Indonesia! In some
cases the sample has been in the postal system for 2 weeks without a problem. If you
follow our instructions, the sample will be fine.
Q. When can I start swimming?
A. What do you think? If the wound was closed with glue, you may shower but not bathe.
I’d say swimming is closer to a bath than a shower.
Q. Does the hair grow back after you shave?
A. You bet it does.
Q. What can I do about the itching when the hair starts to grow back?
A. You’ve got to be kidding! If your worst problem is itching, I’d say you have little to
worry about. Just don’t apply any creams or ointments to the skin until the little wound is
completely healed and closed (usually one week).
Q. How soon will I know if there are complications?
A. Most complications will occur in the first week. This is the really critical period. But
you don’t want to traumatize the area (like horseback riding) for the first month. Most
other activities that don’t involve an impact to the scrotum are unlikely to cause problems
after the first week. Rarely problems can arise after the first week.
Copyright © 2009 Dr. Ronald S. Weiss. All Rights Reserved.

---

The Weiss Clinic

Q. Does it hurt when you cut the tube during the vasectomy?
A. In a word…no.

Q. What can I expect in the first few days after my vasectomy?
A. You really have to go back and read the “After the Vasectomy” section on this website
or in your pamphlet.
Q. What happens if you cut the wrong tube?
A. That would be terrible! If the testicular artery were cut, it might result in loss of the
testicle. Fortunately, this is not a common problem and has never occurred in Dr. Weiss’
career. The vas deferens has a characteristic feel to the surgeon who performs lots of
vasectomies and it would be very difficult to mix it up with something else.
Q. How do I know if it’s okay to start exercising?
A. You’ll have to take my word for it, ease back into your exercise after one week. Of
course, you’ll know if you can’t start exercising if you continue to have pain or
discomfort. Otherwise, if you are feeling okay, consider that a sign that you can go ahead.
Q. Do I have to abstain from sexual activity prior to the vasectomy?
A. No. Have all the fun you want before...just don't ejaculate for one week after.
Q. Can I have oral sex in the first week after the vasectomy?
A. Some say it is better to give than to receive. In the first seven days you may give, but
you cannot receive. No ejaculation for 7 days.
Q. When you say not to ejaculate for a week, does that include masturbation?
A. That’s one of those Bill Clinton questions again. Ejaculation is ejaculation, no matter
which bus gets you to the station.

Q. Can I sleep with my partner in the “spoon” position?
A. Yes, if your partner says that it’s okay with them.
Q. How long is a week?
A. Oh, let me think a little. Oh, yes, it’s seven days!

Q. Are my testicles going to shrink?
A. I hope not! Vasectomy does not cause the testicles to change in size.
Q. Can I climb stairs?
A. Do it if you have to. I think it’s pretty clear that you want to be off your feet as much
as possible for a week. Climbing a few stairs from time to time and within reason should
not be an issue.
Q. Can I donate blood before or after a vasectomy?
A. Before should not be a problem. After…you have to ask Canadian Blood Services
what their policy is.
Q. Can my wife cut the tubes?
Copyright © 2009 Dr. Ronald S. Weiss. All Rights Reserved.

---