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Stanwood S. Schmidt, MD
San Francisco

JAMA. 1970;213(12):2080.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Congenital absence of the vas with a normal testicle is not a rare condition.¹ It is sufficiently common that anyone performing vasectomies should be aware of its possibility. The proof of the matter would be an adequate vasectomy on the side where the vas was found and a postoperative clearing of sperm from the seminal fluid. In this specific patient a right orchiectomy is completely contraindicated. If there should be any doubt as to the presence of a vas, inspection of the lower pole of the epididymis would show whether a vas deferens arose from the epididymis or not.

I have seen bilateral congenital absence of the vas deferens. This is a far more rare condition. Palpation of the vas, however, should be done in every fertility work-up in order to rule out its absence. . . . [Full Text PDF of this Article]

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