V3-10 LESS GONADECTOMY FOR ANDROGEN INSENSITIVITY SYNDROME (AIS)

Abstract

You have accessJournal of UrologyMale Voiding/Sexual Dysfunction/BPH/ Incontinence/Infection/Infertility1 Apr 2015V3-10 LESS GONADECTOMY FOR ANDROGEN INSENSITIVITY SYNDROME (AIS) Anibal W. Branco, Luciano C. Stunitz, Sandro Nichele, Julio C. Foiatto, Juliano D. Scheffer, Marcio Gatti, and Kleber Stelmasuk Anibal W. BrancoAnibal W. Branco More articles by this author , Luciano C. StunitzLuciano C. Stunitz More articles by this author , Sandro NicheleSandro Nichele More articles by this author , Julio C. FoiattoJulio C. Foiatto More articles by this author , Juliano D. SchefferJuliano D. Scheffer More articles by this author , Marcio GattiMarcio Gatti More articles by this author , and Kleber StelmasukKleber Stelmasuk More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1351AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The pathogenetical basis of testicular feminization is androgen insensitivity. Patients with complete androgen insensitivity syndrome are raised as females because they have female external genitalia. It is well accepted that laparoscopy access is primarily indicated in intersex patients and also in the management of impalpable gonads in normal population. The aim of this video is to demonstrate the use of laparoendoscopic single site surgery in order to manage androgen insensitivity syndrome. METHODS A 15-year old woman was referred to our service with primary amenorrhea presenting normal external female genitalia, testosterone levels of 557ng/dl and 46-XY karyotype. MRI showed bilateral gonads in the pelvic cavity. RESULTS A SILS (Covidien) single port device was introduced through the umbilical scar. Operative time was 18 minutes, blood loss 20ml, and the patient was discharged after 12 hours. The pathological analysis revealed the presence of seminiferous tubules. CONCLUSIONS Conclusively, the laparoendoscopic single site surgery in the treatment of androgen insensitivity syndrome is a feasible and safe approach, and should be considered as an excellent minimally invasive option, minimizing surgery impact. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e337-e338 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Anibal W. Branco More articles by this author Luciano C. Stunitz More articles by this author Sandro Nichele More articles by this author Julio C. Foiatto More articles by this author Juliano D. Scheffer More articles by this author Marcio Gatti More articles by this author Kleber Stelmasuk More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...