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Contained within this section are some terms which you may come across along with a short description of what they mean.

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Vas

(Vas deferens). A thick, strong tube with a wall formed of smooth muscle. Contraction of this muscle during ejaculation acts as a very effective pump, propelling the sperms along the urethra and out! The outside diameter of the vas is 1.5 to 3 mm and the inside diameter (lumen) is just 0.2mm or less. The first 2-3 cm. of vas is convoluted to aid the pumping action and above there the vas is straight.

Vaso-epididymostomy

A connection between the vas and the epididymis. This is used to overcome absence of testicular end of the vas or blow out. Technically very demanding with worthwhile results only in a very few centres of excellence in the USA.

Vasovasostomy

The operation to join two lengths of vas. A conventional ‘reversal’. There are many, perhaps 25 different ways to perform this procedure. These have been tried and clinically assessed. The best is termed the ‘goldstandard’ procedure.