Mullerian Duct Remnants Research Articles

811: Surgical Treatment of Mullerian Duct Remnants in Boys

You have accessJournal of UrologyModerated Poster, Monday, May 23, 2005, 1:00 - 3:00 pm1 Apr 2005811: Surgical Treatment of Mullerian Duct Remnants in Boys Patricio C. Gargollo, Alan B. Retik, Craig A. Peters, David A. Diamond, Joseph G. Borer, and Bartley G. Cilento Patricio C. GargolloPatricio C. Gargollo More articles by this author , Alan B. RetikAlan B. Retik More articles by this author , Craig A. PetersCraig A. Peters More articles by this author , David A. DiamondDavid A. Diamond More articles by this author , Joseph G. BorerJoseph G. Borer More articles by this author , and Bartley G. CilentoBartley G. Cilento More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(18)34980-2AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "811: Surgical Treatment of Mullerian Duct Remnants in Boys." The Journal of Urology, 173(4S), pp. 219–220 © 2016 by American Urological AssociationFiguresReferencesRelatedDetails Volume 173Issue 4SApril 2005Page: 219-220 Advertisement Copyright & Permissions© 2016 by American Urological AssociationMetricsAuthor Information Patricio C. Gargollo More articles by this author Alan B. Retik More articles by this author Craig A. Peters More articles by this author David A. Diamond More articles by this author Joseph G. Borer More articles by this author Bartley G. Cilento More articles by this author Expand All Advertisement PDF downloadLoading ...

PP4-203 Further evidence showing that the mullerian duct cyst is not the mullerian duct remnant

PP4-203 Further evidence showing that the mullerian duct cyst is not the mullerian duct remnant

Histopathology of the Mullerian duct remnant : clarification of disease categones and terminology

Histopathology of the Mullerian duct remnant : clarification of disease categones and terminology

Lymphangiectasia with persistent M�llerian derivatives: Confirmation of autosomal recessive Urioste syndrome

We report on a sibship with protein-losing enteropathy related to intestinal lymphangiectasia, a peculiar face, and genital anomalies. The parents are distantly related and from Dutch ancestry. The first patient was born with a protein-losing enteropathy, craniofacial anomalies, and renal defects. At 1 year of age, she died of severe complications of the protein-losing enteropathy and respiratory distress. Her brother was a cytogenetically normal male fetus identified by prenatal ultrasound at 19 weeks with similar anomalies. The pregnancy was terminated at 20 weeks. Autopsy showed mullerian duct remnants. These cases seem to confirm the Urioste syndrome [Urioste et al., 1993: Am J Med Genet 47:494-503]. Although it was previously only reported in 46,XY individuals, this report of a consanguineous family with an affected sibship of both sexes suggests it to be an autosomal recessive entity.

MULLERIAN DUCT REMNANTS: SURGICAL MANAGEMENT AND FERTILITY ISSUES

Purpose We reviewed our experience with mullerian duct remnants, also known as prostatic utricular and mullerian duct cysts, to advance further the understanding of the surgical management of these challenging congenital anomalies. The indications, merits and disadvantages of each surgical approach are presented, and the effects of mullerian duct remnants and their treatment on future fertility are discussed. Materials and Methods We reviewed the records of 26 patients 1 month to 19 years old with mullerian duct remnants who were seen between January 1984 and October 1998. Clinical presentation included perineoscrotal hypospadias in 10 cases, urinary retention and/or difficult voiding in 7, urinary tract infection in 6, acute scrotum in 2, and recurrent hemospermia and dysuria in 1. Results Of the 26 patients 13 required surgical intervention for various symptoms and to correct large diverticula. The surgical approach was transvesical transtrigonal in 8 cases, extravesical in 2, perineal in 2 and posterior sagittal in 1. Transurethral fulguration was performed in 2 cases. The initial surgical approach was successful in 11 of the 13 patients. One patient required convertion to a transvesical transtrigonal approach due to inadequate exposure during attempted perineal excision. Two cases treated with transurethral fulguration failed to resolve completely, and in 1 excision was required using the transvesical transtrigonal technique. A total of 13 patients were treated nonoperatively, including 10 in whom the condition was discovered incidentally during screening for perineoscrotal hypospadias. In 5 of the 10 patients urinary tract infection subsequently developed and they were maintained on long-term chemoprophylaxis. Conclusions By tailoring the surgical approach to the type of mullerian duct remnant and the relevant anatomical relationships a high degree of success may be achieved with minimal morbidity.

