A spectrum of epididymis and vas deferens anomalies among children with cryptorchidism: a retrospective multi-center study

Abstract Background Vasoepididymal anomalies are not rare among children with cryptorchidism. They may affect fertility following orchiopexy. Herein, we describe the cases of abnormalities of the vas deferens and epididymis in children undergoing orchidopexy for cryptorchidism. Data were collected r...

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Autores principales:	Sarah Magdy Abdelmohsen, Mohamed Abdelkader Osman, Mohammed Hamada Takrouney, Mohamed El Debeiky, Ahmed Badawe G. Hassan, Mohamed Mahmoud Abd El-Aleem Shalaby, Mohamed A. Baky Fahmy
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Epididymis Undescended testis Epididymal cyst Vanished testis Curled vas deferens Duplicated vas deferens Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/289fd9f92e564150965d417cf8817665
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spelling	oai:doaj.org-article:289fd9f92e564150965d417cf88176652021-11-08T10:56:27ZA spectrum of epididymis and vas deferens anomalies among children with cryptorchidism: a retrospective multi-center study10.1186/s43159-021-00111-w2090-5394https://doaj.org/article/289fd9f92e564150965d417cf88176652021-11-01T00:00:00Zhttps://doi.org/10.1186/s43159-021-00111-whttps://doaj.org/toc/2090-5394Abstract Background Vasoepididymal anomalies are not rare among children with cryptorchidism. They may affect fertility following orchiopexy. Herein, we describe the cases of abnormalities of the vas deferens and epididymis in children undergoing orchidopexy for cryptorchidism. Data were collected retrospectively from six centers providing care for patients with undescended testicles from September 2017 to February 2019. All patients whose congenital anomalies of the epididymis or vas deferens were discovered incidentally during operative intervention for cryptorchidism and where photographs of the anomalies were taken were included. Results The total incidence of congenital anomalies on the 467 testicles which had operations was 13.2%. Congenital epididymal and vas deferens anomalies were more common on the left side than the right side in patients with cryptorchidism (P = 0.038). Attachment anomalies between the epididymis and testis were the most common epididymal anomaly (36.3%), while a vanished vas deferens was the most frequent vas deferens anomaly (18%). Three patients had absent vas deferens, two had curled vas deferens, two had vas deferens separated from the epididymis, and one had a duplicated vas deferens. Three patients had an epididymal cyst, one had an enlarged appendix of the epididymis, and one had epididymal agenesis. Conclusion Attention must be paid during any surgery on an undescended testicle as an anomaly of the vas deferens could lead to unexpected complications. Anomalies of the vas deferens or epididymis that present in cases of cryptorchidism occur mostly on the left side.Sarah Magdy AbdelmohsenMohamed Abdelkader OsmanMohammed Hamada TakrouneyMohamed El DebeikyAhmed Badawe G. HassanMohamed Mahmoud Abd El-Aleem ShalabyMohamed A. Baky FahmySpringerOpenarticleEpididymisUndescended testisEpididymal cystVanished testisCurled vas deferensDuplicated vas deferensPediatricsRJ1-570SurgeryRD1-811ENAnnals of Pediatric Surgery, Vol 17, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Epididymis Undescended testis Epididymal cyst Vanished testis Curled vas deferens Duplicated vas deferens Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Epididymis Undescended testis Epididymal cyst Vanished testis Curled vas deferens Duplicated vas deferens Pediatrics RJ1-570 Surgery RD1-811 Sarah Magdy Abdelmohsen Mohamed Abdelkader Osman Mohammed Hamada Takrouney Mohamed El Debeiky Ahmed Badawe G. Hassan Mohamed Mahmoud Abd El-Aleem Shalaby Mohamed A. Baky Fahmy A spectrum of epididymis and vas deferens anomalies among children with cryptorchidism: a retrospective multi-center study
description	Abstract Background Vasoepididymal anomalies are not rare among children with cryptorchidism. They may affect fertility following orchiopexy. Herein, we describe the cases of abnormalities of the vas deferens and epididymis in children undergoing orchidopexy for cryptorchidism. Data were collected retrospectively from six centers providing care for patients with undescended testicles from September 2017 to February 2019. All patients whose congenital anomalies of the epididymis or vas deferens were discovered incidentally during operative intervention for cryptorchidism and where photographs of the anomalies were taken were included. Results The total incidence of congenital anomalies on the 467 testicles which had operations was 13.2%. Congenital epididymal and vas deferens anomalies were more common on the left side than the right side in patients with cryptorchidism (P = 0.038). Attachment anomalies between the epididymis and testis were the most common epididymal anomaly (36.3%), while a vanished vas deferens was the most frequent vas deferens anomaly (18%). Three patients had absent vas deferens, two had curled vas deferens, two had vas deferens separated from the epididymis, and one had a duplicated vas deferens. Three patients had an epididymal cyst, one had an enlarged appendix of the epididymis, and one had epididymal agenesis. Conclusion Attention must be paid during any surgery on an undescended testicle as an anomaly of the vas deferens could lead to unexpected complications. Anomalies of the vas deferens or epididymis that present in cases of cryptorchidism occur mostly on the left side.
format	article
author	Sarah Magdy Abdelmohsen Mohamed Abdelkader Osman Mohammed Hamada Takrouney Mohamed El Debeiky Ahmed Badawe G. Hassan Mohamed Mahmoud Abd El-Aleem Shalaby Mohamed A. Baky Fahmy
author_facet	Sarah Magdy Abdelmohsen Mohamed Abdelkader Osman Mohammed Hamada Takrouney Mohamed El Debeiky Ahmed Badawe G. Hassan Mohamed Mahmoud Abd El-Aleem Shalaby Mohamed A. Baky Fahmy
author_sort	Sarah Magdy Abdelmohsen
title	A spectrum of epididymis and vas deferens anomalies among children with cryptorchidism: a retrospective multi-center study
title_short	A spectrum of epididymis and vas deferens anomalies among children with cryptorchidism: a retrospective multi-center study
title_full	A spectrum of epididymis and vas deferens anomalies among children with cryptorchidism: a retrospective multi-center study
title_fullStr	A spectrum of epididymis and vas deferens anomalies among children with cryptorchidism: a retrospective multi-center study
title_full_unstemmed	A spectrum of epididymis and vas deferens anomalies among children with cryptorchidism: a retrospective multi-center study
title_sort	spectrum of epididymis and vas deferens anomalies among children with cryptorchidism: a retrospective multi-center study
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/289fd9f92e564150965d417cf8817665
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A spectrum of epididymis and vas deferens anomalies among children with cryptorchidism: a retrospective multi-center study

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