A Simplified Management of Transverse Testicular Ectopia in Patients with Persistent Mullerian Duct Syndrome
Urology Journal,
Vol. 18 No. 02 (2021),
3 May 2021
,
Page 237-239
https://doi.org/10.22037/uj.v18i02.5685
Abstract
Persistent müllerian duct syndrome (PMDS) in the majority of cases is discovered during surgery for inguinal
hernia or cryptorchidism. A transverse testicular ectopia (TTE) with cryptorchidism may be very rarely associated
to PMDS. Assuming that müllerian remnants have a very low malignant degeneration potential if compared to
the malignancy risk of an undescended and not relocated testis, we describe a simplified surgical technique of
orchiopexy that avoids an extensive anatomical dissection, in this way minimizing the risk of losing the deferential
blood supply to the testis.
- persistent Müllerian duct syndrome
- transverse testicular ectopia
- orchiopexy
- disorders of sex differentiation
How to Cite
References
Picard JY, Cate RL, Racine C et al. The Persistent Mullerian Duct Syndrome: an update based upon a personal experience of 157 cases. Sex Dev. 2017; 11(3):109-125
Wuerstle M, Lesser T, Hurwitz R et al. Persistent mullerian duct syndrome and transverse testicular ectopia: embryology, presentation, and management. J Ped Surg. 2007;42:2116-2119
Vandersteen DR, Chaumeton AK, Ireland K et al. Surgical management of persistent mullerian duct syndrome. Urology. 1997; 49(6):941-945
Guerrier D, Tran D, Vanderwinden JM et al. The persistent mullerian duct syndrome: a molecular approach. J Clin Endocrinol Metab. 1989;68:45-52
Bartlett JE, Lee SMY, Mishina Y et al. Gubernacular development in mullerian inhibiting substance receptor-deficient mice. BJU Int. 2002;89:113-118
Gauderer MW, Grisoni ER, Stellato TA et al. Transverse testicular ectopia. Pediatr Surg. 1982;17:1-2
Asero L, Meli R. The persistent Mullerian duct syndrome with transverse testicular ectopia. A hypothesis on the role of Mullerian inhibiting factor in the process of testicular migration. Pediatr Med Chir. 1997;19:223-225
Shinmura Y, Yokoi T, Tsutsui Y. A case of clear cell adenocarcinoma of the mullerian duct in persistent mullerian duct syndrome: the first reported case? Arch Pathol Lab Med. 2000;124:694-698
- Abstract Viewed: 57 times
- 5685/pdf Downloaded: 36 times