laparoscopic gonadectomy in patients with androgen insensitivity syndrome: case series
نویسندگان
چکیده
background the gonadectomy in patients with androgen insensitivity syndrome (ais) has been conventionally performed using laparotomic techniques. but currently several reports have suggested laparoscopic gonadectomy in these patients because of shorter hospital stay and minimal postoperative pain and hemorrhage. objective to report the laparoscopic gonadectomy in 11 patients suffering from androgen insensitivity syndrome patients and methods this study is a case series of 11 patients with ais aged between 17 and 20 years who were referred to the shiraz university of medical sciences affiliated clinics and private hospitals from february 2006 to december 2012 and underwent bilateral laparoscopic gonadectomy. the patient’s outcome and results were reported in this study. results overall we operated 11 patients suffering from ais with mean age of 18.6 ± 3.8 (17-20) years. all of the patients presented with primary amenorrhea. the serum levels of testosterone were in normal range of male population. all the patients had an uneventful laparoscopic gonadectomy and no complications occurred during the operation and in the postoperative period. the mean operation duration was 40.3 ± 5.9 (range 55 to 35) minutes. the hospital stay duration was 1.6 ± 0.9 days. all of the patients were followed for at least 6 months after operation. conclusions laparoscopic gonadectomy is a safe, simple and effective procedure for the removal of the testis in patients with ais. we recommend utilizing this method for gonadectomy in patients with ais where facilities are available.
منابع مشابه
Laparoscopic gonadectomy in complete androgen insensitivity syndrome.
Laparoscopic orchiectomy was performed in a 16-year-old patient with complete androgen insensitivity syndrome. Pathology revealed in situ carcinoma of the seminiferous tubules.
متن کاملGonadectomy in Complete Androgen Insensitivity Syndrome: Why and When?
Prophylactic gonadectomy has been recommended in complete androgen insensitivity syndrome (CAIS) because of an increased risk for the development of malignant germ cell tumors in the intra-abdominal gonads. No reliable screening parameters are available to detect early (pre-)malignant changes. Because the tumor risk before puberty is very low, the timing of gonadectomy has been postponed to all...
متن کاملGonadectomy in Complete Androgen Insensitivity Syndrome: Why and When?
Prophylactic gonadectomy has been recommended in complete androgen insensitivity syndrome (CAIS) because of an increased risk for the development of malignant germ cell tumors in the intra-abdominal gonads. No reliable screening parameters are available to detect early (pre-)malignant changes. Because the tumor risk before puberty is very low, the timing of gonadectomy has been postponed to all...
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Background. Complete androgen insensitivity syndrome is a rare syndrome in which the uterus is absent and testes rather than ovaries are present. Patients usually visit a gynecologist due to primary amenorrhea. Case. A forty-eight-year-old woman with lower abdominal pain and anamnesis of uterus agenesis was operated on due to bilateral cystic masses. A 5 × 3 × 1.2 cm left adnexal cyst revealed ...
متن کاملlaparoscopic gonadectomy in patients with mosaic turner syndrome and complete androgen insensitivity syndrome: a report of 2 cases and review of the surgical aspects
introduction women with mosaic turner syndrome (ts) bearing the presence of y chromosome material or with complete androgen insensitivity syndrome (cais) is at risk of gonadal malignancy. two patients with characteristic features of these uncommon disorders are reported, and the surgical techniques of laparoscopic gonadectomy are reviewed and discussed. the aim of the present study is to report...
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عنوان ژورنال:
journal of minimally invasive surgical sciencesجلد ۳، شماره ۳، صفحات ۰-۰
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