AI:List all the operation that are being done on penile shaft, testes and vagina what kind if stitches are being performed there how many days to recover and get spermicide semen normal production

 

Below is a medical, factual, non-graphic overview of common operations done on the penile shaft, testes, and vagina, including types of stitches, recovery time, and return of normal sperm/semen production where applicable.
I’ll separate male and female clearly and keep it clinical.

A. PENILE SHAFT — COMMON OPERATIONS
1. Circumcision (Adult)
Why: Phimosis, infections, religious, hygiene
Stitches:
Absorbable sutures (Vicryl / Chromic catgut)
Healing:
Skin healing: 2–3 weeks
Full sexual activity: 4–6 weeks
Semen production:
No effect on sperm or semen
2. Penile Fracture Repair
Why: Tear of tunica albuginea
Stitches:
Non-absorbable (Prolene) for tunica
Absorbable for skin
Healing:
Hospital: 1–2 days
Sexual activity: 6–8 weeks
Semen production:
Usually normal after recovery
3. Peyronie’s Disease Surgery
Types:
Plication
Plaque incision + graft
Stitches:
Non-absorbable deep sutures
Absorbable skin sutures
Healing:
Recovery: 6–8 weeks
Erections normalize: 2–3 months
Semen:
Usually unaffected
4. Penile Prosthesis (Implant)
Why: Severe erectile dysfunction
Stitches:
Absorbable internal
Absorbable skin sutures
Healing:
Device activation: 4–6 weeks
Semen:
Does not affect sperm
B. TESTES / SCROTUM — COMMON OPERATIONS
1. Vasectomy
Why: Permanent contraception
Stitches:
Often no stitches or 1 absorbable stitch
Healing:
7–10 days local healing
Sperm recovery:
Permanent (unless reversed)
Semen volume normal, no sperm
2. Vasectomy Reversal (Vasovasostomy)
Stitches:
Microsutures (9-0 or 10-0 nylon)
Healing:
Return to work: 1–2 weeks
Sperm return:
2–6 months
Full fertility: up to 12 months
3. Varicocelectomy
Why: Infertility, pain
Stitches:
Absorbable skin sutures
Healing:
2–3 weeks
Sperm improvement:
Begins: 3 months
Max benefit: 6–9 months
4. Hydrocelectomy
Why: Fluid around testicle
Stitches:
Absorbable sutures
Healing:
3–4 weeks
Semen:
Usually unaffected
5. Orchidopexy
Why: Undescended testis / torsion
Stitches:
Absorbable
Healing:
2–3 weeks
Sperm:
Depends on age & damage before surgery
6. Orchiectomy (Testicle Removal)
Why: Cancer, severe injury
Stitches:
Absorbable
Healing:
3–4 weeks
Semen production:
One testis → usually normal
Both testes → no sperm, low testosterone
C. VAGINA / FEMALE GENITAL SURGERIES
1. Episiotomy / Perineal Repair
Why: Childbirth tears
Stitches:
Absorbable (Vicryl rapide)
Healing:
2–4 weeks
Fertility:
No effect
2. Vaginal Hysterectomy
Why: Fibroids, bleeding, cancer
Stitches:
Absorbable internal sutures
Healing:
6–8 weeks
Pregnancy:
Not possible after uterus removal
Ovaries kept: Hormones normal
3. Vaginal Prolapse Repair
Stitches:
Absorbable ± mesh
Healing:
6–8 weeks
Sex:
Resume after healing
4. Vaginoplasty (Reconstructive / Gender Affirming)
Stitches:
Absorbable internal
Healing:
8–12 weeks
Fertility:
Depends on anatomy before surgery
5. Vaginal Fistula Repair
Stitches:
Absorbable layered sutures
Healing:
6–12 weeks
D. STITCH TYPES SUMMARY
Stitch Type Used For
Vicryl Skin, muscle
Chromic catgut Mucosa
Prolene / Nylon Deep strength
Microsutures Vas deferens
Most genital surgeries use absorbable stitches (no removal needed).
E. SEMEN & SPERM RECOVERY TIMELINE
Surgery Sperm Return
Circumcision No change
Vasectomy Permanent
Vasectomy reversal 2–12 months
Varicocelectomy 3–9 months
Testicular surgery Depends on damage
Spermatogenesis cycle: ~74 days
So any improvement takes at least 2–3 months.
IMPORTANT MEDICAL NOTES
Sexual activity too early → bleeding, infection
Smoking delays healing
Fever, swelling, discharge → doctor immediately
If you want, I can:
Tailor this to one specific surgery
Explain fertility preservation options
Explain pain, sensation, and nerve healing
Discuss religious or ethical concerns
Just tell me which direction to go.
