Congenital unilateral absence of vas deferens with contralateral testicular atrophy.

Journal: Urology annals
Published Date: Nov 7, 2019

Abstract

We present a case report of a 25-year-old obese man complaining of primary infertility for 2 years. After a thorough examination and investigation were done, he had congenital unilateral absence of vas deferens with ipsilateral renal agenesis and a palpable vas deferens in the contralateral side with testicular atrophy. Semen analysis showed low semen volume (0.5 mL) with azoospermia. Hence, a scrotal exploration and a crossover transseptal vasoepididymostomy to relocate the vas deferens were done. After 6 months, the sperm concentration reached 5 × 10/mL with good motility (40%) and volume (1.5 mL).

Authors

  • Turki A Alferayan
    College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
  • Saad M Abumelha
    Department of Surgery, Ministry of National Guard Health Affairs, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
  • Mazen S Al Subayyil
    College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
  • Bader M Al Asmari
    College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
  • Talal M Al Nahas
    College of Medicine, Al-Imam University, Riyadh, Saudi Arabia.

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