Spontaneous reanastomosis of the vas on one side in a 40-year-old man was caused by a sperm granuloma. Leaking spermatozoa bridged the gap between the cut ends; this was followed by epithelial canalization. From review of the literature it was concluded that the best preventive measure is light fulguration of the cut ends and then their separation by covering one cut end by its faschial sheath.
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