Laparoscopic management of Müllerian duct remnants: four case reports and review of the literature.
Several experiences with laparoscopic management of müllerian duct remnants (MDRs) have been reported to date. This report outlines our experience and reviews the present literature to evaluate the results of laparoscopic excision of MDR. Between April 2003 and December 2007, 4 male patients (age range, 6-20 years) with MDR underwent laparoscopic excision in our center. A literature search revealed 5 additional reports of laparoscopic excision of MDR, comprising 13 patients (age range, 1.5-48 years). For the 4 patients in our center, the operative time was 135-200 minutes (mean, 159 minutes) and the estimated blood loss was 20-100 mL (mean, 48 mL). For the 13 patients in the literature reviewed, the operative time was 105-360 minutes (mean, 190 minutes) and the estimated blood loss was 50-200 mL. All of these 17 patients recovered uneventfully with no complications. A small prostatic diverticulum had been found in 1 case at 6 years postoperatively; no recurrent evidence or voiding dysfunction had been found in the other 16 patients during 3-50 months of follow-up. No patient had required any further operative therapy. Laparoscopic excision of MDR is a safe and effective surgical procedure, associated with minimal invasion, minimal postoperative morbidity, and rapid recovery for the patient.
Luo
Jun-Hang
JH
Department of Urology, First Affiliated Hospital, Sun Yat-Sen University, No. 58, ZhongShan 2nd Road, Guangzhou, China.
Chen
Wei
W
Sun
Jun-Jie
JJ
Xie
Dan
D
Mo
Jia-Cong
JC
Zhou
Li
L
Lu
Jian
J
D003560:Cysts / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D008297:Male; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014564:Urogenital Abnormalities / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods