Sperm Retrieval TESA/TESE/Micro TESE/MESA/PESA Post-Operative Instructions

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Please review the instructions below to assist in your recovery from your scrotal surgery.

• Wear the scrotal support for at least one week following the procedure.

• Place an ice pack (a bag of frozen peas works well) inside scrotal support on top of gauze dressing – change every few hours until bedtime the day of the procedure.

• Keep the gauze and fluff dressing in place for one day.

• Relax and rest for one to two days following your procedure.  Avoid excessive walking, sitting for prolonged periods of time, and unnecessary exertion.  You will recover quicker and easier if you take it easy for these days immediately post-op.

• Avoid exercise (no running, heavy lifting, straining, etc.) for one to two weeks.  Avoid straddle activities like cycling, horseback riding for at least three weeks.

• It is expected to have a small amount of blood stain the gauze dressing.  Sometimes the incision may separate slightly before healing.  There may be some swelling and firmness at the site of the incisions.

• Take the antibiotic as prescribed to help prevent infection.

• You may take the narcotic medication as prescribed for discomfort or you may take over-the-counter motrin or advil as directed.  Do not take any aspirin products for two weeks following the procedure.

• You may shower tomorrow– pat your scrotum dry, do not rub.  Do not take a bath or go swimming for two weeks.

• The incisions were closed with absorbable suture.  This suture dissolves on its own and does not need to be removed.   No incisions were made if you underwent a TESA or PESA procedure.

• Abstain from intercourse for at least one week or until discomfort resolves, whichever is longer. 

If you have questions or concerns, please feel free to contact me at my office (410)502-1718 or cell phone (443)286-2721. 

Karen E. Boyle, M.D.
Assistant Professor of Urology
Director, Reproductive Medicine & Surgery
The Brady Urological Institute at Greenspring Station
The Johns Hopkins Hospital

Phone:  (410)502-1718
Fax:  (410)502-7711
kboyle@jhmi.edu