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An epididymectomy is similar to a vasectomy with regard to restraint options and copulation behavior [6]. For this procedure, the base of the scrotum is clipped and aseptically prepared. Lidocaine 2% is infused over the tail of the epididymis. Once prepared, the surgeon grasps the neck of the scrotum and pushes the testicle ventrally. A 3‐cm incision is made over the tail of the epididymis through the skin and common vaginal tunic until the epididymis is exteriorized. The tail of the epididymis is carefully dissected from the testicle, and towel clamps or Allis tissue forceps can be used to assist in handling and manipulation of the epididymis. A hemostat is placed on the ductus deferens and the body of the epididymis. Ligatures with #0 absorbable suture are placed proximal to the hemostats. The tail of the epididymis is removed by transection distal to the hemostats. Figure 21.2 shows the procedure.

Figure 21.2 Procedure for epididymectomy.

Source: Illustration by Mal Hoover.

The common vaginal tunic is closed using #0 absorbable suture. The skin can be closed with non‐absorbable cruciate sutures or the incisions can be left open to allow ventral drainage. Antibiotics can be administered to prevent postoperative infections. Postoperative resting recommendations and yearly ejaculate examinations are the same as previously stated for vasectomy aftercare.