What are the steps of men's piercing surgery?

1. The surgeon wears surgical clothes, a hat, a mask, and sterile gloves after regular hand brushing.

2. Position: Lie on your back with your lower limbs slightly apart.

3. Spread a sterile drape and cover it with a sterile drape to expose the surgical field.

4. Incision and separation of the vas deferens: Remove the skin scar from the vasectomy, expand the incision to 2 to 3 cm, clearly separate the far and near ends of the vas deferens, and lift both ends with sutures. Then separate the two ends along the vas deferens until the anastomosis after resection of the stump is tension-free. It is not advisable to separate too much to avoid affecting the blood supply of the vas deferens. Remove the distal and proximal stump scars.

⑴Separate the vas deferens and remove the scar

5. Introduce the stent wire into one end of the vas deferens, insert a 7-8 gauge needle into the lumen from the proximal end of the vas deferens, penetrate the tube wall 1.5cm from the severed end, and exit through the scrotal skin. Insert the nylon thread into the needle cavity, withdraw the needle, leave the nylon thread in the lumen, and expose the distal end to the skin, and fix the skin end to the skin with silk sutures.

⑵Introduce stent line

6. Insert the stent wire into the lumen of the other end of the vas deferens. Insert the other end of the nylon wire upward into the lumen of the distal vas deferens for 4 to 5 cm, leaving it as a lumen stent.

⑶Insert the stent wire into the other end of the vas deferens

7. Anastomize the vas deferens. Use 7-0 nylon thread or 5-0 silk thread to sew the vas deferens intermittently with 3 to 4 stitches for end-to-end anastomosis.