Laparoscopic gonadectomy in male pseudohermaphrodites
| Autor: | Monica Abbi, Alka Kriplani, A. Kriplani, Ariachery C. Ammini, Kiran Kucheria, D. Takkar |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
Male Laparoscopic surgery endocrine system medicine.medical_specialty Gonad Adolescent medicine.medical_treatment Disorders of Sex Development Dysgerminoma Gonadal Dysgenesis Testicular Neoplasms medicine Humans Pseudohermaphroditism Gonads Laparoscopy Testicular feminization medicine.diagnostic_test urogenital system business.industry Obstetrics and Gynecology Seminoma Androgen-Insensitivity Syndrome medicine.disease Surgery Phenotype medicine.anatomical_structure Reproductive Medicine Male pseudohermaphroditism business |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 81:37-41 |
| ISSN: | 0301-2115 |
| DOI: | 10.1016/s0301-2115(98)00143-2 |
| Popis: | Objective : To study patients of male pseudohermaphroditism and establish the laparoscopic approach for gonadectomy in these cases. Study design : Seven phenotypic females with XY karyotype were evaluated through a diagnostic protocol which included clinical, cytogenetic, hormonal, endoscopic and histologic evaluation. The gonads were then removed by laparoscopic surgery. Results : The seven patients included three patients of pure gonadal dysgenesis, two patients of testicular feminization and one patient each of mixed gonadal dysgenesis and dysgenetic male pseudohermaphroditism. Two of the seven patients (28.57%) had gonadal neoplasias on histopathology-one dysgerminoma and one occult seminoma. In all of these patients, removal of the gonads was accomplished laparoscopically. No complications occurred during any of the surgeries. Conclusion : Due to the reduced morbidity, shorter hospital stay and safety, laparoscopic gonadectomy can be considered the treatment of choice for the removal of gonads in male pseudohermaphrodites in the hands of experienced laparoscopic surgeons. |
| Databáze: | OpenAIRE |
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