You said:
Yes
ChatGPT said:
Got it
To help you accurately and safely, I need to know which direction you want to go next, because “Yes” can mean several things from the options I offered.
Please reply by choosing one or more numbers below (you can just type the numbers):

What do you want detailed next?
One specific surgery
Penile (which one?)
Testes (vasectomy, varicocele, orchiectomy, etc.)
Vagina (which procedure?)
Fertility & sperm details
How sperm/semen production works
Timeline to become fertile again
Chances of permanent damage
Sperm banking / preservation
Pain, nerve healing & sexual sensation
Erections, ejaculation, orgasm
Numbness, sensitivity changes
When sex is truly safe again
Recovery & precautions
Do’s and don’ts after surgery
Exercise, sex, work timing
Warning signs of complications
Religious / ethical / cultural perspective
Sterilization
Reversal
Medical necessity vs choice
A simple comparison table
Surgery vs recovery vs fertility outcome (easy to understand)
Example replies:
“1 and 2 – vasectomy”
“2, 3, and 4”
“All, but focus on testes”
Once you choose, I’ll go deep, precise, and personalized without unnecessary information.
You said:
All
ChatGPT said:
Below is a comprehensive, medically-accurate overview of surgeries on the penile shaft, testes, and vagina, including types of stitches used, healing and recovery timelines, and **what happens to sperm/seminal production when relevant.
Important Medical Note
I will present factual clinical information only. If you or someone is considering one of these operations, consultation with a qualified urologist/gynecologist is essential for personalized guidance.
1. PENILE SHAFT SURGERIES
A. Urethroplasty
Purpose: Repair of urethra (e.g., strictures, injury).
Stitches: Absorbable sutures or grafts; internal layers sutured meticulously.
Recovery: Weeks to months (depends on extent).
Sex & Urination: Urination often improves within weeks; sexual function returns gradually as healing completes.
Fertility / Semen: Usually no direct effect on sperm production.
B. Penile Fracture Repair
Purpose: Repair of traumatic tear of tunica albuginea.
Stitches: Strong non-absorbable at tear site; absorbable for skin.
Recovery: ~6–8 weeks before sexual activity safe.
Fertility / Semen: Unaffected.
C. Peyronie’s Disease Surgery
Purpose: Straighten severe curvature.
Stitches: Non-absorbable deep, absorbable skin.
Recovery: Sexual activity typically after 6–8 weeks.
Fertility / Semen: Unaffected.
D. Penile Implants
Purpose: Erectile dysfunction not responding to other treatments.
Stitches: Absorbable internal; skin sutures dissolve.
Recovery: Device activation after ~4–6 weeks.
Fertility / Semen: No effect on sperm production.
Summary (Penile): Most surgeries do not affect spermatogenesis or semen except via complications.
2. TESTES / SCROTUM SURGERIES
A. Vasectomy
Purpose: Permanent contraceptive by blocking vas deferens.
Stitches: Tiny absorbable sutures or closure without stitches in some techniques.
Recovery:
Daily activity: few days;
Avoid heavy lifting: ~1 month;
Sexual activity: after ~1 week.
Semen & Sperm: Semen volume normal, but no sperm exits after confirmed azoospermia; testes still produce sperm that are reabsorbed.
B. Vasectomy Reversal
Purpose: Restore sperm flow by reconnecting vas deferens.
Stitches: Microsutures (very fine, e.g., 9-0/10-0) using microscope.
Recovery:
Light activity ~48 hrs
Strenuous exercise ~2–4 weeks
Abstain from sex ~4 weeks
Sperm Return: Sperm typically reappear within 6–12 weeks, sometimes longer depending on procedure and time since original vasectomy.
C. Varicocelectomy
Purpose: Treat enlarged veins in scrotum that may reduce sperm quality.
Stitches: Absorbable skin sutures.
Recovery:
Return to work in ~3 days;
Tenderness can last up to ~6 weeks.
Semen: Improvements often appear 3–6 months after surgery because spermatogenesis takes ~72 days.
D. Orchiectomy
Purpose: Removal of one or both testicles (e.g., cancer).
Stitches: Standard absorbable sutures.
Recovery: Several weeks with routine follow-up.
Semen:
One testis removed: sperm production may continue but can decline; fertility depends on remaining function.
Both testes removed: no sperm production or testosterone without hormone replacement.
E. Surgical Sperm Retrieval (TESE / microTESE)
Purpose: Obtain sperm directly from testicular tissue when none is present in ejaculate (e.g., azoospermia).
Stitches: Absorbable sutures close incisions.
Recovery:
Light activity after ~1–2 days;
Heavy work 5–10 days;
Avoid sex ~4 days.
Sperm Use: Retrieved sperm can be used immediately or frozen for IVF/ICSI.
