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 journalArticlepeer-review


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 languageEnglish
Pages (from-to)466-468
Number of pages3
JournalUrology Journal
Issue number4
Publication statusPublished - Apr 11 2021


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


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