Bilateral Mullerian duct remnants. A scanning electron microscope study in a case of complete androgen insensitivity syndrome

Bilateral Mullerian duct remnants. A scanning electron microscope study in a case of complete androgen insensitivity syndrome

A transvesical approach to mullerian duct remnants: V. Di Benedetto, V. Bagnara, J.M. Guys, et al. Pediatr Surg Int 12:151–154, (February), 1997

A transvesical approach to mullerian duct remnants: V. Di Benedetto, V. Bagnara, J.M. Guys, et al. Pediatr Surg Int 12:151–154, (February), 1997

A transvesical approach to mullerian duct remnants

Surgical extirpation is the treatment of choice for symptomatic müllerian duct remnants (prostatic utricle, PU), and several surgical approaches have been described for the treatment of this pathology. A group of 11 patients with symptomatic PU were observed and treated. Associated anomalies included proximal or penoscrotal hypospadias in all patients and cryptorchidism in 9 (81.8%). In all cases the PU needed surgical correction, as the patients had recurring symptomatology. Surgery was carried out transvesically in 10 (91%) cases and in 1 a perineal approach was used. There were no surgical complications, and at follow-up all patients showed complete resolution of the symptoms. We believe the transvesical approach, compared to other techniques, is more advantageous in the treatment of this pathology, as it permits excellent exposure, ease of surgery, good reconstruction, and good functional results with no sequelae.

The Anterior Sagittal Transanorectal Approach: A Modified Approach to 1-Stage Clitoral Vaginoplasty in Severely Masculinized Female Pseudohermaphrodites-Preliminary Results

We present a modified 1-stage clitoral vaginoplasty technique for severely masculinized female pseudohermaphroditism involving an anterior sagittal transanorectal approach with the patient prone after clitoroplasty according to the Passerini-Glazel procedure. An anterior sagittal transanorectal approach with protective colostomy was performed in 2 patients with severely masculinized female pseudohermaphroditism and a normal rectum. The anorectal sphincteric mechanism was divided only in the anterior midline, and the perineal body and rectum were opened in the anterior rectal wall, providing excellent exposure of the urogenital sinus. The vagina was easily and fully separated from the urogenital sinus, the site of vaginal attachment to the urethra was sutured, and anastomosis was created between the vaginal neo-introitus and vagina. The rectum, perineal body and anterior sphincteric mechanism were reconstructed. Cosmetic and anatomical results are satisfactory. The vaginal neo-introitus is located just below the urethral meatus, the clitoris appears almost normal and in the vulvar region a mucous lining is present in the front wall of the perineum between the clitoris and vagina. Convalescence was uneventful. The patients had normal bowel control after colostomy closure and no urinary incontinence. Our modified technique favors easy and safe posterior anastomosis between the vaginal neo-introitus and vagina under direct vision. Furthermore, suturing the vaginal stump is easier than in the original technique, since the approach to the vagina is posterior, not transvesical.

Chronic hematospermia: Assessment by transrectal ultrasound

Objective. To evaluate transrectal ultrasound in the assessment of chronic hematospermia. Methods. Twenty-six patients aged between twenty-five and seventy-seven years (mean, 55.6 years) presenting with persistent hematospermia of an average duration of 10.2 months (range, 3 to 20 months) underwent transrectal ultrasound. Twenty-five asymptomatic men aged thirty-nine to eighty-two years (mean, 63 years) self referred to our institution seeking transrectal ultrasound as a screening method for prostate cancer and with no previous history of hematospermia were used as controls. Results. Significant sonographic findings not present in the control group were detected in 24 patients with hematospermia. These consisted of dilated seminal vesicles in 8, ejaculatory duct cysts in 4, ejaculatory or seminal vesicle calculi in 4, the presence of ejaculatory duct and seminal vesicle dilatation in 4, seminal vesicle cysts with ipsilateral renal agenesis and absence of the vas in 2, and an intraprostatic mullerian duct remnant in 2. Of the patients having biopsies, none was found to have malignancy. Conclusions. Transrectal ultrasound is the imaging modality of choice in the assessment of chronic hematospermia.

Male genital tract malformations associated with ipsilateral renal agenesis: Sonographic findings

Ten male patients with ultrasonographic evidence of an internal genital anomaly associated with ipsilateral renal agenesis are presented. The abnormalities consist of seminal vesicle agenesis in 4, seminal vesicle cyst in 3, Wolffian duct remnant in 2, and Mullerian duct remnant in 1. Such developmental defects are due to a primary anomaly of the mesonephros. Due to its capability of visualizing the lumbar and pelvic regions simultaneously, ultrasonography appears to be the first-choice imaging modality for the screening of such genitourinary developmental malformations.

Management of mullerian duct remnants in the male patient: M.L. Ritchey, R.C. Benson, S.A. Kramer, et al. J Urol 140:795–799, (October), 1988

Management of mullerian duct remnants in the male patient: M.L. Ritchey, R.C. Benson, S.A. Kramer, et al. J Urol 140:795–799, (October), 1988

Müllerian Remnant Causing Bladder Outlet Obstruction

Less than one-third of patients with persistent mullerian duct remnants develop bladder outlet obstructive symptoms. We report on two cases of bladder outlet obstruction caused by massive dilatation of persistent mullerian duct remnants. Such structures should be suspected when outlet obstructive symptoms occur in patients with hypospadias and/or undescended gonads. Care should be taken to identify possible urethral obstruction distal to the prostatic urethra as a cause of gross enlargement of persistent mullerian duct remnants.