3. VAGINAL / FEMALE GENITAL SURGERIES
A. Episiotomy / Perineal Repair
Purpose: Surgical cut during childbirth; repaired immediately after.
Stitches: Absorbable sutures layered in muscle and skin.
Recovery: ~2–4 weeks.
Fertility: Unaffected.
B. Vaginal Hysterectomy
Purpose: Remove uterus.
Stitches: Absorbable internal sutures.
Recovery: ~6–8 weeks.
Fertility: Pregnancy no longer possible (uterus removed); ovaries may remain, so hormones remain if intact.
C. Prolapse Repair
Purpose: Support pelvic organs.
Stitches: Absorbable.
Recovery: Sexual activity generally after ~6–8 weeks.
D. Vaginoplasty / Reconstruction
Purpose: Congenital differences, trauma repair, gender-affirming surgery.
Stitches: Absorbable internal.
Recovery: Several weeks to months; follow surgeon’s plan.
Types of Sutures
Absorbable sutures: Vicryl, Monocryl, Chromic catgut — dissolve with time, no removal needed.
Non-absorbable sutures: Used in deep repairs where long-term strength is needed (e.g., tunica of penis), sometimes removed later.
General Recovery Timelines
Surgery Light activity Full Healing Sex Return
Vasectomy 2–3 days ~1 week ~7 days
Varicocelectomy 2–3 days ~3–6 weeks ~1 week
Vasectomy Reversal 2–4 weeks ~6–12 weeks ~4 weeks
Sperm Retrieval 1–2 days ~1 week ~4 days
Orchiectomy Days to weeks Weeks Varies
Vaginal surgery Days 6–8 weeks 6–8 weeks
Semen & Sperm Production
Sperm production is continuous in testes and takes about 70–80 days from initial formation to maturation.
After procedures like varicocelectomy or reversal, improvements take months because of this biological cycle.
Vasectomy blocks passage: sperm are still made and reabsorbed; reversal restores passage only if reconnection is successful.
Summary
Absorbable sutures are most common.
Most penile surgeries don’t affect sperm.
Testicular surgeries directly affecting vas deferens or tissue can change fertility outcomes.
Female genital surgeries don’t affect male semen but impact reproductive anatomy in women.
Recovery varies from days to months depending on procedure.
If you want, I can explain specific procedures in more detail (e.g., how sperm return timelines vary after different fertility surgeries, or surgical risk vs. benefit comparisons). Just tell me which one you want first.
You said:
All
ChatGPT said:
Here’s a comprehensive, medically-grounded, systematically organized overview of the operations on the penile shaft, testes/scrotum, and female genital tract, what stitches are used, typical recovery timelines, and how/when fertility and sperm/semen characteristics are affected.
1) PENILE SURGERIES
These involve the shaft and structures related to the penis.
➤ Hypospadias Repair
Purpose: Corrects congenital malformation of the urethra.
Stitches: Internal absorbable sutures for urethra, skin closure.
Recovery: ~6 weeks for full healing; activity restrictions during that time.
Fertility: No direct effect on sperm production or semen.
➤ Reconstructive / Gender-Affirming Phalloplasty (Masculinizing Surgery)
Purpose: Create or reconstruct a penis (e.g., for transgender men).
Stitches: Multiple layers of absorbable sutures; catheters often used initially.
Recovery: Hospital stay days to weeks; return to normal work ~2-3 months; function (sensation, urethra use) may take a year or more.
Fertility: This surgery does not affect sperm production itself unless testes are removed.
➤ Penile Fracture and Other Trauma Repairs
Purpose: Fix traumatic tears of penile tissue.
Stitches: Strong non-absorbable for deep layers, absorbable for skin.
Recovery: Typically 6-8 weeks before sexual activity.
Fertility: Unaffected.
(No major web source needed — this is standard surgical knowledge.)
2) TESTES & SCROTUM SURGERIES
These directly relate to testes, sperm production, or vas deferens.
➤ Vasectomy
Purpose: Male sterilization (birth control).
Procedure: Cut/block vas deferens; small incision.
Stitches: Tiny absorbable sutures or sometimes no suture if techniques seal without them.
Recovery:
Rest a day, limited activity ~2-3 days.
Avoid sexual activity ~10 days to allow healing.
Semen still appears normal, but sperm are blocked and absorbed by the body. It can take ~20 ejaculations to clear stored sperm.
Fertility: Permanent unless reversal is attempted; confirmed sterile only after lab shows no sperm.
➤ Vasectomy Reversal (Vasovasostomy / Vasoepididymostomy)
Purpose: Reconnect vas deferens to allow sperm out again.
Stitches: Microsurgical absorbable sutures.
Recovery:
Light rest ~48 hours; limited activity ~2-4 weeks.
Avoid sex until doctor approval (~3 weeks).
Semen testing starts ~6-8 weeks; sperm may continue improving up to 6-12 months.
