Vasectomy Reversal Procedure: Vasoepididymostomy (VE) Images

The procedure of vasoepididymostomy (VE) in Photos

Vasectomy Reversal: Vasoepididymostomy (VE) in Pictures

vasoepididymostomy in During a vasectomy reversal it may turn out that the more complicated reversal procedure, a vasoepididymostomy (VE, also known as epididymovasostomy), will be necessary. Follow Dr. Bastuba's illustrations of a recent vasectomy reversal procedure.

CAUTION: The pictures contain very explicit photographic content!!!

Getting Started

Our board-certified anesthesiologist maximizes intra-operative and post-operative safety and comfort for a gentle take off at the start of the vasectomy reversal.

Vasectomy reversal is performed with microscopic equipment. All Systems Go

The patient is asleep and we are ready to start the vasectomy reversal procedure. Dr. Bastuba is using state-of-the-art microscopic surgery equipment with all the bells and whistles.

A blockage is found in the epididymis. Getting High Tech

No sperm in vas deferens, so epididymis is evaluated and indeed – a blockage is identified in the mid portion of the epididymis as shown. This means Dr. Bastuba will need to go above the blockage closer to sperm production and perform a vasoepididymostomy (VE).

The vas reversal site is identified. The Plug In

Plug-in site is chosen above the epididymal blockage site (see image).

Dr. Bastuba uses the microdot technique. Making the Mark

The Microdot Technique has been modified by Dr. Bastuba for use with the 2-Suture Longitudinal Intussusception Technique (LIVE) of vasoepididymostomy.

Completed reconnection The Heart of the Surgery

The difficult task of putting two extraordinarily small tubes together requires an exacting set up. The Microdot technique helps accomplish this.

A fluid sample is evaluated from the epididymis Are We There Yet

A sample of fluid from the proposed VE plug-in site is evaluated on a phase contrast side table microscope by a trained technician.

The sample under the microscope shows motile sperm! Houston, We Have Arrived!

Motile sperm is found in abundance in fluid sample. OK to plug-in here.

Completed vasoepididymostomy Mission Accomplished!

The passage for flow of sperm is once again put back together and ready to go back on line.

Successful vasoepididymostomy! Closing Act

All closed up and ready for a soft landing by the anesthesia team.

Afterwards, the patient takes it easy with “feet up in the Lazy-Boy chair” for 36 hours post-op. This is the routine protocol.

See Dr. Bastuba perform a vasovasostomy or read more about the vasoepididymostomy procedure.

Last Updated: March 1, 2010
Reviewed by Dr. Martin Bastuba and his medical staff

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