Case Report


Congenital unilateral absence of the vas deferens

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1 BS – Medical Student, Wright State University, Boonshoft School of Medicine, 3640 Colonel Glenn Hwy, Fairborn, OH 45324, USA

2 MD – Attending, Department of Urology, Dayton VA Medical Center, 4100 West Third Street, Dayton, OH 45428, USA

Address correspondence to:

Winston Owens

Wright State University, Boonshoft School of Medicine, 3640 Colonel Glenn Hwy, Fairborn, OH 45324,

USA

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Article ID: 100040Z15WO2024

doi: 10.5348/100040Z15WO2024CR

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How to cite this article

Owens W, Hakim J. Congenital unilateral absence of the vas deferens. J Case Rep Images Urol 2024;9(1):5–7.

ABSTRACT


Introduction: A 65-year-old male with a known history of unilateral renal agenesis was found to have concurrent absence of the vas deferens ipsilaterally.

Case Report: The patient presented with organic erectile dysfunction and wanted to proceed with surgical management. Routine pre-operative evaluation confirmed history of a left solitary kidney, and physical exam revealed absence of the right vas deferens. Previous imaging confirmed right renal agenesis, and with subsequent absence of the right vas deferens noted on physical exam, this confirmed embryological arrest as the cause of the anatomic abnormality.

Conclusion: Congenital unilateral absence of the vas deferens (CUAVD) is an uncommon finding that is largely found during infertility evaluations and vasectomy consults. It is important to understand genetic components and embryological origins of CUAVD to appropriately evaluate patients for additional defects.

Keywords: Absence of vas deferens, CFTR, Organic erectile dysfunction

SUPPORTING INFORMATION


Author Contributions

Winston Owens - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Jonathan Hakim - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Winston Owens et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.