Laparoscopy and intersex: report of 5 cases of male pseudohermaphroditism.
From May, 1999 to August, 2006, we performed laparoscopic diagnosis and treatment for 103 cases of impalpable testes. Among those we found 5 cases of male pseudohermaphroditism of different etiologies. Three males presented by impalpable testes with ambiguous genitalia and 2 females presented by primary amenorrhea. All of them have 46-XY normal male chromosomal pattern. In the first 3 cases, the etiology was complete gonadal dysgenesis, and 2 cases with persistent Mullerian syndrome. Timed gonadectomy for the first case and laparoscopic orchiopexy for the other 2 cases were performed. For the other 2 female cases, the etiology was complete androgen insensitivity syndrome and laparoscopic bilateral orchiectomy was performed for both of them. All the procedures were done without complications with satisfactory results.
Gad El-Moula
Mohamed
M
Department of Urology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.
Izaki
Hirofumi
H
El-Anany
Fathy
F
Abd El-Moneim
Alaa
A
El-Moneim El-Haggagy
Abd
A
Abdelsalam
Yasser
Y
Abolyosr
Ahmad
A
Kishimoto
Tomoteru
T
Oka
Natsuo
N
Takahashi
Masayuki
M
Fukumori
Tomoharu
T
Kanayama
Hiro-Omi
HO
D000328:Adult; D013734:Androgen-Insensitivity Syndrome / Q000150:complications; D002648:Child; D002675:Child, Preschool; D003251:Constriction, Pathologic / Q000150:complications; D012734:Disorders of Sex Development / Q000175:diagnosis / Q000209:etiology / Q000235:genetics / Q000601:surgery*; D005260:Female; D006059:Gonadal Dysgenesis / Q000150:complications; D006066:Gonads / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009095:Mullerian Ducts / Q000473:pathology; D016896:Treatment Outcome