[Laparoendoscopic single-site surgery for male pseudohermaphroditism: the initial report].

Abstract

OBJECTIVE:

To evaluate the therapeutic effect of laparoendoscopic single-site surgery (LESS) for treatment of male pseudohermaphroditism.

METHODS:

A 17-year-old patient with male pseudohermaphroditism and a female social sex was admitted. According to the request by the patient and the relatives for a female gender, LESS vaginoplasty and cryptorchidectomy were performed using a single multilumen port inserted through a 2.5 cm incision below the umbilicus, followed by reconstruction of the perineal region by open surgery.

RESULTS:

The total operative time was 7 h, and the LESS procedure lasted for about 3.5 h. No other port incision was needed. The estimated intraoperative blood loss was 400 ml. No electrolyte or metabolic acid-base balance disorders were observed perioperatively. In the follow-up examination at 6 months after the operation, the reconstructed vagina healed smoothly without obvious contraction or fixation failure, and the perineal region showed good appearance.

CONCLUSION:

With minimal invasiveness, LESS surgery produces good cosmetic effect and allows rapid postoperative recovery, thus may become a promising alternative to the management of pseudohermaphroditism.

• Authors: Yong Wen, A-bai Xu, Shao-bo Zheng, Chun-xiao Liu, Ya-wen Xu, Hu-lin Li, Kai Xu, Ping Fang, Chuan-yin Li
• Journal: Nan fang yi ke da xue xue bao = Journal of Southern Medical University (Nan Fang Yi Ke Da Xue Xue Bao) Vol. 31 Issue 6 Pg. 933-6 (Jun 2011) ISSN: 1673-4254 [Print] China
• PMID: 21690040 (Publication Type: Case Reports, Journal Article)

Topics

• Adolescent
• Disorder of Sex Development, 46,XY (surgery)
• Female
• Humans
• Laparoscopy (methods)
• Male
• Plastic Surgery Procedures (methods)
• Vagina (surgery)