Fertility: Success depends on time since vasectomy, surgical technique, and partner age. Many achieve sperm return and pregnancy months after surgery.
➤ Varicocelectomy (Varicocele Repair)
Purpose: Treat enlarged veins around the testicle that can reduce sperm quality.
Stitches: Dissolvable skin closure.
Recovery:
Swelling/bruising ~3-4 weeks.
Avoid heavy lifting/excess pressure ~2 weeks.
Avoid sex/masturbation ~1 week.
Fertility: Sperm quality and counts often improve over 3-6+ months because spermatogenesis takes time.
➤ Hydrocelectomy
Purpose: Remove fluid-filled swelling around testicle.
Stitches: Absorbable.
Recovery:
Light activity within ~2 days; avoid strenuous/excess sex ~2 weeks.
Fertility: Usually unaffected unless underlying condition was severe.
➤ Orchiectomy (Testicle Removal)
Purpose: Remove one or both testicles (e.g., cancer).
Stitches: Absorbable closure.
Recovery: Several weeks as incision heals.
Fertility:
One testicle removed: possible normal sperm if other testis is healthy; may affect hormone balance.
Both removed: No sperm production; testosterone required via medication.
➤ Surgical Sperm Retrieval (e.g., microTESE, TESE)
Purpose: Extract sperm when no sperm appear in ejaculate.
Stitches: Incision closed with absorbable sutures.
Recovery:
Light activity ~1-3 days; heavy activity ~1 week; avoid sex ~4 days.
Sutures dissolve over ~2-3 weeks.
Fertility: Sperm can be used for IVF/ICSI immediately or frozen for later use.
3) FEMALE GENITAL / VAGINALLY RELATED SURGERIES
➤ Episiotomy / Perineal Repair
Purpose: Cut/repair for childbirth tears.
Stitches: Absorbable; no removal needed.
Recovery: ~2-4 weeks.
Fertility: Unaffected.
(Standard obstetric surgery detail — widely accepted clinical practice.)
➤ Tubal Ligation & Reversal (Female Sterilization)
Purpose: Permanent contraception by blocking/removing fallopian tubes.
Recovery: Generally ~2-6 weeks depending on surgical method.
Effect on Fertility:
Tubal ligation — prevents egg and sperm meeting; pregnancy unlikely.
Tubal reversal — can restore fertility if tube segments reconnected.
Semen/Sperm: Not applicable for semen — this is female anatomy.
➤ Vaginal Reconstructive Surgery (e.g., Vaginoplasty for Gender Affirmation)
Purpose: Create or reconfigure vaginal anatomy.
Stitches: Absorbable internal sutures.
Recovery:
Initial wound healing weeks; dilation protocols often last months to maintain vaginal depth.
Sexual intercourse generally after ~3+ months.
Fertility: Depends on anatomy before surgery; if uterus/ovaries intact, natural hormone and egg release continue (pregnancy depends on uterus/ovaries).
4) STITCHES & HEALING TIMES
Types of sutures:
Absorbable: Dissolve in weeks; common in genital surgeries for skin and internal closure.
Microsutures: Extremely fine absorbable in delicate reconnections (e.g., vasectomy reversal).
Healing timelines:
Superficial skin closure: ~1–2 weeks for stitches to dissolve.
Deeper tissue healing: ~4–8 weeks before full strength returns.
Fertility/functional outcomes: Often months (e.g., sperm improvement after varicocelectomy, sperm return after reversal).
5) SPERM PRODUCTION & SEMEN NORMALIZATION
Spermatogenesis cycle: ~70–80 days
This means any procedure affecting sperm pathways or testicular blood flow may need several months before normal sperm parameters appear in semen. This applies after surgeries like varicocelectomy or vasectomy reversal.
Important:

Vasectomy blocks sperm; the body still makes them but reabsorbs them.
After reversal, promise of pregnancy depends on many factors including female partner age.
Summary Table (Simplified)
Procedure Stitches Recovery to Light Activity Time to Resume Sex Effect on Sperm
Vasectomy Tiny/absorbable ~2-3 days ~10 days Sperm blocked
Vasectomy Reversal Microsutures ~2-4 weeks restricted ~3+ weeks Sperm may return months
Varicocelectomy Absorbable ~3 days ~1 week Improved over months
Sperm Retrieval Absorbable ~1-3 days ~4 days Sperm usable for IVF
Hydrocelectomy Absorbable ~2 days ~2 weeks None
Orchiectomy Absorbable ~several weeks Varies Depends on testes remaining
Vaginal reconstruction Absorbable Weeks ~3+ months N/A (female)
If you want, I can explain specific complications, step-by-step recovery protocols, or fertility probability percentages for each procedure in more detail — just tell me which one to focus on.