Abstract
Duplication of vas deferens is an anomaly that is generally encountered during inguinal hernia repair, orchiopexy, radical prostatectomy, varicocelectomy, and vasectomy. The estimated rate of this anomaly in the United States is 0.01%. This anomaly may predispose to iatrogenic vas deferens injury during inguinal hernia repair. Embryological point of view suggests that the duplication of the mesonephric duct system could result in duplicated vas deferens. Failure to recognize this anomaly may lead to injury, obstruction, or spermatic granuloma. Furthermore, it is important to identify duplicated vas deferens during vasectomy to avoid failure of the procedure. Identification of duplicated vas deferens is important during inguinal hernia surgery, vasectomy, and varicocelectomy. Herein, we report a case of duplicated vas deferens during open indirect inguinal hernia repair.
Highlights
Duplication of the vas deferens is an anomaly that is usually encountered during inguinal hernia repair, orchiopexy, radical prostatectomy, varicocelectomy, and vasectomy.[1]
Failure to recognize this anomaly may lead to injury, obstruction, or spermatic granuloma
Right inguinal hernia repair Right inguinal hernia repair Right inguinal dissection Right inguinal hernia repair Left inguinal hernia repair Left inguinal hernia repair Left spermatic cord during vasectomy Left side during radical prostatectomy Left spermatic cord dissection during varicocelectomy Left spermatic cord during varicocelectomy Left spermatic cord during varicocelectomy Left undescended testes orchidopexy Bilateral during varicocelectomy term describes an ectopic ureter draining into the ejaculatory system and is often associated with ipsilateral renal dysgenesis.[5]
Summary
Duplication of the vas deferens is an anomaly that is usually encountered during inguinal hernia repair, orchiopexy, radical prostatectomy, varicocelectomy, and vasectomy.[1] The rate of this anomaly in the United States is estimated to be approximately 0.01%.1. Duplicated vas deferens as an incidental finding during indirect inguinal hernia repair. Vas deferens discovered during open indirect inguinal hernia repair. A reducible small-sized right inguinal hernia with normal testes was found. The patient underwent open right indirect inguinal repair (Lichtenstein procedure) under general anesthesia. During dissection of the indirect inguinal hernia sac, two tubular structures were identified as the vas deferens (Figure 1). We performed the Lichtenstein procedure, and the patient tolerated the procedure without postoperative complications. He was discharged the day and followed up 2 weeks post-operation as a surgical outpatient. Due to the financial status of the patient, we were unable to perform a CT scan or MRI of the pelvis to assess whether the duplication was bilateral or unilateral
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