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Persistent Mullerian Duct Syndrome - United Arab Emirates Experience - Abstract

Amin El-Gohary

 

Abstract

Between 1994 and 2012 we used both diagnostic and operative laparoscopy in the management of 9 cases of persistent mullerian duct syndrome, 4 of which had associated testicular ectopia. They presented with cryptorchidism and inguinal hernias. The diagnosis was established during diagnostic laparoscopy. The non-palpable testes were on the left side in 7, on the right in 1 and bilateral in one. The latter case had been managed previously in another hospital by an open technique, and the diagnosis was missed. The last patient was initially diagnosed as a case of adrenogenital syndrome before gonadal biopsy proved to be a testicular tissue.  Transverse testicular ectopia was present in 4 unrelated boys. All the cases were managed by splitting the uterus in the midline and then bringing the testis with the vas and attached uterine tissue into the scrotum. Six of the 9 cases were managed laparoscopically. Follow-up at 2 and 10 years showed satisfactory results in 8 of the 9 cases.

Keywords Mullerian duct syndrome, laparoscopy, testes


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