Pneumaturia in a Patient with Ectopic Vas deferens Opening in the Bladder and Agenesis of the Ipsilateral Seminal Vesicle

Magno, Carlo; Galı̀, Alessandro; Inferrera, A.; Macri, Allison M.; Carmignani, A.; Famulari, Ciro

doi:10.1159/000070144

Cited by 3 publications

(3 citation statements)

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“…Since EVDO was first reported in 1895, only about 66 cases have been reported. Among the cases of EVDO, an ectopic opening into the ureter is relatively common, 1-4 and ectopic opening into the bladder, 5,6 the Müllerian duct cyst (MDC), 7,8 the enlarged prostatic utricle (EPU), 9,10 and renal collective system 11 could also be found in some rare cases. EEDO, first documented in 1939, is even rarer than EVDO, with only about 11 cases having been recorded until now.…”

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confidence: 99%

A 30-year retrospective study of rare ectopic seminal tract opening cases

Zhu

Jia

et al. 2020

Asian J Androl

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rare incidence and atypical symptoms of these conditions make clinical diagnosis and treatment difficult. In this study, we retrospectively analyzed 28 such cases, proposed a new classification of ESTO, and applied it in clinical practice to provide valuable references for diagnosis and treatment of the condition. PATIENTS AND METHODS Study population and clinical manifestationsFrom August 1985 to August 2015, 28 cases of ESTO in patients aged 2-48 years old were diagnosed and treated in the First Affiliated Hospital of Nanjing Medical University and Nanjing BenQ Hospital (Nanjing, China). The study protocol was approved by the ethics committees of the First Affiliated Hospital of Nanjing Medical University and Nanjing BenQ Hospital. Patients themselves or their parents when necessary provided written informed consent before enrollment.The results of the physical examination, laboratory tests, and imaging are described in detail in Supplementary Table 1. Briefly, the scrotum and perineum were carefully examined. Semen analyses were conducted after liquefaction at the clinics using the WLJY-9000 CASA system (Beijing Weili New Century Science & Tech. Deve. Co. Ltd., Beijing, China). B ultrasound and computed tomography (CT) on the urinary system were performed routinely. Enhanced CT or magnetic resonance imaging (MRI; 1.5T, Siemens Magnetom TrioTim, Munich, Germany) were performed in some cases. INTRODUCTIONEctopic seminal tract opening (ESTO) is a rare congenital malformation, which is mainly divided into two types, ectopic vas deferens opening (EVDO) and ectopic ejaculatory duct opening (EEDO). Since EVDO was first reported in 1895, only about 66 cases have been reported. Among the cases of EVDO, an ectopic opening into the ureter is relatively common, 1-4 and ectopic opening into the bladder, 5,6 the Müllerian duct cyst (MDC), 7,8 the enlarged prostatic utricle (EPU), 9,10 and renal collective system 11 could also be found in some rare cases. EEDO, first documented in 1939, is even rarer than EVDO, with only about 11 cases having been recorded until now. [12][13][14]

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mentioning

confidence: 99%

A 30-year retrospective study of rare ectopic seminal tract opening cases

Zhu

Jia

et al. 2020

Asian J Androl

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“…Unilateral VDA'lı hastalarda ipsilateral SVA insidansı %71-90, kontralateral SVA insidansı %20'dir (5,6). Ektopik VD aynı taraf SVA'lı hastalarda kaçınılmaz olacaktır ancak aynı taraf SV normalken VD çapraz ektopikte olabilir (7,8). Unilateral VDA olgularının %80'inde, bilateral VDA olgularının %16-43'ünde RA başta olmak üzere üst üriner sistem anomalileri mevcuttur (5,6,7,8).…”

