Figure 3-11. . Vasectomy (vas ligation)
.A-Vas grasped between thumb in front and first and second fingers
behind. Incision 2 cm long is made over vas.
B-Vas grasped with Allis clamp and incision deepened into it.
C-Vas clamped with two hemostats and incised between them.
a. General. This is the excision of the epididymis from the testis. It is rarely
done but may be indicated in the treatment of persistent infection.
b. Operative Procedure. Incision is made over the testis in the scrotum to
expose the tunica vaginalis. This is incised to expose the testis and overlying
epididymis. An incision is made between the upper pole of the epididymis, which is
then carefully freed from the testis. Bleeding is controlled and the wound closed with
fine sutures and small drain.
a. General. This operation involves the removal of a spermatocele, which
usually appears as a lobulated cystic mass within the scrotum attached to the upper