Open AccessCongenital unilateral absence of vas deferens with contralateral testicular atrophy
Author(s) -
Turki A Alferayan,
Saad Abumelha,
Mazen S Al Subayyil,
Bader M Al Asmari,
Talal M Al Nahas
Publication year - 2020
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/ua.ua_155_18
Subject(s) - vas deferens , medicine , azoospermia , testicular atrophy , semen analysis , urology , atrophy , infertility , male infertility , agenesis , obstructive azoospermia , surgery , anatomy , pregnancy , biology , genetics
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 6 /mL with good motility (40%) and volume (1.5 mL).