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CASE REPORT
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Congenital unilateral absence of vas deferens with contralateral testicular atrophy


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

Correspondence Address:
Turki A Alferayan,
King Saud Bin Abdulaziz University for Health Sciences, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/UA.UA_155_18

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).


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    -  Alferayan TA
    -  Abumelha SM
    -  Al Subayyil MS
    -  Al Asmari BM
    -  Al Nahas TM
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