[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-405761-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-405761-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","the-boy-who-got-snipped-vasectomy-in-a-pre-pubescent-male-case-report","The boy who got snipped - Vasectomy in a pre-pubescent male - Case report","","Vasectomy is presented as a management option for recurrent epididymo-orchitis in prepubertal males with genitourinary anomalies. The case describes a 12-year-old boy with an enlarged prostatic utricle, recurrent right epididymo-orchitis, and urinary tract infections refractory to antibiotics. After multidisciplinary and parental discussion, a high inguinal unilateral vasectomy was performed and histology confirmed chronic inflammatory changes. Three years post-operatively, infection episodes ceased and follow-up showed stable urinary function.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/the-boy-who-got-snipped-vasectomy-in-a-pre-pubescent-male-case-report/405761/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/the-boy-who-got-snipped-vasectomy-in-a-pre-pubescent-male-case-report/405761.png","ImageObject",300,407,{"name":42,"@type":43},"Levi","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-06","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why was vasectomy considered in this prepubertal case?","Question",{"text":63,"@type":64},"It was considered after recurrent, severe epididymo-orchitis failed to respond to standard treatments and invasive options were warranted. The authors discuss vasectomy as a last-resort solution with medical, ethical, and psychosocial considerations.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What were the key clinical findings before surgery?",{"text":68,"@type":64},"The patient had recurrent right epididymo-orchitis over two years, an enlarged prostatic utricle, recurrent urinary tract infections, bladder spasms, and later meatal stenosis and scarring with a large right scrotal abscess.",{"name":70,"@type":61,"acceptedAnswer":71},"What was the outcome after the high inguinal unilateral vasectomy?",{"text":72,"@type":64},"Three years after the procedure, there were no further infection episodes. Follow-up ultrasound later showed normal bladder with minimal residual volume and normal bilateral epididymis and testicular parameters, and the patient remained clinically well.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},405761,1790993518,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":30,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":55,"preview_page_count":4},7971461740909,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Urology Case Reports 64 (2026) 103306  \nContents lists available at ScienceDirect  \nUrology Case Reports  \njournal [homepage:](homepage: www.elsevier.com/locate/eucr)[ www.elsevier.com/locate/eucr](homepage: www.elsevier.com/locate/eucr)  \n| Pediatrics\u003Cbr>The boy who got snipped – Vasectomy in a pre-pubescent male Barbara Rampersad , Kyri´e Kanhai * \u003Cbr>Department of Paediatric Surgery, Eric Williams Medical Sciences Complex, Trinidad and Tobago |  |  | |\n| --- | --- | --- | --- |\n| A R T I C L E I N F O |  | A B S T R A C T |  |\n| Keywords:\u003Cbr>Paediatric surgery\u003Cbr>Urology\u003Cbr>Vasectomy\u003Cbr>Epididymitis\u003Cbr>Genitourinary anomalies |  | Vasectomy has proven useful in management of recurrent epidiymo-orchitis in prepubertal males with genitourinary anomalies. We discuss the contributing factors to performing unilateral vasectomy on a 12-year-old male with enlarged prostatic utricle, urinary tract infections and recurrent right epididymo-orchitis, refractory to antibiotic therapy. After discussion with international specialists and parents, a decision was made to do a high inguinal unilateral vasectomy. Histology confirmed chronic inflammation of the 0.6cm thickened, enlarged, hyperaemic vas. Post-operatively, there have been no further episodes of infection. Considering there is no clear guideline for surgical intervention in this age group, we support vasectomy in select populations. |  |\n\n1. Introduction  \nVasectomy, usually performed as permanent male contraception in adults via interruption of the vas deferens, has proven useful in Paediatric Urology for management of recurrent epididymo-orchitis in prepubertal males with genitourinary anomalies.  \nEpididymo-orchitis poses a significant clinical challenge, especially when refractory to standard treatments. When severe and recurrent epididymo-orchitis fails to respond to conventional medical treatments, invasive interventions are considered. Vasectomy may be contemplated as a last-resort solution, taking into consideration the medical, ethical and psychosocial aspects.  \n2. Case presentation  \nA twelve (12) year-old male presented with recurrent right epididymo-orchitis over a two (2) year period and an enlarged prostatic utricle.  \nIn the past history, at three (3) months of age, he had a right inguinal hernia repair and was noted to have midshaft hypospadias with moderate chordee. He had two-stage hypospadias repair with preputial graft, and Nesbit Procedure were performed at age five (5) and six (6) years. He developed a proximal urethrocutaneous fistula after the second-stage procedure that was repaired successfully after 6 months. Severe bladder spasms refractory to anticholinergics and recurrent urinary tract infections convoluted his clinical course. By age ten (10) years, he complained of scrotal pain and poor urinary stream and was diagnosed with meatal stenosis and scarring. Cystoscopy and meatal dilatation were  \nperformed. On cystoscopy he was noted to have a large prostatic utricle. Severe meatal stenosis prompted a meatotomy at age eleven (11) years. He continued to have recurrent episodes of right sided epididymoorchitis. A large right scrotal abscess (Fig. 1) with eruption at age twelve (12) required incision and drainage.  \nMultiple radiological investigations were performed during his medical course. Ultrasonography prior to meatotomy showed a large post void volume (234 cubic centimetres) but no hydronephrosis. Micturating Cystourethrogram (MCUG) at age eleven (11) confirmed good urinary flow with reflux into tortuous dilated right vas deferens (Fig. 2). No formal uroflow or urodynamics were performed as these are not available at our institution. By age twelve (12) years, ultrasound imaging demonstrated a thickened right epididymal tail (1.3 cm) with increased vascularity and post-void volume of 107 cubic centimetres.  \nThere was consideration of excision of the prostatic utricle but scarring secondary to hypospadias and previous fistula repair were deterren","cbCaihlMf8CoH6Tr","https://ap.wps.com/l/cbCaihlMf8CoH6Tr","pdf",3475432,"English","# Contents\n## Introduction\n## Case presentation","[{\"question\":\"Why was vasectomy considered in this prepubertal case?\",\"answer\":\"It was considered after recurrent, severe epididymo-orchitis failed to respond to standard treatments and invasive options were warranted. The authors discuss vasectomy as a last-resort solution with medical, ethical, and psychosocial considerations.\"},{\"question\":\"What were the key clinical findings before surgery?\",\"answer\":\"The patient had recurrent right epididymo-orchitis over two years, an enlarged prostatic utricle, recurrent urinary tract infections, bladder spasms, and later meatal stenosis and scarring with a large right scrotal abscess.\"},{\"question\":\"What was the outcome after the high inguinal unilateral vasectomy?\",\"answer\":\"Three years after the procedure, there were no further infection episodes. Follow-up ultrasound later showed normal bladder with minimal residual volume and normal bilateral epididymis and testicular parameters, and the patient remained clinically well.\"}]","The boy who got snipped - Vasectomy in a pre-pubescent male - Case report | PDF",1790561732]