Gubernaculum Sparing Laparoscopic Orchiopexy in Cryptorchidism with Ipsilateral Congenital Absence of the Vas Deferens: Unique Outcome

Congenital absence of the vas deferens (CAVD) is an uncommon anomaly that occurs in up to 1% of the male population. It can be associated with various other anomalies, including cryptorchidism and renal anomalies, such as renal agenesis. We here present a case of cryptorchidism with ipsilateral cong...

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Main Authors: Ebtehal Althobaiti, Hattan Badr, Maryam Aloqalaa, Raghdah Alsharif, Naif Alqarni
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2019/7408412
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author Ebtehal Althobaiti
Hattan Badr
Maryam Aloqalaa
Raghdah Alsharif
Naif Alqarni
author_facet Ebtehal Althobaiti
Hattan Badr
Maryam Aloqalaa
Raghdah Alsharif
Naif Alqarni
author_sort Ebtehal Althobaiti
collection DOAJ
description Congenital absence of the vas deferens (CAVD) is an uncommon anomaly that occurs in up to 1% of the male population. It can be associated with various other anomalies, including cryptorchidism and renal anomalies, such as renal agenesis. We here present a case of cryptorchidism with ipsilateral congenital absence of the vas deferens and renal agenesis and used the Stephen-Fowler technique for Orchiopexy depending on gubernacular vessels. A 7-month-old boy was referred to our center with left grade 2 hydronephrosis, right renal agenesis, and right impalpable, undescended testis. Examination under anesthesia and laparoscopic exploration with staged Stephen-Fowler orchiopexy were performed. The patient was followed up at 3, 6, and 12 months and had an excellent outcome. Cryptorchidism with congenital ipsilateral absence of the vas deferens and renal agenesis is a rare diagnostic entity. Our case supports the suggested theory that the gubernacular vessels can increase the blood supply to the testis, although further studies are needed to confirm this hypothesis.
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language English
publishDate 2019-01-01
publisher Wiley
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series Case Reports in Urology
spelling doaj-art-f8b9c6c54ade40c29d1b58206c6275a42025-02-03T05:54:40ZengWileyCase Reports in Urology2090-696X2090-69782019-01-01201910.1155/2019/74084127408412Gubernaculum Sparing Laparoscopic Orchiopexy in Cryptorchidism with Ipsilateral Congenital Absence of the Vas Deferens: Unique OutcomeEbtehal Althobaiti0Hattan Badr1Maryam Aloqalaa2Raghdah Alsharif3Naif Alqarni4Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi ArabiaDepartment of Urology, King Abdullah Medical City, Makkah, Saudi ArabiaFaculty of Medicine, Umm Al-Qura University, Makkah, Saudi ArabiaFaculty of Medicine, Umm Al-Qura University, Makkah, Saudi ArabiaPediatric Urology Division, Pediatric Surgery Department, Maternity and Children Hospital, Makkah, Saudi ArabiaCongenital absence of the vas deferens (CAVD) is an uncommon anomaly that occurs in up to 1% of the male population. It can be associated with various other anomalies, including cryptorchidism and renal anomalies, such as renal agenesis. We here present a case of cryptorchidism with ipsilateral congenital absence of the vas deferens and renal agenesis and used the Stephen-Fowler technique for Orchiopexy depending on gubernacular vessels. A 7-month-old boy was referred to our center with left grade 2 hydronephrosis, right renal agenesis, and right impalpable, undescended testis. Examination under anesthesia and laparoscopic exploration with staged Stephen-Fowler orchiopexy were performed. The patient was followed up at 3, 6, and 12 months and had an excellent outcome. Cryptorchidism with congenital ipsilateral absence of the vas deferens and renal agenesis is a rare diagnostic entity. Our case supports the suggested theory that the gubernacular vessels can increase the blood supply to the testis, although further studies are needed to confirm this hypothesis.http://dx.doi.org/10.1155/2019/7408412
spellingShingle Ebtehal Althobaiti
Hattan Badr
Maryam Aloqalaa
Raghdah Alsharif
Naif Alqarni
Gubernaculum Sparing Laparoscopic Orchiopexy in Cryptorchidism with Ipsilateral Congenital Absence of the Vas Deferens: Unique Outcome
Case Reports in Urology
title Gubernaculum Sparing Laparoscopic Orchiopexy in Cryptorchidism with Ipsilateral Congenital Absence of the Vas Deferens: Unique Outcome
title_full Gubernaculum Sparing Laparoscopic Orchiopexy in Cryptorchidism with Ipsilateral Congenital Absence of the Vas Deferens: Unique Outcome
title_fullStr Gubernaculum Sparing Laparoscopic Orchiopexy in Cryptorchidism with Ipsilateral Congenital Absence of the Vas Deferens: Unique Outcome
title_full_unstemmed Gubernaculum Sparing Laparoscopic Orchiopexy in Cryptorchidism with Ipsilateral Congenital Absence of the Vas Deferens: Unique Outcome
title_short Gubernaculum Sparing Laparoscopic Orchiopexy in Cryptorchidism with Ipsilateral Congenital Absence of the Vas Deferens: Unique Outcome
title_sort gubernaculum sparing laparoscopic orchiopexy in cryptorchidism with ipsilateral congenital absence of the vas deferens unique outcome
url http://dx.doi.org/10.1155/2019/7408412
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