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“…Ektopik VD aynı taraf SVA'lı hastalarda kaçınılmaz olacaktır ancak aynı taraf SV normalken VD çapraz ektopikte olabilir (7,8). Unilateral VDA olgularının %80'inde, bilateral VDA olgularının %16-43'ünde RA başta olmak üzere üst üriner sistem anomalileri mevcuttur (5,6,7,8). Bilateral SVA ve VDA olan erkeklerin %70-80'inde KFTR mutasyonu bulunmaktadır (1).…”

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A Rare Case: Contralateral Testicular Seminoma Accompanied by Right Undescended Testicle and Right Inguinal Hernia with Ipsilateral Renal Agenesis and Seminal Vesicle Agenesis

Demirer¹,

Gürağaç²,

Uguz³

et al. 2016

uob

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Unilateral veya bilateral olabilen seminal vezikül agenezisi (SVA) erkeklerde nadir infertilite sebepleridir. İnsidansı %0,6-1 olan unilateral SVA'ya renal agenezi (RA) ya da vaz deferens agenezisi (VDA) eşlik edebilir (1). Daha nadir izlenen bilateral SVA'da genellikle kistik fibrozis transmembran reseptör (KFTR) mutasyonu izlenir ve bilateral VDA ile birliktedir (1). Erkek reprodüktif sistemi ile üriner sisteminin embriyolojik ve anatomik olarak yakın ilişkide olmaları nedeniyle bu iki sisteme ait konjenital anomalilerde genellikle bir arada görülürler (1,2). Mezonefrik kanalın [(MK) Wolf kanalı] uygun gelişmemesi; böbrek, üreter, vaz deferans (VD) ve seminal vezikülün çeşitli konjenital anomalilerine sebep olabilmektedir (1,2). İnmemiş testis, testisin skrotum dışında, inguinal kesede, inguinal kanal dışında veya eksternal ringte palpe edilebilmesidir. İnmemiş testise en sık eşlik eden bozukluk inguinal herni olup, oluşumunda temel etken prosesus vajinalisin (PV) açık kalmasıdır (3). Biz burada sağ inguinal bölgede şişlik ve ağrı şikayetiyle merkezimize refere edilen; sağ inguinal herni ve sağ inmemiş testise, ipsilateral SVA ve ipsilateral RA'nın eşlik ettiği ayrıca sol testisinde seminom saptanan tedavi yönetimi oldukça zor olan bir olguyu sunduk. Olgu Sunumu Merkezimize sağ inmemiş testis ve sağ inguinal herni ön tanısıyla refere edilen 24 yaşındaki erkek hastanın sağ inguinal Ya z›fl ma Ad re si/Ad dress for Cor res pon den ce:

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Congenital agenesis of seminal vesicle

Qiao

Liu

et al. 2005

Asian J Andrology

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Congenital agenesis of the seminal vesicle (CASV) is frequently associated with congenital absence of the vas deferens (CAVD) or ipsilateral congenital vasoureteral communication. We reported two cases of a rare condition that the vas deferens open ectopically into Mullerian duct cyst associated with agenesis of the ipsilateral seminal vesicle. The diagnosis was confirmed by vasography. Transurethral unroofing of the Mullerian duct cyst was performed in both patients with favourable results, however, assisted reproductive technology (ART) was still necessary for them to father children.

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Pneumaturia in a Patient with Ectopic Vas deferens Opening in the Bladder and Agenesis of the Ipsilateral Seminal Vesicle

Abstract: Ectopia of the vas deferens (EVD) combined with agenesis of the seminal vesicle, is a rare congenital abnormality. We describe a case of EVD with agenesis of the ipsilateral seminal vesicle, presenting with pneumaturia and frequent urinary tract infection.

Cited by 3 publications

References 5 publications

A 30-year retrospective study of rare ectopic seminal tract opening cases

A 30-year retrospective study of rare ectopic seminal tract opening cases

A Rare Case: Contralateral Testicular Seminoma Accompanied by Right Undescended Testicle and Right Inguinal Hernia with Ipsilateral Renal Agenesis and Seminal Vesicle Agenesis

Congenital agenesis of seminal vesicle

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