Midscrotal approach for vasectomy. The vas deferens is exteriorized and ligated twice and a piece will be removed. The tail of the epididymis was left intact.
A cranial midscrotal approach for vasectomy uses a single midline skin incision. The tunic on each side is then incised and a section of vas deferens grasped and exteriorized.
The cremaster muscle is on the left, the vas deferens is isolated with a pair of hemostats, and the pampiniform plexus is on the right, in this picture.