Post Op Vasectomy Advice

Hear me now and believe me later!

The second hardest part about having a vasectomy is doing what you are supposed to do for the first week afterwards.

(The hardest part is deciding to have it done.)

(Unless you were not the one who made the decision)

But if you do the following things that Dr. Roesel recommends, your recovery will be much smoother than if you insist on "doing it your way".

Dr. Roesel goes over these things with you before you leave, and you also have written instructions that you are given. But when you are in a pleasant Valium haze you may forget what she says or where you put those instructions.

So let's go over them.

1. Wearing supportive underwear for the first week is a MUST.

This is an example of supportive underwear. Yours do not have to be so extreme.

Regular "tighty whities" are fine. Just don't buy them too big. Remember, we are talking support.

Boxers, boxer briefs, sweatpants, pajama bottoms and longjohns are not supportive. Put them back in the drawer.

2. Take it easy for 2-3 days after the procedure

Remember, you have had surgery and things need time to heal.

This means lying around and keeping your scrotum protected from the forces of gravity.

I like to tell my patients to only do things that they can do wearing a pair of bedroom slippers.

I have never seen anyone playing tag football or moving a big screen TV in slippers.

This is a really bad idea on many levels.

3. Use an ice pack as needed for comfort. We give you a gel pack but frozen vegetables work well, too.

4. Do not suffer.

You are not a "girlie man" if you need to take painkillers.

Be careful about taking too many, though.

5. Abstain from ejaculation for the first 7 days. If you have wet dream, you get a pass. You can't help that.

6. Stay out of the pool or the hot tub until your incisions heal.

7. And don't hesitate to CALL with ANY questions or problems.

Top 10 Reasons Why People Like To Come To Our Office

1. We do not weigh you

2. We give you candy if you would like some, or a rubber mouse or frog if you prefer

3. We absolutely don't believe in causing pain

4. We have quiet pets in the waiting room, not fish with running water sounds that make you need to urinate

5. We always have a smile for you

6. Our magazines are up to date

7. We have warm baby wipes for clean up, not cold scratchy paper towels.

8. We have toilet seat covers and grab bars in the restroom.

9. We make you laugh

10. We can give you an appointment SOON, not weeks from now, and even SOONER if you are in pain.

Our office is more fun than a ride on a piglet. Come see us!

The Matter of Size

Let's talk about something many people (men AND women) wonder about. Size. Penis size, that is.

Does size really matter?

What is normal?

Normal is defined in infants as 2.5 cm stretched length. That is about an inch. Reassuring so far, right?

The average adult erect penis size is around six inches. However, normal ranges go all the way from three inches to nearly eleven inches.

The anatomy of the penis is interesting. A large portion of it is actually inside the body, providing support and stability for an erection.

The penis is made up of three parts. The two larger parts fill with blood during an erection. There can be a dramatic difference in size between a soft penis and an erect penis depending on how much blood the parts can hold.

Wow! Who knew?

But the key to "being all that you can be" is healthy blood vessels. Since erections are dependent upon a good blood supply, anything that is bad for blood vessels is bad for an erection. These things include smoking, high cholesterol, high blood pressure and even lack of use.

That is why Dr. Roesel is a fan of the penile pump. This is a device that draws blood into the penis by way of a gentle suction. This helps bring fresh oxygenated blood to the penis tissues and helps keep the blood vessels healthy.

Dr. Roesel recommends the use of the pump along with nearly every treatment for erectile dysfunction. With consistent use, many men have noticed a return to their "best state" of size and girth. The pump isn't magic, though. It won't make anyone's original equipment any larger than it was at it's peak.

We have a representative from a medical pump company who comes to our office once a month. If you'd like to find out more about the pump, consultations with him are free of charge. They are private, do not involve any nakedness and take about 30 minutes.

Call us for more information about the penis pump and the various other treatments that are available for ED.

We're here to help.

513-271-2862

The Ads That Were NSFN (Not suitable for the newspaper)

Many of you may have enjoyed seeing our recent ads in the Cincinnati Enquirer newspaper or the online version. Just in case you forgot, here they are:

The online ad. This one was animated and linked to this blog.

The print ad.

But there were a few we thought might not be quite so suitable for general viewing. See if you agree:

Time for Khaki Pants and Light Colored Clothes

It's getting warm and people are slowly shedding their layers of winter clothes and trading them for lighter fabrics and lighter colors.

But not everyone.

If you have a problem with urine leakage you will immediately know what I am talking about.

You will not be pulling out your tight pants, your tan pants, your light blue skirt... or anything else that would show a wet spot.

And you may be paranoid that despite all your best intentions, you smell like urine.

No matter how many times you change your pad. Or your clothes.

YOU ARE NOT ALONE.

Urine leakage is a very common in almost 50% of women of all ages. It can range from mild to severe.

It can take the form of leaking with coughing, sneezing or laughing (stress incontinence) or leaking with the sudden urge to urinate. Many people who have urge incontinence can relate to the experience of having their hand on the bathroom door handle or almost getting to the toilet on time... but not quite.

Most people are embarrassed about urine leakage and don't want to talk about it. As a urologist, it is my job to ASK about it. My intent is not to humiliate you but to help you if leaking bothers you and you want to be dry. And you have a right to be dry!

Urine leakage is not something that is a "normal aging change" and it is not something you "just have to live with". There are many different treatments available but all of them depend on the correct diagnosis of exactly why you leak.

We can help. If you are ready to make the journey from the land of the wet to the land of the dry, give us a call. (271-2862 M-F 9-5)

And get ready to rock those khaki pants again!

(Idea for using up pads you don't need any more)