Answer

The most common after-effect of a vasectomy is mild discomfort, bruising and swelling of the scrotum for a few days. Simple painkillers such as paracetamol or ibuprofen can help, and Brian should wear close-fitting underwear during the day and at night to provide support.

He can wash as normal, although care should be taken when drying the genital area – a hairdryer might be a gentler option than a towel.

In most cases, dissolvable stitches are used, so Brian is unlikely to need to have them removed. While some people recover quickly and are back at work the next or even the same day, a couple of days off isn’t out of order if Brian is feeling very sore.

 He should refrain from heavy lifting and sport for at least a couple of weeks and avoid impact sports for a few weeks longer to reduce the risk of complications.

Sexual intercourse can be resumed as soon as Brian feels up to it, although an additional form of contraception should be used as it can take more than 20 ejaculations to clear the tubes of sperm.

Brian will then need to submit two semen samples for analysis. He will be given sample pots and dates of submission after the procedure, and he should not have unprotected sex until he is given the all-clear.

The most common complications of a vasectomy are the development of a haematoma (a blood clot) in the scrotum or an infection. If Brian notices severe swelling or is in a lot of pain, he should seek medical advice.