TY - JOUR T1 - UNilateral absence of a palpable vas deferens-reply AU - Donohue RE, Fauver H Y1 - 1989/10/06 N1 - 10.1001/jama.1989.03430130045019 JO - JAMA SP - 1772 EP - 1772 VL - 262 IS - 13 N2 - In Reply.—  Unilateral absence of the kidney has been reported by Rubin1 in 30% of patients with bilateral congenital absence of the vas deferens.In reviewing many case reports for our article, the incidence of unilateral renal agenesis in the presence of bilateral absence of the vas deferens was approximately 15% to 20%.We feel it is definitely warranted to perform a renal ultrasound examination in patients who present with bilateral absence of the vas deferens.We disagree with Dr Schneiderman regarding the use of gloves in the scrotal examination. Gloves should not be worn except in rare circumstances: patients with acquired immunodeficiency syndrome who have fistulas, patients with draining scrotal abscesses, etc. Gross scrotal abnormalities can be easily detected on examination whether gloves are worn or not. The more subtle scrotal pathological changes and, in particular, the one abnormality that can be fatal to the patient, the testis tumor, SN - 0098-7484 M3 - doi: 10.1001/jama.1989.03430130045019 UR - http://dx.doi.org/10.1001/jama.1989.03430130045019 ER -