Laparoscopic removal of Müllerian structures and orchiopexy for persistent Müllerian duct syndrome.
A 1-year-old boy presented for evaluation of bilateral undescended testes. Diagnostic laparoscopy was conducted, and uterine tissue with bilateral gonads was detected in the rectovesical fossa. Chromosomal analysis revealed a 46,XY karyotype. Persistent müllerian duct syndrome was diagnosed, and laparoscopic surgery was performed to treat this condition. The uterus was incised at a distal site and withdrawn through the port. The bilateral testes were fixed in the scrotum. The patient was discharged 3 days later. We believe that the laparoscopic approach is a valid, alternative choice to traditional surgery for resolution of this condition, permitting minimally invasive surgery.
Shirasaki
Yoshinori
Y
Department of Urology, Okayama University Medical School, Okayama, Japan.
Nagai
Atsushi
A
Nasu
Yasutomo
Y
Iguchi
Hiroki
H
Kumon
Hiromi
H
D003456:Cryptorchidism / Q000601:surgery*; D012734:Disorders of Sex Development / Q000196:embryology / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007223:Infant; D010535:Laparoscopy; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery; D013577:Syndrome; D014599:Uterus / Q000196:embryology / Q000601:surgery