Vasitis Nodosa

Are you examining a man's vas deferens?

Are there one or more fusiform nodules along the vas?

Is there a benign tubular proliferation of ductular epithelium with stroma and inflammation insinuating into the muscularis and adventitia?

Are sperm and/or suture granulomata present?

• vasectomy at the site?

• another surgical procedure near the site such as herniorrhaphy?

• inguinal or scrotal trauma, including torture?

• chronic urogenital infection (chronic cystitis, etc)?

Is there another diagnosis such as tumor or infection that can explain the findings better?