Persistent Müllerian duct structures presenting as hematuria in an adult: Case report of robotic surgical removal and review of the literature

Autor:	L I Smith-Harrison, Mehul S Patel, Ryan P Smith, Noah S Schenkman
Jazyk:	angličtina
Rok vydání:	2015
Předmět:	Laparoscopic surgery Persistent Mullerian duct syndrome robotic surgery Diseases of the genitourinary system. Urology RC870-923
Zdroj:	Urology Annals, Vol 7, Iss 4, Pp 544-546 (2015)
Druh dokumentu:	article
ISSN:	0974-7796 0974-7834
DOI:	10.4103/0974-7796.164859
Popis:	Persistent Müllerian duct syndrome is a rare genetic disorder characterized by a male with retained Müllerian structures. Remnant excision must be considered due to the possibility of malignant degeneration. We review a case of delayed diagnosis in a 25-year-old man presenting with hematuria. Preoperative counseling must emphasize the risk of malignancy versus the risks to fertility. The da Vinci robot offers a novel, safe approach for excision of the relevant Müllerian structures. Dissection should be limited to structures superior to the cavernosal neurovascular bundles to preserve the continence and erectile function. A semen analysis is recommended preoperatively to determine effects on fertility.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/aaae0c9ecb5e4666aa87585ecbd4f4f5 Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF