Case Report

Vol. 31 No. 1 (2005): Urology Research and Practice

A CASE OF PRIMARY INFERTILITY RESULTING FROM CIRCUMCAVAL (RETROCAVAL) URETER

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Kahraman TOPSAKAL
Kemal KAYA
Ertan KAYACAN
E. Yener GÜLTEKİN

Abstract

Abstract


Introduction: We report a rare congenital anomaly, varicocele due to circumcaval ureter (CCU) with



infertility. The patient had abnormal semen parameters (decreased sperm motility). Abdominal ultrasound



revealed marked right hydronephrosis and testicular ultrasound revealed right varicoid veins. Urography



showed typical reverse J deformity on the right side. Helical C.T. confirmed the CCU. We performed classical



CCU surgery and in addition Palomo varicocelectomy. The patient became the fertile on the postoperative 8th



month. This is the first case of infertility resulting from CCU in the literature.


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