Many patients are a little intimidated by the operation and the most common and frightening question is whether they will not be able to complete intercourse after the operation. In fact, the surgery is less disruptive to the testicles, especially if the surgeon is experienced in separating and finding the spermatogenic tubules under direct vision, which protects the blood vessels on the one hand and the testosterone producing tissues on the other. Of course, the operation is invasive and the patient’s androgen will drop afterwards, but most patients will have their testosterone back to 80% within 1-3 months after the operation, so that their sexual function will not be seriously affected, as long as they are psychologically built up. In addition, patients with Crohn’s syndrome, who themselves have smaller testicles and lower testosterone, and whose sexual function would have declined with age, can have good results with adequate androgen supplementation after they do not need to have children.