How much of the vas deferens is cut?

When men opt for vasectomies, it is possible to ask the doctor to cut a 6-8 inch instead of a small inch during the procedure? I’m worried if I get one and it is cut small, it would recanalize. Is it possible to ask them cut it wider?

I do not recommend excising unnecessarily large portions of the vas deferens during the vasectomy procedure. There are no studies showing that the larger the segment excised makes for a more reliable procedure. In fact, the most efficacious way of performing a vasectomy is to cauterize the ends of the vas deferens. This has been shown to be even more effective than cutting or tying the ends of the vas deferens alone. Most vasectomy surgeons employ several of these techniques during the procedure to ensure a successful vasectomy. With the lack of any advantage in terms of vasectomy effectiveness and the increased difficulty it makes for elective vasectomy reversal, should the need arise, I do not recommend excising unnecessarily large segments of the vas deferens during the vasectomy procedure.

Dr. Karpman’s website

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