Before the join of the vas tubes is made, it is essential that there is flow of sperm or sperm debris from the testicular vas (or epididymis). This flow optimises the chances of a successful pregnancy after a vasectomy reversal.
This video is a high magnification view, demonstrating the consistency of fluid at 8 years following vasectomy. The fluid is routinely placed on a microscope slide and is examined under the scientific microscope at 400 times magnification during the operation to look for evidence of live sperm or sperm debris.
The presence of fluid at the testicular vas (or epididymis) is one of the most important factors of a successful vasectomy reversal. To predict and plan the surgery to optimise the presence of fluid flow, a high-powered ultrasound sound is used in the clinic before the operation on all patients.