Congenital Unilateral Absence of the Vas Deferens with
Ipsilateral Renal Agenesis encountered during Laparoscopic Totally
Extraperitoneal Inguinal Hernia Repair in an Adult Patient: A Case
Report
Abstract : We report the first incidental finding of congenital
unilateral absence of the vas deferens and ipsilateral renal agenesis
during endoscopic totally extraperitoneal inguinal hernia repair. The
absence of the vasa deferentia occurs unilateral, associated with renal
anomalies, or bilateral which has a genetic link to cystic fibrosis.
Key clinical message : Patients with unilateral absence of the
vas deferens should be assessed for bilateral absence of the vasa
deferentia by palpation in adults or laparoscopic exploration in
pediatric patients. Ultrasonography should be performed to assess renal
anomalies and genetic counselling is advised.
Keywords: Absence of vas deferens with renal agenesis;
endoscopic hernia repair
Wordcount : 1774 (references excluded)