title: [Laparoendoscopic single-site surgery for male pseudohermaphroditism: the initial report].
abstract: OBJECTIVE
  To evaluate the therapeutic effect of laparoendoscopic single-site surgery (LESS) for treatment of male pseudohermaphroditism.
  
  
  METHODS
  A 17-year-old patient with male pseudohermaphroditism and a female social sex was admitted. According to the request by the patient and the relatives for a female gender, LESS vaginoplasty and cryptorchidectomy were performed using a single multilumen port inserted through a 2.5 cm incision below the umbilicus, followed by reconstruction of the perineal region by open surgery.
  
  
  RESULTS
  The total operative time was 7 h, and the LESS procedure lasted for about 3.5 h. No other port incision was needed. The estimated intraoperative blood loss was 400 ml. No electrolyte or metabolic acid-base balance disorders were observed perioperatively. In the follow-up examination at 6 months after the operation, the reconstructed vagina healed smoothly without obvious contraction or fixation failure, and the perineal region showed good appearance.
  
  
  CONCLUSIONS
  With minimal invasiveness, LESS surgery produces good cosmetic effect and allows rapid postoperative recovery, thus may become a promising alternative to the management of pseudohermaphroditism.
authors.affiliation: Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China. wenyong547@126.com
authors.forename: Yong
authors.initials: Y
authors.lastname: Wen
authors.forename: A-bai
authors.initials: AB
authors.lastname: Xu
authors.forename: Shao-bo
authors.initials: SB
authors.lastname: Zheng
authors.forename: Chun-xiao
authors.initials: CX
authors.lastname: Liu
authors.forename: Ya-wen
authors.initials: YW
authors.lastname: Xu
authors.forename: Hu-lin
authors.initials: HL
authors.lastname: Li
authors.forename: Kai
authors.initials: K
authors.lastname: Xu
authors.forename: Ping
authors.initials: P
authors.lastname: Fang
authors.forename: Chuan-yin
authors.initials: CY
authors.lastname: Li
mesh_terms: D000293:Adolescent; D058490:Disorder of Sex Development, 46,XY / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D014621:Vagina / Q000601:surgery