title: Ten cases with 46,XX testicular disorder of sex development: single center experience.
abstract: OBJECTIVE
  To present clinical, chromosomal and hormonal features of ten cases with SRY-positive 46,XX testicular disorder of sex development who were admitted to our infertility clinic.
  
  
  METHODS
  Records of the cases who were admitted to our infertility clinic between 2004 and 2015 were investigated. Ten 46,XX testicular disorder of sex development cases were detected. Clinical, hormonal and chromosomal assessments were analized.
  
  
  RESULTS
  Mean age at diagnosis was 30.4, mean body height was 166.9cm. Hormonal data indicated that the patients had a higher FSH, LH levels, lower TT level and normal E2, PRL levels. Karyotype analysis of all patients confirmed 46,XX karyotype, and FISH analysis showed that SRY gene was positive and translocated to Xp. The AZFa, AZFb and AZFc regions were absent in 8 cases. In one case AZFb and AZFc incomplete deletion and normal AZFa region was present. In the other one all AZF regions were present.
  
  
  CONCLUSIONS
  Gonadal development disorders such as SRY-positive 46,XX testicular disorder of sex development can be diagnosed in infertility clinics during infertility workup. Although these cases had no chance of bearing a child, they should be protected from negative effects of testosterone deficiency by replacement therapies.
authors.affiliation: Department of Urology, Erciyes University Medical Faculty, Kayseri, Turkey.
authors.forename: Emre Can
authors.initials: EC
authors.lastname: Akinsal
authors.affiliation: Department of Urology, Erciyes University Medical Faculty, Kayseri, Turkey.
authors.forename: Numan
authors.initials: N
authors.lastname: Baydilli
authors.affiliation: Department of Urology, Erciyes University Medical Faculty, Kayseri, Turkey.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Demirtas
authors.affiliation: Department of Genetics, Erciyes University Medical Faculty Medical, Kayseri, Turkey.
authors.forename: Cetin
authors.initials: C
authors.lastname: Saatci
authors.affiliation: Department of Urology, Erciyes University Medical Faculty, Kayseri, Turkey.
authors.forename: Oguz
authors.initials: O
authors.lastname: Ekmekcioglu
mesh_terms: D058531:46, XX Testicular Disorders of Sex Development / Q000097:blood / Q000235:genetics*; D000328:Adult; D006801:Humans; D007248:Infertility, Male / Q000097:blood / Q000235:genetics*; D059785:Karyotype; D008297:Male; D012189:Retrospective Studies
keywords: 46, XX Testicular Disorders of Sex Development; Chromosome Aberrations; Infertility