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* To whom correspondence should be addressed. E-mail: chenw3{at}mail.sysu.edu.cn.
Several experiences with laparoscopic management of Müllerian duct remnants (MDR) have been reported to date. This report outlines our experience and reviews the present literature to evaluate the results of laparoscopic excision of MDR. Between April 2003 and December 2007, 4 male patients (age range 6-20 years) with MDR underwent laparoscopic excision in our center. A literature search revealed 5 additional reports of laparoscopic excision of MDR, comprising 13 patients (age range 1.5-48 years). For the 4 patients in our center, the operative time was 135-200 min (mean 159 min) and the estimated blood loss was 20-100 ml (mean 48ml). For the 13 patients literature reviewed, the operative time was 105-360min (mean 190min) and the estimated blood loss was 50-200 ml. All of these 17 patients recovered uneventfully with no complications. A small prostatic diverticulum had been found in one case at 6 years postoperatively, no recurrent evidence or voiding dysfunction had been found in other 16 patients during 2-50 months of follow-up. No patient had required any further operative therapy. Laparoscopic excision of MDR is a safe and effective surgical procedure, associated with minimal invasion, minimal postoperative morbidity and rapid recovery for the patient.
Key words: Androgen •
Hormone •
Prostate •
Reproductive Genetics •
Surgery •
M¨¹llerian duct remnant •
laparoscopy •
urogenital abnormality
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