Laparoscopy-assisted transinguinal extracorporeal gonadectomy in six patients with androgen insensitivity syndrome.
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.
Yalinkaya
Ahmet
A
Department of Obstetrics and Gynecology, Dicle University Medical School, Diyarbakir, Turkey. ayalinkaya@dicle.edu.tr
Yayla
Murat
M
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