Dear Editor,

Eagle-Barrett or prune belly syndrome (PBS) is a rare congenital condition with an estimated incidence of 3.8 cases per 100 000 live births in the United States [1]. The syndrome is characterized by cryptorchidism, upper and lower urinary tract dilation, and either absence or deficiency of the abdominal wall musculature. While much of the literature has focused upon urinary tract malformation and cryptorchidism, fertility is a crucial aspect of urologic evaluation and care in these patients. Initial reports suggested that men with PBS were necessarily infertile, though subsequent studies and the advent of assisted reproductive technology have challenged the conventional wisdom, suggesting that spermatogenesis and fertility may be preserved in select men with PBS (Table 1) [2]. Here we report a case of successful sperm retrieval in a man with PBS and a review of the pertinent literature.