1, testicular biopsy can find sperm, the patient should choose surgery, or choose the second generation of IVF treatment This situation needs to be classified. If the spermatogenic cells are intact. It means that it is betting on spermlessness can be considered for treatment. Otherwise, it is recommended to choose second-generation IVF treatment. 2. Will vas deferens-epidididymal anastomosis cause sexual dysfunction? This will not cause sexual dysfunction if it does not pull the nerves leading to irritating symptoms. The anastomosis may lead to premature ejaculation of the tract Liu Yonghao, Department of Men’s Medicine, Linyi City Hospital of Traditional Chinese Medicine 3. When can the patient urinate normally after the surgery and when can he be discharged from the hospital Urination is not related to this surgery, what is related is the increase of abdominal pressure and possible pain at the wound when urinating after the surgery. If there is no window infection, hospitalization is not necessary. 4, how long can you have sex after surgery This advocates a week later. Too much time may lead to surgical failure in the gambling game 5.When do I need to recheck semen? What else should be done besides semen check? The key to this surgery is recanalization. Semen must be checked after one week. 6.Is it more likely that no sperm can be found in the routine semen check after surgery? The probability of success of conventional surgery is about 30%. The success rate can reach 80% if microsurgery is used. 7. If you still can’t get pregnant naturally after the operation, how long does this situation last and how long should you consider doing IVF? Most of the time, there will be weak spermatozoa after the recanalization surgery. The mechanism of this is more complicated. We again have developed clinically specific protocols with good results. If the epididymis is failing, IVF can be performed immediately.