VasovasotomySurgeon: UnknownLocation: Unknown Video File: Video Tags: Open SurgeryTestes / Scrotum Comments Tests Permalink Submitted by Rajesh on Wed, 08/25/2010 - 19:16 In this regard right side testicle was swell at around three months so what I have to do now Doctors can perform this Permalink Submitted by Matt John on Fri, 01/08/2010 - 05:23 Doctors can perform this surgery in one of two ways: Vasovasostomy (VV) with this procedure, the surgeon sews the severed ends of the vas deferens back together. However, sometimes this isn't possible and a more complex surgery is needed to restore the flow of sperm. Vasoepididymostomy (VE) is often considered one of the most technically challenging operations in the field of urology. The procedure requires anastomosis of a single epididymal tubule (luminal diameter .15-.25 mm) to the lumen of the vas deferens (diameter .3-.4 mm), and is reserved for patients with congenital or acquired epididymal obstruction, or patients who have failed previous attempts at surgical reconstruction of the vas deferens. This surgery attaches the vas deferens directly to the epididymis, the coiled tube on the back of each testicle where sperm matures. A vasectomy can cause blockages or a break in the vas deferens or the epididymis. This surgery is used when a vasovasostomy won't work because sperm flow is blocked. The vas deferens is connected to the epididymis above the point of blockage. If sperm were seen in one or both vas contents at the time of surgery, or sperm reached the patient’s semen only transiently after the reversal, microsurgical vasovasostomy (VV) will very likely be successful. Unfortunately, ccnp certifications, surgeons performing only an occasional vasectomy reversal often neglect examining the vas contents for presence or absence of sperm. A surgeon absolutely cannot determine sperm presence or absence by the naked eye. The most common cause for failed vasectomy reversals is the inappropriate non-microsurgical technique using sutures that are too large to achieve watertight reconnections. The failure of a competently performed microsurgical “vasovasostomy” (VV) following the absence of any sperm in the contents of each vas usually is due to “blowouts” in each epididymis. Under these circumstances an operation should be performed only by a micro-surgeon with proven “vasoepididymostomy” (VE) expertise, bypassing the blowouts.