Tubules of vasectomy reversal the epidermis is somewhere around a third of a millimeter as the epidermis stretches out into the vs defer ens the diameter of the inside of the vs defer ens is somewhere around in millimeters so you know that we’re going.
To be discussing operating under a surgical microscope to even consider putting things these structures back together appropriately and adequately so epidermis is then attached to the testicle and the sperm essentially made in the testicle and then through a series of ducts these little very very very small tubes is what is how the sperm get from the testicle into the epidermis and eventually along that tube all the way up into the the urethra and the ejaculatory.
Duct do they meet somebody who knocks them off their feet and she in fact what skids and so they come see me so prior paternity is important if he hasn’t had children my workup and evaluation is slightly different I want to know how healthy the man is not only from what I think I might find impairments in sperm production but also just as general.
Health and if there’s any way I can intervene to make him healthier that’s probably going to make his sperm healthier as well and ultimately that’s what I’m doing I’m doctoring both the man and his sperm I want to know what medications he’s taking because there are a few that have a significant impact on sperm production so if you tuned in for my last webinar in male fertility we had a little discussion about testosterone therapy which is becoming increasingly more common and sperm production and it essentially completely shuts down sperm.
seeing non motile sperm so they’re there they’re just not swimming that goes back to what we talked about a few slides back in that the just the time from the vasectomy is going to dictate often whether or not there’s swimming sperm at the time of reversal but I know that that man is going to be able to ejaculate out those non motile sperm to get were the good swimmers are and again we’ll be able to restore fertility if I get in and I find sperm fragments mean and I see heads of sperm and tails of sperm this is just a timeline so in other words that just means that.