Laparoscopic orchidopexy for persistent müllerian duct syndrome.
Persistent müllerian duct syndrome, characterized by the presence of a uterus and fallopian tubes in a phenotypic male, frequently presents as undescended testis, either intra-abdominal or within a hernial sac. We report the first two postpubertal cases successfully managed by a one-stage laparoscopic-assisted orchidopexy. The first had one and the second had two intra-abdominal testes. All testes were brought to the scrotum after dividing the spermatic vessels while the collateral circulation was carefully preserved. The two cardinal therapeutic goals, intrascrotal placement of well-vascularized testes and normal hormonal function, were achieved. Laparoscopic surgical techniques for this condition are discussed.
Ng
J W
JW
Division of Pediatric Surgery, Department of Surgery, Yan Chai Hospital, Hong Kong.
Koh
G H
GH
D000328:Adult; D003456:Cryptorchidism / Q000235:genetics / Q000601:surgery*; D012734:Disorders of Sex Development / Q000235:genetics / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009095:Mullerian Ducts / Q000002:abnormalities; D013577:Syndrome; D013737:Testis / Q000601:surgery*