Papillary cystadenoma within the testis.

Papillary cystadenoma within the testis has not been previously reported. Such a tumor was found in a man having a malignant pleural effusion and intrascrotal swelling and pain. A radical orchiectomy performed in an attempt to identify the primary site of malignant tumor revealed, instead, an intratesticular papillary cystadenoma. The genesis of this lesion is obscure. Possible histogenesis includes origin from Mullerian duct remnants, neoplasia of the epithelium of the efferent ducts of the epididymis, invagination of the tunica vaginalis, hamartoma involving epididymal mesoderm, and epididymal trauma. Surgical or odier trauma does not appear to be related to the formation of this lesion, although this cannot be excluded with complete certainty.

Müllerian Duct Cysts

No AccessJournal of Urology1 Jun 1949Müllerian Duct Cysts1 Ralph R. Landes, and Charles L. Ransom Ralph R. LandesRalph R. Landes More articles by this author , and Charles L. RansomCharles L. Ransom More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)69187-0AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1949 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByDESAUTEL M, STOCK J and HANNA M (2018) MULLERIAN DUCT REMNANTS: SURGICAL MANAGEMENT AND FERTILITY ISSUESJournal of Urology, VOL. 162, NO. 3 Part 2, (1008-1013), Online publication date: 1-Sep-1999.Mayersak J (2018) Urogenital Sinus-Ejaculatory Duct Cyst: A Case Report with a Proposed Clinical Classification and Review of the LiteratureJournal of Urology, VOL. 142, NO. 5, (1330-1332), Online publication date: 1-Nov-1989.Van Poppel H, Vereecken R, De Geeter P and Verduyn H (2018) Hemospermia Owing to Utricular Cyst: Embryological Summary and Surgical ReviewJournal of Urology, VOL. 129, NO. 3, (608-609), Online publication date: 1-Mar-1983.Frakash A (2018) Multilocular Cystadenofibroma of Müllerian DuctJournal of Urology, VOL. 114, NO. 4, (653-654), Online publication date: 1-Oct-1975.Stuppler S, Naranjo C and Kandzari S (2018) A Müllerian Duct Remnant without Associated Stigmas of Intersex: Report of a CaseJournal of Urology, VOL. 110, NO. 1, (133-135), Online publication date: 1-Jul-1973.Chatterjee S and Sarkar S (2018) Retrovesical Cysts in BoysJournal of Urology, VOL. 109, NO. 1, (107-110), Online publication date: 1-Jan-1973.Lucey D, McAninch J and Bunts R (2018) Genital Cysts of the Male Pelvis: Case Report of Müllerian and Ejaculatory Duct Cysts in the Same PatientJournal of Urology, VOL. 109, NO. 3, (440-443), Online publication date: 1-Mar-1973.Myers G, Lynn H and Kelalis P (2018) Giant Cyst of the UtricleJournal of Urology, VOL. 101, NO. 3, (369-373), Online publication date: 1-Mar-1969.Szemes G and Rubin D (2018) Squamous Cell Carcinoma in a Müllerian Duct CystJournal of Urology, VOL. 100, NO. 1, (40-43), Online publication date: 1-Jul-1968.Polse S and Edelbrock H (2018) Prostatic Utricular Enlargement as a Cause of Vesical Outlet Obstruction in ChildrenJournal of Urology, VOL. 100, NO. 3, (329-332), Online publication date: 1-Sep-1968.Robinson J and Jordan W (2018) Some Unusual Adult Male Urogenital Tumors With Dysontogenetic Features. Reports of Mesonephroma, Müllerian Carcinosarcoma, Transitional Cloacogenic Carcinoma and NephroblastomaJournal of Urology, VOL. 97, NO. 2, (357-366), Online publication date: 1-Feb-1967.Ceccarelli F and Beach P (2018) Multiple Urogenital Anomalies: Pronephric, Mesonephric and Metanephric Kidney Elements with Persistent Müllerian Duct in An Adult MaleJournal of Urology, VOL. 85, NO. 1, (31-41), Online publication date: 1-Jan-1961.Smyth B and Forsythe I (2018) Hypospadias and Associated Anomalies of the Genitourinary TractJournal of Urology, VOL. 82, NO. 1, (109-114), Online publication date: 1-Jul-1959.Roberts L, Coppridge W and Hughes J (2018) Tumors and Cysts of the Male Pelvis Which Interfere with UrinationJournal of Urology, VOL. 79, NO. 1, (159-164), Online publication date: 1-Jan-1958.Lloyd F and Bonnett D (2018) Müllerian Duct CystsJournal of Urology, VOL. 64, NO. 6, (777-782), Online publication date: 1-Dec-1950. Volume 61Issue 6June 1949Page: 1089-1093 Advertisement Copyright & Permissions© 1949 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Ralph R. Landes More articles by this author Charles L. Ransom More articles by this author Expand All Advertisement Loading ...