Video Gallery

Explore our video gallery to gain a greater understanding of male reproductive function and health…

At Metrocentre we strive to empower our patients through education to maintain optimal reproductive health, function and protection.

The videos below contain explicit content. Viewer discretion is advised.

Testicular cancer has a very good cure rate if found and treated early. Monthly self-examinations of the testes to check for lumps or swelling are highly recommended.

The videos below contain explicit content. Viewer discretion is advised.

This is a typical suture (stitch) used in our microsurgical vasectomy reversal videos with reference to a thumb, the platypus bill on an Australian 5 cent coin and the hair on a forearm.

It is a small non-cutting tapered needle to minimize the amount of scarring reducing the subsequent chance of fibrosis/closure of the anastomoses/join.

Please refer to pictures of needles used by other clinics and the type that Professor Owen insisted be used and correlate the electron microscope view of the different scarring tendency on tissue using the highest magnification known as an electron microscope.

The videos below contain explicit content. Viewer discretion is advised.

It is essential to have an absolutely clear view through the microscope to ensure correct placement of each suture. This view has been captured through a Zeiss microscope with a Xenon light source. This can magnify up to 40 times and is used in conjunction with an assistant’s eyepiece.

The vas tubes are approximately 2 mm in diameter/across. The tiny capillaries are clearly seen on either side of the vas anastomosis (join), these are essential for good healing. There must not be any pressure or tension on the vas cord during or after the completion of the anastomosis in order to preserve the delicate capillary blood supply.

Using a small non-cutting tapered needle minimizes unwanted scarring. When tying the sutures the tension must not be too tight to cut off the supply of blood in the capillaries and not too loose so that the sutures come undone.

Our dedicated assistant looks down the microscope eyepieces also during the procedure to ensure that accuracy is maintained. Operating time on average is between two to three hours, half of which is spent suturing the two ends of the vas together. This is again repeated on the second side of the scrotum. In this video the final moments of suturing are shown.

This team approach includes our experienced scrub sisters, theatre and anaesthetic nurses, and our anaesthetic specialist who all assist in optimizing the safety of the procedure.

A full account of the suturing technique is demonstrated at each consultation. Surgery is recorded for patients and partners to view post operatively.

The videos below contain explicit content. Viewer discretion is advised.

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 is used in the clinic before the operation on all patients.

The videos below contain explicit content. Viewer discretion is advised.

The vas is 1-2 mm in diameter/across and the lumen is 0.2 mm. The lumen normally would only allow 2-3 human hairs to fit inside it.

In this video there is a blue marker (the size of a small skin suture used for repairing a skin laceration) in the bore. This demonstrates the difference in size of the two ends of the vas due to the many years of sperm production under pressure after vasectomy at the testicular end. In this particular case the time between vasectomy and the reversal was 18 years.

On the left, the vas above the previous vasectomy site (that goes to the prostate) is the normal size 0.2 mm. On the right the vas attached to the testicle has a dilated lumen three times the size, 0.6mm, due to the on-going sperm production and pressure below the vasectomy site.

Special consideration needs to be given to the suturing technique when there is a great difference between the two bores as seen here.

The videos below contain explicit content. Viewer discretion is advised.

In this case the patient had no vas detected at examination on either side of the scrotum above the vasectomy site. Using ultrasound assessment before the procedure, the vas that was present in the scrotum attached to the testicle was assessed for suitability for an extra high join to the vas located in the groin. Both sides were successfully joined.

Our medical professionals are more than happy to provide additional information or answer any of your queries or concerns.

To discover more male reproductive function, or to arrange an appointment at Metrocentre, please contact us.