V539 ROBOT-ASSISTED LAPAROSCOPIC EXCISION OF A MULLERIAN DUCT REMANANT

2012 ◽  
Vol 187 (4S) ◽  
Author(s):  
Ying Hua Jura ◽  
Saman Shafaat Talab ◽  
Rafael Pieretti ◽  
Shahin Tabatabaei
1994 ◽  
Vol 152 (2 Part 1) ◽  
pp. 482-484 ◽  
Author(s):  
Elspeth M. McDougall ◽  
Ralph V. Clayman ◽  
William T. Bowles

2020 ◽  
Author(s):  
Yonghui Wang ◽  
Peng Xiang ◽  
Wei Wang ◽  
Shuang Li ◽  
Hao Ping ◽  
...  

Abstract Background: müllerian duct remnant is a disease which was reported infrequently. The cyst’s size in this case is even rarer. We performed surgery on this patient and introduced the procedure in detail. Case presentation: We present a case that a 58-year-old patient with a huge müllerian duct remnant between the prostate and rectum. Magnetic resonance imaging and computed tomography scan of abdominal and pelvic showed that a cystic lesion with a size of 14×10×10 cm in the pelvic cavity. There were no surgical contraindications were found after some related preoperative examinations, so the laparoscopic surgery was performed. The features of the mass of postoperative pathologic examination presented that the characteristics are consistent with the Müllerian duct. Conclusions: Laparoscopic excision is a perfect way to manage müllerian duct remnant. This way can get good outcome and minimize the damage to the patient.


Author(s):  
Mario Lima ◽  
Michela Maffi ◽  
Niel Di Salvo ◽  
Giovanni Ruggeri ◽  
Michele Libri ◽  
...  

Persistent Müllerian duct syndrome is a disorder of sexual development, which features a failure of involution of Müllerian structures. An enlarged prostatic utricle is a kind of Müllerian duct remnant (MDR) with a tubular shaped structure communicating with the prostatic urethra. Treatment is aimed at relieving symptoms when present, preserve fertility and prevent neoplastic degeneration. We describe 3 cases of successful robot assisted-removal of symptomatic MDRs. The first case came to our attention for pseudo-incontinence; the other two for recurrent urinary tract infections. The patients have not presented such symptoms anymore on follow-up. We then reviewed existent literature on authors who have recently investigated the main issues concerning MDRs and have attempted a roboticassisted approach on them. Robot-assisted laparoscopy can be considered a valid, safe and effective minimally-invasive technique for the primary treatment of prostatic utricle.


2017 ◽  
pp. 102-104
Author(s):  
L.M. Rapoport ◽  
E.A. Bezrukov ◽  
A.V. Kondrashina ◽  
A.O. Morozov

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
G. Gitas ◽  
K. Eckhoff ◽  
A. Rody ◽  
A. K. Ertan ◽  
S. Baum ◽  
...  

Abstract Background Müllerian duct anomalies are congenital malformations of the female genital tract and may be of various types. For decades they have been classified according to the American Society of Reproductive Medicine, which mentions unicornuate uterine malformations as the second subgroup. They result from the arrested development of one of the Müllerian ducts and appear in approximately 1/1000 women. These anomalies are usually diagnosed in the second decade of life, because they tend to remain asymptomatic until adolescence and their initial symptoms may vary. Patients present with symptoms such as dysmenorrhea, infertility, and chronic or acute abdominal pain. Case presentation We report on a 21-year-old Caucasian German patient who suffered from dysmenorrhea for 7 years. After a transvaginal ultrasound and magnetic resonance tomography of the pelvis was performed, the patient underwent a diagnostic hysteroscopy and operative laparoscopy, and was finally diagnosed with a Müllerian duct anomaly presenting with a non-communicating rudimentary uterine horn. The left tube arose directly in orthotopic location from the cornua of uterus, with no connection to the rudimentary uterine horn or structure. Conclusion The anatomic features of this case have not been reported previously and were not consistent with any existing classification. More cases are needed in order to confirm our hypothesis. Gynecologists should always consider Müllerian anomalies as an important differential diagnosis in young patients with abdominal pain.


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