Do blind ending vas deferens and testicular vessels on inguinal exploration always indicate a vanishing testis?

Abstract

Mete Kaya, Esra Ozcakir, Serpil Sancar

In nonpalpable testis cases, laparoscopically blind-ending vas deferens and testicular vessels prior to entering the internal ring is sufficient to diagnose a “vanishing” testis, which requires no further exploration. Laparoscopic identification of cord structures entering the internal ring is required the exploration of the inguinal canal to find a testis or to rule out a “vanishing” testis". However, the need for further investigation in cases that identified the blindending cord structures on inguinal canal is questioned. Herein, we present a case of the scrotal nubbin along with blind ending cord structures during inguinal exploration.