Figure 42-14

Figure 42-14. Two-layer microsurgical vasovasostomy. A:
Mucosal stitches of 10-0 nylon are placed in the "back wall" of the vas
lumen, incorporating mucosa and a small amount of submucosal tissue. B: The "front wall" mucosal sutures are then placed. C:
Finally, serosal sutures of 9-0 nylon are placed in the outside wall of
the vas deferens to complete the anastomosis. (Reproduced, with
permission, from McClure RD: Microsurgery of the male reproductive
system. World J Urol 1986;4:105.)