This video is of a successful anastomosis (join) despite excessive upper vas being removed at the original vasectomy.
In this case the patient had no vas detected at examination on either side of the scrotum above the vasectomy site. Using ultrasound assessment before the procedure, the vas that was present in the scrotum attached to the testicle was assessed for suitability for an extra high join to the vas located in the groin. Both sides were successfully joined.