The boy who got snipped – Vasectomy in a pre-pubescent male

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.