A case of primary infertility resulting from circumcaval (retrocaval) ureter

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.