Use of laparoscopy in intersex patients.

Abstract

PURPOSE:

Management of impalpable gonads in intersex patients remains a challenging problem. Since laparoscopic gonadectomy or gonadal preservation has been used in the management of impalpable gonads in the normal male population, laparoscopy can be an alternative method in the treatment of intersex patients.

MATERIALS AND METHODS:

Laparoscopic operations were performed on 6 patients with intersex conditions, including the testicular feminization syndrome in 2, 17 beta-hydroxysteroid dehydrogenase deficiency in 1, 5 alpha-reductase deficiency in 1 and mixed gonadal dysgenesis in 2.

RESULTS:

Laparoscopic gonadal biopsy, gonadectomy and hysterosalpingectomy were done in select patients.

CONCLUSIONS:

Although the initial diagnoses were made by phenotypic presentation, and biochemical and cytogenetic studies, laparoscopy had an important role in defining the internal ductal and gonadal structures to confirm the diagnosis, and served as an efficient method for gonadectomy and removing structures contrary to the assigned gender.

• Authors: T J Yu, K Shu, F T Kung, H L Eng, H Y Chen
• Journal: The Journal of urology (J Urol) Vol. 154 Issue 3 Pg. 1193-6 (Sep 1995) ISSN: 0022-5347 [Print] United States
• PMID: 7637087 (Publication Type: Journal Article)

Chemical References

• Hydroxysteroid Dehydrogenases
• 3-Oxo-5-alpha-Steroid 4-Dehydrogenase

Topics

• 3-Oxo-5-alpha-Steroid 4-Dehydrogenase (deficiency)
• Adolescent
• Androgen-Insensitivity Syndrome (diagnosis, surgery)
• Child
• Disorders of Sex Development (diagnosis, surgery)
• Female
• Gonadal Dysgenesis, Mixed (diagnosis, surgery)
• Humans
• Hydroxysteroid Dehydrogenases (deficiency)
• Hysterectomy
• Laparoscopy
• Male
• Orchiectomy