The anatomy of the caudal vas deferens in patients with a genital anomaly

Abstract

Objective: To present a hypothesis to explain the various anatomical variants of children with both a vas deferens and retained vagina. Materials and methods: A child with both vasa entering into a blind-ending vaginal sinus opening into the prostatic urethra is presented, followed by a review of studies published in English describing children with a vas deferens and a retained vagina, and normal and abnormal vaginal development. Results: The caudal end of the vas deferens and its relationship to a retained vagina are not well described in the literature. Adequate exocrine levels of androgen inside the Wolffian duct may allow its preservation in conjunction with a related vagina (secondary ..