Laparoscopic removal of persistent muellerian duct structures and orchiopexy

The treatment of persistent muellerian duct syndrome with undescended testis usually followed is orchiopexy without excising or partially excising the muellerian duct structures. Since the vas and vessels are intimately adhered to the fallopian tubes and body of the uterus, excision of muellerian duct structures is associated with devascularisation or injury to the vas. Following several reported incidences of malignancies in this residual muellerlan duct structures, we decided to excise them along with orchiopexy in this patient. In the literature there are evidences stating that malignancy could develop at any age ranging from a young boy to an old man. A careful and meticulous dissection avoiding electrocautery allowed excision of the muellerian duct structures without injury to the vas and vessels of the testes. The testes were brought down to the respective scrotal sac.