We are definitely having the follow-up. Our doctor provided us with a "specimen" cup at our consultation for this purpose. After 6 weeks, you "collect your sample," rush it to the doc's office and they check for any spermies that might still be alive. Sometimes, it has to be repeated a few times, I understand.
I don't expect to have to do much pampering. If he's expecting it, I will remind him of his hernia surgery, he went in a 6am, released at noon, and was playing video games with the neighbor by 5pm. He's tough! I think it may be more of a psychological pain with this procedure.