This is from the doctors clinic that did my vasectomy.
Open-Ended Vasectomy Technique
Our doctors perform an “open-ended” vasectomy technique, where the vas from the lower end of the tube is left open, while the upper end of the tube leading to the penis is cut and then separated by the fascial sheath barrier. Historically, the lower end was closed off during a vasectomy because it was thought that leaving the lower end open could cause more complications or failures.
Instead, when the bottom end of the vas deferens is allowed to remain open, complications and failures are not increased. In fact, there appears to be less chance of post vasectomy pain and a higher chance of successful vasectomy reversal in the future. Specifically, when the lower end of a vasectomy is closed off, some patients experience build up pressure in the lower end and this pressure can cause swelling and inflammation in the epididymis, especially in the first 2 weeks.
With an open ended approach, sperm is allowed to “leak out” and eventually forms a small granuloma at the opening that serves as a metabolically active “recycling” centre that decompresses the epididymis.
This constant recycling and removal of sperm may relieve pressure build up downstream, reduce damage, and increase vasectomy reversal success.
There are just under 3000 billionaires in the world. The questions to ask are:
Do you start with the richest and move down the list or start at the bottom and see if the top ones give their money away before you get to them?
Do you sharpen the blade after it starts taking more than one blade drop or just enjoy the tension of the longer show?