Robotic removal of Müllerian duct remnants in pediatric patients: our experience and a review of the literature

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Mario Lima *
Michela Maffi
Niel Di Salvo
Giovanni Ruggeri
Michele Libri
Tommaso Gargano
Hubert Lardy
(*) Corresponding Author:
Mario Lima | mario.lima@unibo.it

Abstract

Persistent Müllerian duct syndrome is a disorder of sexual development, which features a failure of involution of Müllerian structures. An enlarged prostatic utricle is a kind of Müllerian duct remnant (MDR) with a tubular shaped structure communicating with the prostatic urethra. Treatment is aimed at relieving symptoms when present, preserve fertility and prevent neoplastic degeneration. We describe 3 cases of successful robot assisted-removal of symptomatic MDRs. The first case came to our attention for pseudo-incontinence; the other two for recurrent urinary tract infections. The patients have not presented such symptoms anymore on follow-up. We then reviewed existent literature on authors who have recently investigated the main issues concerning MDRs and have attempted a roboticassisted approach on them. Robot-assisted laparoscopy can be considered a valid, safe and effective minimally-invasive technique for the primary treatment of prostatic utricle.


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