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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


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
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DOI: 10.4103/0974-7796.164859

PMID: 26692686

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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.


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