El-Amir Mohamed Yousry, GamalEl Din Sameh Fayek
Kasr Al Ainy Faculty of Medicine, Cairo University, Cairo, Egypt.
Kasr Al Ainy Faculty of Medicine, Cairo University, Cairo, Egypt.
Rev Int Androl. 2022 Oct-Dec;20(4):281-284. doi: 10.1016/j.androl.2021.04.004. Epub 2022 Aug 4.
There are multiple congenital structural abnormalities that affect male urogenital tract which could affect either the male external genitalia, internal genitalia or both. Congenital anomalies of the vas deferens may be unilateral or bilateral that could be complete or segmental and include (agenesis, atresia, duplication, ectopy or diverticulum). Anomalies of the vas deferens may be isolated or may be associated with other congenital anomalies especially in the male urogenital tract. These rare vas anomalies may be discovered during genital examination (either clinically or radiologically) or even accidentally during inguinal surgeries as in varicocelectomy, hernia repair, vasectomy or orchiopexy. We hereby reported the first case of triple vas deferens in a 35-year-old male that was felt on spermatic cord examination and confirmed by trans-rectal ultrasonography. Thus, proper evaluation should be made for the cases of multiple vas deferens to avoid the accidental injury during the operation and to exclude other associated congenital anomalies.
有多种先天性结构异常会影响男性泌尿生殖道，这些异常可能影响男性外生殖器、内生殖器或两者。输精管先天性异常可能是单侧或双侧的，可为完全性或节段性，包括（发育不全、闭锁、重复、异位或憩室）。输精管异常可能是孤立的，也可能与其他先天性异常相关，尤其是在男性泌尿生殖道中。这些罕见的输精管异常可能在生殖器检查时（临床或放射学检查）被发现，甚至在腹股沟手术（如精索静脉曲张切除术、疝修补术、输精管切除术或睾丸固定术）中意外发现。我们在此报告首例35岁男性三重输精管病例，该病例通过精索检查发现，并经经直肠超声检查证实。因此，对于多条输精管的病例应进行适当评估，以避免手术中的意外损伤，并排除其他相关的先天性异常。
