title: Laparoscopy-assisted transinguinal extracorporeal gonadectomy in six patients with androgen insensitivity syndrome.
abstract: OBJECTIVE
  To describe a new surgical technique to treat prophylactic gonadectomy in patients with androgen insensitivity syndrome.
  
  
  METHODS
  Prospective study. University hospital.
  
  
  METHODS
  Six patients with androgen insensitivity syndrome.Laparoscopy-assisted transinguinal or suprapubic extracorporeal gonadectomy.
  
  
  METHODS
  Accessibility, operation time, and cost-effectiveness.
  
  
  METHODS
  Laparoscopy-assisted transinguinal extracorporeal gonadectomy under general anesthesia was performed successfully, with no complications, in all patients as a one-day procedure. The operation times were 12 to 22 minutes (average, 16 minutes). Histopathologic examination revealed testicles in all cases. The cost of each operation was approximately dollar 500 to dollar 1000.
  
  
  CONCLUSIONS
  Laparoscopy-assisted transinguinal or suprapubic and extracorporeal gonadectomy has several advantages over laparotomy and operative laparoscopy, including short operating time, safety, simplicity, and cost-effectiveness.
authors.affiliation: Department of Obstetrics and Gynecology, Dicle University Medical School, Diyarbakir, Turkey. ayalinkaya@dicle.edu.tr
authors.forename: Ahmet
authors.initials: A
authors.lastname: Yalinkaya
authors.forename: Murat
authors.initials: M
authors.lastname: Yayla
mesh_terms: D000328:Adult; D013734:Androgen-Insensitivity Syndrome / Q000601:surgery*; D005260:Female; D005833:Genital Neoplasms, Female / Q000517:prevention & control; D017048:Health Care Costs; D006801:Humans; D010535:Laparoscopy / Q000191:economics; D008297:Male; D011446:Prospective Studies; D013737:Testis / Q000601:surgery*; D013997:Time Factors