Urology Annals

CASE REPORT
Year
: 2015  |  Volume : 7  |  Issue : 4  |  Page : 544--546

Persistent Müllerian duct structures presenting as hematuria in an adult: Case report of robotic surgical removal and review of the literature


LI Smith-Harrison, Mehul S Patel, Ryan P Smith, Noah S Schenkman 
 Department of Urology, University of Virginia Health System, Charlottesville, VA, USA

Correspondence Address:
L I Smith-Harrison
Department of Urology, University of Virginia Health System, P. O. Box: 800422, Charlottesville, VA 22908
USA

Persistent Müllerian duct syndrome is a rare genetic disorder characterized by a male with retained Müllerian structures. Remnant excision must be considered due to the possibility of malignant degeneration. We review a case of delayed diagnosis in a 25-year-old man presenting with hematuria. Preoperative counseling must emphasize the risk of malignancy versus the risks to fertility. The da Vinci robot offers a novel, safe approach for excision of the relevant Müllerian structures. Dissection should be limited to structures superior to the cavernosal neurovascular bundles to preserve the continence and erectile function. A semen analysis is recommended preoperatively to determine effects on fertility.


How to cite this article:
Smith-Harrison L I, Patel MS, Smith RP, Schenkman NS. Persistent Müllerian duct structures presenting as hematuria in an adult: Case report of robotic surgical removal and review of the literature.Urol Ann 2015;7:544-546


How to cite this URL:
Smith-Harrison L I, Patel MS, Smith RP, Schenkman NS. Persistent Müllerian duct structures presenting as hematuria in an adult: Case report of robotic surgical removal and review of the literature. Urol Ann [serial online] 2015 [cited 2020 Feb 17 ];7:544-546
Available from: http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=4;spage=544;epage=546;aulast=Smith-Harrison;type=0