Editing Infertility: Management (section)

===Surgery of the Epididymis===
*The superior and middle epididymal branches of the testicular artery are medial to and separate from the main testicular artery and veins
**'''Clinical implication: surgical procedures may be performed on the epididymis without compromise to testicular blood supply'''
*'''Vasoepididymostomy'''
**'''Indications:'''
***'''Testis biopsy reveals complete spermatogenesis and scrotal exploration reveals the absence of sperm in the vasal lumen with no vasal or ejaculatory duct obstruction'''
****'''If microscopic examination of the vasal fluid sampled reveals the absence of sperm, the diagnosis of epididymal obstruction is confirmed and a vasoepididymostomy is performed.'''
**Banking sperm both intraoperatively and as soon as they appear in the ejaculate postoperatively after vasoepididymostomy is recommended.