A Case of Androgen Insensitivity Syndrome (AIS) Treated by Laparoendoscopic Single Site Surgery (LESS)

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  • Kishimoto, Nozomu
    The Department of Urology, Osaka University Graduate School of Medicine
  • Okumi, Masayoshi
    The Department of Urology, Osaka University Graduate School of Medicine
  • Miyagawa, Yasushi
    The Department of Urology, Osaka University Graduate School of Medicine
  • Yoshioka, Iwao
    The Department of Urology, Osaka University Graduate School of Medicine
  • Sawada, Kenzirou
    The Department of Obstetries and Gynecology, Osaka University Graduate School of Medicine
  • Kimura, Tadashi
    The Department of Obstetries and Gynecology, Osaka University Graduate School of Medicine
  • Nonomura, Norio
    The Department of Urology, Osaka University Graduate School of Medicine

Bibliographic Information

Other Title
  • 単孔式腹腔鏡下性腺摘除術を施行したアンドロゲン不応症の1例
  • タンコウシキ フッコウキョウ カセイセンテキジョジュツ オ シコウ シタ アンド ロゲン フオウショウ ノ 1レイ

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Abstract

A 20-year-old woman referred to our hospital for further examination of primary amenorrhea with high levels of testosterone (998 ng/ml). Inspite of having normal female external genitalia, she had 5cm deep blind-ending vagina, absence of uterus and ovaries with the karyotype of 46, XY. Abdominal magnetic resonance imaging localized bilateral intra abdominal structures, which indicated bilateral testes. Thus, she was diagnosed with androgen insensitivity syndrome(AIS) based on both clinical and karyotypic evidence. She underwent laparoscopic bilateral gonadalectomythrough a single incision at the navel and histological examination showed intratubular germ cell neoplasia (ITGCN). Her postoperative course was uneventful with less pain and a small surgical wound was onlyat the navel. Laparoendoscopic single site surgery (LESS) can be considered a surgical procedure for gonadalectomyin AIS patients.

Journal

  • Hinyokika Kiyo

    Hinyokika Kiyo 57 (11), 657-660, 2011-11

    泌尿器科紀要刊行会

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