A vasovasostomy is a procedure in which the vas deferens (tube that carrier sperm from the testicle to the penis) is reconnected after vasectomy. This type of connection is sometimes referred to as a "simple connection". A vasovasostomy can be performed in situations where the fluid sampled from the vas deferens at the time of vasectomy reversal has a large volume of fluid, or if whole sperm or lots of sperm parts are present when the fluid is examined under the microscope. This can only be determined at the time of vasectomy reversal. This is a technically challenging procedure, and is one of the many reasons why you should select a surgeon who has the skill and experience to give you the best possible outcome. Dr. Helo currently performs 75-100 vasectomy reversals per year.