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[Malformations of Wolffian duct derived male genital organs (epididymis, vas deferens, seminal vesicules, ejaculatory ducts)].
Prog Urol. 1997 Apr; 7(2):262-9.PU

Abstract

OBJECTIVES

To analyse embryological phenomena, in order to define a practical approach to management.

METHODS

The authors reviewed the files of eight boys with an abnormality of Wolffian duct derived genital organs, consisting of three cases of vas deferens agenesis, two of which were accompanied by homolateral renal agenesis, one case of ectopic vas deferens with contralateral renal agenesis, three cases of duplicated vas deferens and one congenital seminal vesicle cyst with renal agenesis.

DISCUSSION

Congenital malformations of the epididymis consist of cysts and agenesis or partial atresia. Cysts essentially raise a problem of differential diagnosis. Treatment is only required in the case of severe discomfort. Vas deferens agenesis is the commonest lesion, an incidental finding in children. An experimental treatment is proposed in adults. Duplications, interdeferential communications and deferentomegaly are much rarer lesions. Seminal vesicle cysts are well visualized by transrectal ultrasonography and should be treated surgically. Lastly, ejaculatory ducts may present urethroseminal reflux or may be ectopic.

CONCLUSION

The possibility of absent or ectopic vas deferens should be considered in the case of unilateral renal agenesis. Vas deferens agenesis justifies examination of the contralateral side and investigation to exclude renal agenesis. Congenital cysts of the epididymis only require surgery when they are symptomatic. The presence of ipsilateral renal agenesis should be investigated in the case of cystic dilatation of the seminal vesicle.

Authors+Show Affiliations

Mege JL
Service de Chirurgie pédiatrique, Hôpital Edouard-Herriot, Lyon, France.
Sabatier-Laval E
No affiliation info available
Mure PY
No affiliation info available
Vargas B
No affiliation info available
Dubois R
No affiliation info available
Takvorian P
No affiliation info available
Dodat H
No affiliation info available

MeSH

AdolescentAdultChildChild, PreschoolCongenital AbnormalitiesDiagnosis, DifferentialEjaculatory DuctsEpididymisHumansMaleRetrospective StudiesSeminal VesiclesVas Deferens

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

9264770

Citation

Mege, J L., et al. "[Malformations of Wolffian Duct Derived Male Genital Organs (epididymis, Vas Deferens, Seminal Vesicules, Ejaculatory Ducts)]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 7, no. 2, 1997, pp. 262-9.
Mege JL, Sabatier-Laval E, Mure PY, et al. [Malformations of Wolffian duct derived male genital organs (epididymis, vas deferens, seminal vesicules, ejaculatory ducts)]. Prog Urol. 1997;7(2):262-9.
Mege, J. L., Sabatier-Laval, E., Mure, P. Y., Vargas, B., Dubois, R., Takvorian, P., & Dodat, H. (1997). [Malformations of Wolffian duct derived male genital organs (epididymis, vas deferens, seminal vesicules, ejaculatory ducts)]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 7(2), 262-9.
Mege JL, et al. [Malformations of Wolffian Duct Derived Male Genital Organs (epididymis, Vas Deferens, Seminal Vesicules, Ejaculatory Ducts)]. Prog Urol. 1997;7(2):262-9. PubMed PMID: 9264770.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Malformations of Wolffian duct derived male genital organs (epididymis, vas deferens, seminal vesicules, ejaculatory ducts)]. AU - Mege,J L, AU - Sabatier-Laval,E, AU - Mure,P Y, AU - Vargas,B, AU - Dubois,R, AU - Takvorian,P, AU - Dodat,H, PY - 1997/4/1/pubmed PY - 1997/4/1/medline PY - 1997/4/1/entrez SP - 262 EP - 9 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog Urol VL - 7 IS - 2 N2 - OBJECTIVES: To analyse embryological phenomena, in order to define a practical approach to management. METHODS: The authors reviewed the files of eight boys with an abnormality of Wolffian duct derived genital organs, consisting of three cases of vas deferens agenesis, two of which were accompanied by homolateral renal agenesis, one case of ectopic vas deferens with contralateral renal agenesis, three cases of duplicated vas deferens and one congenital seminal vesicle cyst with renal agenesis. DISCUSSION: Congenital malformations of the epididymis consist of cysts and agenesis or partial atresia. Cysts essentially raise a problem of differential diagnosis. Treatment is only required in the case of severe discomfort. Vas deferens agenesis is the commonest lesion, an incidental finding in children. An experimental treatment is proposed in adults. Duplications, interdeferential communications and deferentomegaly are much rarer lesions. Seminal vesicle cysts are well visualized by transrectal ultrasonography and should be treated surgically. Lastly, ejaculatory ducts may present urethroseminal reflux or may be ectopic. CONCLUSION: The possibility of absent or ectopic vas deferens should be considered in the case of unilateral renal agenesis. Vas deferens agenesis justifies examination of the contralateral side and investigation to exclude renal agenesis. Congenital cysts of the epididymis only require surgery when they are symptomatic. The presence of ipsilateral renal agenesis should be investigated in the case of cystic dilatation of the seminal vesicle. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/9264770/[Malformations_of_Wolffian_duct_derived_male_genital_organs__epididymis_vas_deferens_seminal_vesicules_ejaculatory_ducts_]_ DB - PRIME DP - Unbound Medicine ER -