Department of Surgery, Ospedale Pediatrico Bambino Gesù, Rome, Italy.
Department of Pediatric Endocrinology, Ospedale Pediatrico Bambino Gesù, Rome, Italy.
Urol J. 2020 May 27;0(0):237-239. doi: 10.22037/uj.v0i0.5685.
Persistent müllerian duct syndrome (PMDS) in the majority of cases is discovered during surgery for inguinal hernia or cryptorchidism. A transverse testicular ectopia (TTE) with cryptorchidism may be very rarely associated to PMDS. Assuming that müllerian remnants have a very low malignant degeneration potential if compared to the malignancy risk of an undescended and not relocated testis, we describe a simplified surgical technique of orchiopexy that avoids an extensive anatomical dissection, in this way minimizing the risk of losing the deferential blood supply to the testis.
大多数情况下，持续性米勒管发育不全（PMDS）是在腹股沟疝或隐睾症手术中发现的。隐睾伴睾丸横位（TTE）可能非常罕见地与 PMDS 相关。假设米勒管残余物的恶性退化潜能与未下降和未复位的睾丸的恶性风险相比非常低，我们描述了一种简化的睾丸固定术手术技术，避免了广泛的解剖分离，从而最大限度地降低了丧失睾丸精索血供的风险。
