PMC6452555_01
Absence of the right vas deferens in laparoscopic surgery.
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Laparoscopic exploration was performed on February 13, 2017, and revealed a sizable right testis proximal to the internal inguinal ring by 4 cm with short spermatic vessels, and an absent right vas deferens and epididymis (Figure 1).
Thicker gubernacular vessels in the 2nd stage Stephen-Fowler compared to the 1st stage.
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We performed peritoneal dissection lateral to the testis; the medial peritoneal aspect and the gubernaculum remained untouched (Figure 2).
Fixation of the right testis into the scrotum.
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The testis was brought through the inguinal canal into the right hemiscrotum, where a dartos pouch was created (Figure 3) and the testis was fixed in this position.
US of the right testis at six-months follow-up.
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The right testis measured 13 x 6 mm and the left testis measured 16 x 8 mm (Figure 4).
US of the right testis at twelve-months follow-up.
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The right testicle measured 10 x 7 x 8 mm, and the left testicle measured 15 x 8 x 10 mm (Figure 5).