Role of minimally invasive surgery (MIS) in different sexual development (DSD)

Area of Science:

• Pediatric Surgery
• Endocrinology
• Genetics

Background:

• Disorders of Sex Development (DSD) encompass congenital conditions with atypical sex development.
• Patient presentation varies, from the newborn period to adolescence.
• Treatment decisions involve complex medical, ethical, and psychosocial factors.

Purpose of the Study:

• To review the role of minimally invasive surgery (MIS) in the management of DSD.
• To highlight the benefits of MIS in DSD diagnosis and treatment.

Main Methods:

• Review of current literature and surgical practices in DSD management.
• Focus on the application of MIS in specific DSD surgical interventions.

Main Results:

• MIS provides excellent visualization and access to pelvic structures with reduced adhesion.
• Key applications of MIS include gonadal biopsy/gonadectomy, urogenital sinus treatment, vaginoplasty, vaginal replacement, and Mullerian structure resection.

Conclusions:

• MIS is a valuable tool in the surgical care of DSD patients.
• Further discussion is needed on the optimal timing and approach for surgical interventions in DSD.