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  3. Vol. 18 No. 02 (2021): March-April 2021
  4. CASE REPORT

ISSN: 1735-1308

March-April 2021
Vol. 18 No. 02 (2021)

A Simplified Management of Transverse Testicular Ectopia in Patients with Persistent Mullerian Duct Syndrome

  • Massimiliano Silveri
  • Antonio Zaccara
  • Marco Cappa

Urology Journal, Vol. 18 No. 02 (2021), , Page 237-239
https://doi.org/10.22037/uj.v0i0.5685 Published 27 May 2020

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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.

Keywords:
  • persistent Müllerian duct syndrome
  • transverse testicular ectopia
  • orchiopexy
  • disorders of sex differentiation
  • 5685/pdf

How to Cite

Silveri, M., Zaccara, A., & Cappa, M. (2020). A Simplified Management of Transverse Testicular Ectopia in Patients with Persistent Mullerian Duct Syndrome. Urology Journal, 18(02), 237-239. https://doi.org/10.22037/uj.v0i0.5685
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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

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