Robotic excision of vaginal pouch in ovotesticular disorder of sexual development

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Management of vaginal pouches in such cases is warranted for symptomatic presentations and laparoscopy is considered the gold standard treatment ( 2 ). We report a rare case of robotic excision of a large symptomatic vaginal pouch in a 19-year-old boy with ovotesticular DSD. Material and Methods: A 19-year-old boy with ovotesticular DSD post hypospadias repair in early childhood presented with complaints of recurrent UTIs, ballooning of urethra during micturition and post-void dribbling. Ultrasound, voiding cystourethrogram (VCUG) and magnetic resonance imaging (MRI) were suggestive of a vaginal pouch. The patient underwent endo-evaluation followed by robot-assisted excision of the vaginal pouch. Endo-evaluation showed two orifices in the posterior urethra. The posterior orifice was leading into a blind-ending rudimentary uterus and the true urethra was lying anteriorly. The DaVinci Xi Robotic Surgical System was used and the entire pouch was dissected free of the surrounding tissues using monopolar scissors. The pouch was transected just a few millimetres from its junction with the urethra. The urethra was then closed with V-loc 4-0 suture. The patient was discharged on postoperative day 2 and the catheter was removed on day 21. Results: Follow-up VCUG at 6 weeks did not show any residual pouch. There was no complaint of post-void dribbling or UTI at 30 months of follow-up. Conclusion: Robot-assisted laparoscopy should be considered as an alternative to laparoscopy for the primary treatment of a large symptomatic vaginal pouch. Available at: http://www.intbrazjurol.com.br/video-section/20220038_Singh_et_al REFERENCES 1 Özdemir M, Kavak RP, Yalcinkaya I, Guresci K. Ovotesticular Disorder of Sex Development: An Unusual Presentation. J Clin Imaging Sci. 2019; 9:34. 2 Goruppi I, Avolio L, Romano P, Raffaele A, Pelizzo G. Robotic-assisted surgery for excision of an enlarged prostatic utricle. Int J Surg Case Rep. 2015; 10:94-6. Publication Dates Publication in this collection 11 Nov 2022 Date of issue Nov-Dec 2022 History Received 22 Jan 2022 Accepted 26 Mar 2022 Published 10 May 2022 This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Authorship .author-card { border-bottom: 1px solid #ccc; padding: 1rem 0; } .author-card:last-child { border-bottom: 0px; } .author-name { font-weight: 600; } .orcid-button { padding-left: 2.5rem; } .modal-body { padding-bottom: 3rem; } .orcid-button::before { content: ""; position: absolute; background-image: url(https://ds.scielo.org/img/logo-orcid.svg); background-repeat: no-repeat; background-size: 1.5em auto; background-position: .5em center; display: block; width: 60px; height: 60px; top: -10px; left: 0; } person Prashant Singh school Department of Urology, All India Institute of Medical Sciences, New Delhi, India All India Institute of Medical Sciences India New Delhi, India Department of Urology, All India Institute of Medical Sciences, New Delhi, India person Sanjay Kumar school Department of Urology, All India Institute of Medical Sciences, New Delhi, India All India Institute of Medical Sciences India New Delhi, India Department of Urology, All India Institute of Medical Sciences, New Delhi, India 0000-0003-3912-3967 person Sridhar Panaiyadiyan school Department of Urology, All India Institute of Medical Sciences, New Delhi, India All India Institute of Medical Sciences India New Delhi, India Department of Urology, All India Institute of Medical Sciences, New Delhi, India person Prem Nath Dogra school Department of Urology, All India Institute of Medical Sciences, New Delhi, India All India Institute of Medical Sciences India New Delhi, India Department of Urology, All India Institute of Medical Sciences, New Delhi, India school Department of Urology, Sir Ganga Ram Hospital, New Delhi, India Sir Ganga Ram Hospital India New Delhi, India Department of Urology, Sir Ganga Ram Hospital, New Delhi, India Correspondence address: Sanjay Kumar, MD, PhD Department of Urology, All India Institute of Medical Sciences New Delhi, 110029 , India Telephone: +91 77 2704-9352 E-mail: [email protected] CONFLICT OF INTEREST None declared. SCIMAGO INSTITUTIONS RANKINGS Department of Urology, All India Institute of Medical Sciences, New Delhi, India All India Institute of Medical Sciences India New Delhi, India Department of Urology, All India Institute of Medical Sciences, New Delhi, India Department of Urology, Sir Ganga Ram Hospital, New Delhi, India Sir Ganga Ram Hospital India New Delhi, India Department of Urology, Sir Ganga Ram Hospital, New Delhi, India How to cite link copy function currentDate() { var today = new Date(); var months = ['January', 'February', 'March', 'April', 'May', 'June', 'July', 'August', 'September', 'October', 'November', 'December'] today.setTime(today.getTime()); return today.getDate() + " " + months[today.getMonth()] + " " + today.getFullYear(); } var citation = 'Singh, Prashant et al. Robotic excision of vaginal pouch in ovotesticular disorder of sexual development. International braz j urol [online]. 2022, v. 48, n. 6 [Accessed CURRENTDATE], pp. 994-995. Available from: . 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