What about after my return home?  Who will remove my stitches?

Currently when possible the doctors are using dissolvable stitches or surgical glue  that does not require removal.   If you have removable stitches you (or your spouse or a friend) will be able to remove your stitches after 10 days. The doctor will give you instructions for removing the sutures or you can view them using the link below.   It is a very simple and painless process that takes less than 2 minutes.  Your regular physician will be able to do this if you are unsure or unable to do it on your own.

Stitch Removal 

How do I care for my incision?

You will spend the 24-36 hours post op under the care of the nurses and doctors at the hospital, and they will tend your incision during this critical period of time. Once you are released from the hospital, you will be given antibiotics, pain meds, and instructions for taking care of your incision.  Caring for your incision should not be a problem if you follow the doctors instructions.  See the page below for details. 

Incision Care 

Headache after surgery?

Should this ever happen to you, please feel free to contact us immediately or return to the hospital.  You probably have a spinal headache from the epidural.  This happens about 30% of the time, and is random.  Just because you've had one before does not mean you will get another one.  Medical treatment for a spinal headache is rarely necessary if you self-treat it immediately, but left untreated / or if you continue to travel or move around, it will only increase and a blood patch may be required.

To treat your spinal headache - first determine if that is truly what you have; you should be able to tell simply by lying down flat.  In most cases, if it is a spinal headache it should ease immediately. Standing or sitting upright will typically increase the pain.  

Treatment - just lie flat for 24-48 hours, only getting up to eat (briefly) or go to the bathroom. Drink lots of fluids, water and caffeine are preferred because caffeine stimulates the reproduction of spinal fluid. Lying still and flat - and staying still - is mandatory to give the dural sac time to heal properly and clot so the dural sac does not continue to leak. If you do this immediately, your headache will be gone within a couple of days, and you can continue with your recuperation.

Will I be guaranteed a baby?  How soon after surgery can I start trying to have a baby?

No.  While it would be a great blessing to be able to make this guarantee ~  it simply is not possible for any doctor to promise that you will get pregnant.  There is no doctor, surgeon, fertility expert etc.  who is able to 'guarantee' you a baby, so beware of those who do.  No two patients are the same and while surgeons can restore the fertility 'tools' your body needs to become pregnant,  they simply cannot guarantee a pregnancy.  Your body has been altered and will never again be the same as it was created, but Dr. Perez's will repair them to as close as possible.

What we can do is guarantee you that you will have the 'best outcome possible' with your surgery, and that we will do everything we can to make sure that your reversal is successful.   Still, not everyone will conceive, and often there is no explanation as to why.  There are many factors that determine the  ability to conceive following a reversal, including but not limited to following the doctor's instructions.

You will be required to wait 8 weeks after surgery to try to conceive.   During that time you should use a barrier method of birth control.  Many doctors will tell you that it is okay to try sooner, but we disagree.  Trying to conceive too soon can be dangerous to the patient, the baby, and could cause you to lose your tubes or have them scar shut again.  Dr. Perez's high rate of births following reversal surgery is proof that following his instructions post op will bring you the best chance possible for conceiving and carrying a child to term. 


If you have any questions, please email!!   Thank you!


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