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Urol Ann. 2020 Jan-Mar;12(1):101-102. doi: 10.4103/UA.UA_155_18. Epub 2019 Nov 7.

Congenital unilateral absence of vas deferens with contralateral testicular atrophy.

Author information

1
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
2
Department of Surgery, Ministry of National Guard Health Affairs, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
3
College of Medicine, Al-Imam University, Riyadh, Saudi Arabia.

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 × 106/mL with good motility (40%) and volume (1.5 mL).

KEYWORDS:

Congenital unilateral absence of vas deferens; infertility; semen analysis

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