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Congenital Unilateral Absence of the Vas Deferens as an Incidental Finding During Radical Prostatectomy – Case Report Literature Review and Recommendations for Clinical Management

Johannes Linxweiler, Martin Janssen, Sven Rugge, Kai A Probst, Carsten H Ohlmann, Stefan Siemer, Michael Stöckle and Matthias Saar

Congenital unilateral absence of the vas deferens (CUAVD) is a disorder affecting up to 1% of males. As these patients are often asymptomatic the diagnosis is usually made incidentally in the context of imaging studies performed for other indications or during urologic surgical procedures like vasectomy or radical prostatectomy. Besides a potential clinical manifestation in terms of infertility due to obstructive azoospermia, CUAVD gains clinical importance because of its association with renal anomalies as well as mutations of the CFTR gene. Here we describe the case of a patient who was diagnosed with CUAVD during radical prostatectomy, review the currently available literature and give recommendations on the clinical management of patients with CUAVD.