TY - JOUR AU - Lima, Mario AU - Maffi, Michela AU - Di Salvo, Niel AU - Ruggeri, Giovanni AU - Libri, Michele AU - Gargano, Tommaso AU - Lardy, Hubert PY - 2018/05/30 Y2 - 2024/03/29 TI - Robotic removal of Müllerian duct remnants in pediatric patients: our experience and a review of the literature JF - La Pediatria Medica e Chirurgica JA - Pediatr Med Chir VL - 40 IS - 1 SE - Case Reports DO - 10.4081/pmc.2018.182 UR - https://pediatrmedchir.org/pmc/article/view/182 SP - AB - <p>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.</p> ER -