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Robot-assisted hysterectomy in a 41-year-old male: A rare case report
Saud Almousa1, Saad Alqasem1,2, Hamad Albraidi1
1Urology Department, King Fahad Medical City, Riyadh, Saudi Arabia.
Abstract:
Persistent Müllerian Duct Syndrome (PMDS) is regarded as a rare genetic disorder influencing internal sexual male development. PMDS is commonly diagnosed incidentally either during any pelvic surgery or examination of undescended testis. Currently, we have presented a case focusing on the phenotype individual who was presented to our institute with primary infertility as well as bilateral undescended testis, who underwent Robotic-assisted hysterectomy, left orchidectomy, and right orchiopexy.
Insights
Persistent Müllerian Duct Syndrome (PMDS) is a rare genetic disorder affecting male development. This case highlights a patient with infertility and undescended testes managed with robotic surgery.
Area of Science:
- Endocrinology
- Genetics
- Reproductive Medicine
Background:
- Persistent Müllerian Duct Syndrome (PMDS) is a rare genetic condition impacting male internal sexual development.
- Diagnosis often occurs incidentally during pelvic surgery or evaluation of undescended testes.
Observation:
- A case is presented of a phenotypic male with primary infertility and bilateral undescended testes.
- The patient presented to the institute with these specific clinical features.
- Diagnostic workup confirmed the presence of internal Müllerian structures.
Findings:
- The patient underwent surgical management for the condition.
- Procedures included Robotic-assisted hysterectomy, left orchidectomy, and right orchiopexy.
- These interventions addressed the anatomical abnormalities associated with PMDS.
Implications:
- This case underscores the importance of considering PMDS in males presenting with infertility and undescended testes.
- Early or accurate diagnosis can guide appropriate surgical and management strategies.
- Further research into genetic counseling and long-term outcomes for PMDS patients is warranted.
