Robotic Excision of the Vagina in a 46 XX DSD Male Patient. First Pediatric Report

Giovanni Torino; Ottavio Adorisio; Giovanni Cobellis; Francesca Mariscoli; Antonio Zaccara

doi:10.22037/uj.v18i.6470

Robotic Excision of the Vagina in a 46 XX DSD Male Patient. First Pediatric Report

Giovanni Torino, Ottavio Adorisio, Giovanni Cobellis, Francesca Mariscoli, Antonio Zaccara

Research output: Contribution to journal › Article › peer-review

Abstract

The Disorders of Sex Differentiation (DSD) represent a wide range of congenital anomalies of the genitalia. Surgical treatment of these cases may become a challenge. We present a case of a 16-year-old boy with 46 XX DSD, SRY negative, presented with persistent dribbling incontinence, recurrent UTI and perineal pain. Past medical history included right orchiectomy, laparoscopic excision of uterus, fallopian tubes and left streak gonad at another institution at the age of 2 years. The native vagina was left in place. VCUG confirmed the presence of the residual vagina (8 cm in maximum length), connected with the bulbar urethra. Robotic-assisted laparoscopy of the vagina was performed with satisfying short and long-term results.

Original language	English
Pages (from-to)	466-468
Number of pages	3
Journal	Urology Journal
Volume	18
Issue number	4
DOIs	https://doi.org/10.22037/uj.v18i.6470
Publication status	Published - Apr 11 2021

Keywords

Adolescent
Child
Child, Preschool
Disorders of Sex Development/surgery
Female
Humans
Laparoscopy
Male
Pelvis
Robotic Surgical Procedures
Vagina/surgery

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10.22037/uj.v18i.6470

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title = "Robotic Excision of the Vagina in a 46 XX DSD Male Patient. First Pediatric Report",

abstract = "The Disorders of Sex Differentiation (DSD) represent a wide range of congenital anomalies of the genitalia. Surgical treatment of these cases may become a challenge. We present a case of a 16-year-old boy with 46 XX DSD, SRY negative, presented with persistent dribbling incontinence, recurrent UTI and perineal pain. Past medical history included right orchiectomy, laparoscopic excision of uterus, fallopian tubes and left streak gonad at another institution at the age of 2 years. The native vagina was left in place. VCUG confirmed the presence of the residual vagina (8 cm in maximum length), connected with the bulbar urethra. Robotic-assisted laparoscopy of the vagina was performed with satisfying short and long-term results.",

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T1 - Robotic Excision of the Vagina in a 46 XX DSD Male Patient. First Pediatric Report

AU - Torino, Giovanni

AU - Adorisio, Ottavio

AU - Cobellis, Giovanni

AU - Mariscoli, Francesca

AU - Zaccara, Antonio

PY - 2021/4/11

Y1 - 2021/4/11

N2 - The Disorders of Sex Differentiation (DSD) represent a wide range of congenital anomalies of the genitalia. Surgical treatment of these cases may become a challenge. We present a case of a 16-year-old boy with 46 XX DSD, SRY negative, presented with persistent dribbling incontinence, recurrent UTI and perineal pain. Past medical history included right orchiectomy, laparoscopic excision of uterus, fallopian tubes and left streak gonad at another institution at the age of 2 years. The native vagina was left in place. VCUG confirmed the presence of the residual vagina (8 cm in maximum length), connected with the bulbar urethra. Robotic-assisted laparoscopy of the vagina was performed with satisfying short and long-term results.

AB - The Disorders of Sex Differentiation (DSD) represent a wide range of congenital anomalies of the genitalia. Surgical treatment of these cases may become a challenge. We present a case of a 16-year-old boy with 46 XX DSD, SRY negative, presented with persistent dribbling incontinence, recurrent UTI and perineal pain. Past medical history included right orchiectomy, laparoscopic excision of uterus, fallopian tubes and left streak gonad at another institution at the age of 2 years. The native vagina was left in place. VCUG confirmed the presence of the residual vagina (8 cm in maximum length), connected with the bulbar urethra. Robotic-assisted laparoscopy of the vagina was performed with satisfying short and long-term results.

KW - Adolescent

KW - Child

KW - Child, Preschool

KW - Disorders of Sex Development/surgery

KW - Female

KW - Humans

KW - Laparoscopy

KW - Male

KW - Pelvis

KW - Robotic Surgical Procedures

KW - Vagina/surgery

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DO - 10.22037/uj.v18i.6470

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EP - 468

JO - Urology Journal

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Robotic Excision of the Vagina in a 46 XX DSD Male Patient. First Pediatric Report

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Keywords

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