Open Access

RESIDENT’S CORNER

Unilateral segmental dysplasia of the vas deferens

Theodore R. Saitz¹, Anil A. Thomas²

1 Department of Urology, Oregon Health and Science University, Portland, Oregon, USA
2 Department of Urology, Kaiser Permanente Northwest, Portland, Oregon, USA
Address correspondence to Dr. Theodore R. Saitz, Department of Urology, Oregon Health & Science University, 3303 SW Bond Ave, CH10U, Portland, OR 97239 USA

Canadian Journal of Urology 2018, 25(6), 9620-9622.

Abstract

A healthy 35-year-old male presented for vasectomy after fathering two children. Due to difficulty palpating the left vas, the patient was taken to the operating room for scrotal exploration and vasectomy. The left vas was absent; however, a 1.2 cm pearly nodule was identified in the scrotum along its suspected course. This nodule was excised, found to contain thick white pasty fluid, and confirmed vas deferens by pathology. The patient was found to have normal kidneys on renal ultrasound and was indeed a carrier for cystic fibrosis gene mutations. We herein discuss management and implications of vasal anomalies.

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