Laparoscopic Removal of a Persistent Mullerian Duct in a Male: Case Report

Lima, Mario; Morabito, Antonino; Libri, M.; Bertozzi, Mirko; Dòmini, M.; Lauro, V.; Strano, C.; Messina, P.; Tani, G.

doi:10.1055/s-2001-15471

Cited by 7 publications

(6 citation statements)

References 3 publications

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“…Laparoscopy has huge benefi ts in the diagnosis as well as the treatment of PMDS [8]. Shirasaki et al described laparoscopic excision of the uterus followed by orchiopexy in 1-year-old child with PMDS [15].…”

Section: Diagnosis and Managementmentioning

confidence: 99%

“…The vas deferens can be particularly in close proximity with the fallopian tubes and the vagina. At times, it can be incorporated into the wall of the vagina [8]. Vandersteen et al (1997) evaluated the risk of retaining müllerian structure versus risk of injury to the vas deferens during excision of the müllerian remnants and concluded that the müllerian remnants should not be excised, as malignancy had not been reported till then [6].…”

Section: Diagnosis and Managementmentioning

confidence: 99%

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Persistent müllerian duct syndrome: How to deal with the müllerian duct remnants — a review

Manjunath¹,

Shenoy²,

Raj³

2010

Indian J Surg

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Persistent müllerian duct syndrome (PMDS) is usually a surprise finding either during orchidopexy or during routine inguinal hernia repair in male patients. Often, the surgeon would face a dilemma about what is to be done with the remnants of müllerian duct, i.e. the fallopian tubes, uterus and proximal vagina. Till recently, it was advised to retain these structures whenever it was felt that the complete excision of these structures may jeopardise the blood supply and integrity of the vas deferens. Recent reports of malignancy in these retained structures would justify more aggressive approach. In our patients with PMDS, we have removed the mucosa of the retained müllerian structures, without compromising the integrity and vascularity of the vas deferens, thus reducing the chances of malignancy.

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Section: Diagnosis and Managementmentioning

confidence: 99%

Section: Diagnosis and Managementmentioning

confidence: 99%

Persistent müllerian duct syndrome: How to deal with the müllerian duct remnants — a review

Manjunath¹,

Shenoy²,

Raj³

2010

Indian J Surg

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“…Current literature on PMDS suggests that the patient is at risk for malignancy developing in the testes and also the mullerian remnant [12][13][14][15][16][17][18]. There is no agreement regarding the removal of the rudimentary mullerian structures.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of persistent mullerian duct syndrome

Parelkar

Gupta

Oak

et al. 2009

Journal of Pediatric Surgery

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“…9 Interestingly, laparoscopic management of PMDS has now also been successfully reported. 27,28 See Table 1 for our key points.…”

Section: Discussionmentioning

confidence: 99%

Indirect inguinal hernia with uterine tissue in a male: A case of persistent Mullerian duct syndrome and literature review

Ahdoot

Qadan

Santa-María

et al. 2013

CUAJ

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A 32-year-old male presenting with a direct inguinal hernia was found to have uterine tissue extending through the inguinal canal, warranting a diagnosis of persistent Mullerian duct syndrome (PMDS). PMDS is an extremely rare form of internal male pseudohermaphroditism in which female internal sex organs, including the uterus, cervix and proximal vagina, persist in a 46XY male with normal external genitalia. The condition results from a congenital insensitivity to anti-Mullerian hormone, or lack of anti-Mullerian hormone, leading to persistence of the female internal sex organs in a male. Clinically, this condition is associated with cryptochoridism. Controversy persists regarding the appropriate treatment of PMDS, since resection of the remnant structures is associated with potential morbidity, but retention risks development of occasional malignancies. We review the literature and discuss various aspects of pathophysiology, diagnosis, and management of PMDS.

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Laparoscopic Removal of a Persistent Mullerian Duct in a Male: Case Report

Cited by 7 publications

References 3 publications

Persistent müllerian duct syndrome: How to deal with the müllerian duct remnants — a review

Persistent müllerian duct syndrome: How to deal with the müllerian duct remnants — a review

Laparoscopic management of persistent mullerian duct syndrome

Indirect inguinal hernia with uterine tissue in a male: A case of persistent Mullerian duct syndrome and literature review

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