Abstract
Müllerian duct remnants (MDR) derive from incomplete regression of female structures, presumably as a consequence of delayed or insufficient production or effect of anti-Müllerian hormone (AMH) [1–3]. Dilatation of the Müllerian duct remnants can lead to an enlarged prostatic utricle or a Müllerian duct cyst which is known to be present in 4% of newborns and 1% of adults [4]. The prevalence of symptomatic remnants is still unknown. In 11–14% of cases an enlarged prostatic utricle is associated to distal hypospadias or disorders of sexual differentiation (DSD) and to a perineal hypospadias in 50% of cases [5, 6].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Lima M, Aquino A, Dòmini M, Ruggeri G, Libri M, Cimador M, Pelusi G. Laparoscopic removal of müllerian duct remnants in boys. J Urol. 2004;171(1):364–8.
Smith-Harrison LI, Patel MS, Smith RP, Schenkman NS. Persistent Müllerian duct structures presenting as hematuria in an adult: case report of robotic surgical removal and review of the literature. Urol Ann. 2015;7(4):544–6.
Josso N, Belville C, di Clemente N, Picard JY. AMH and AMH receptor defects in persistent Müllerian duct syndrome. Hum Reprod Update. 2005;11:351–6.
Hong YK, Onal B, Diamond DA, Retik AB, Cendron M, Nguyen HT. Robot-assisted laparoscopic excision of symptomatic retrovesical cysts in boys and young adults. J Urol. 2011;186(6):2372–8.
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.
Meisheri IV, Motiwale SS, Sawant VV. Surgical management of enlarged prostatic utricle. Pediatr Surg Int. 2000;16:199–203.
Farikullah J, Ehtisham S, Nappo S, Patel L, Hennayake S. Persistent Müllerian duct syndrome: lessons learned from managing a series of eight patients over a 10-year period and review of literature regarding malignant risk from the Müllerian remnants. BJU Int. 2012;110(11 Pt C):E1084–9.
Lima M, Aquino A, Domìni M. Laparoscopic treatment of utricolar cysts. In: Bax KMA, Geogeson KE, Rothenberg SS, Valla JS, Yeung CK, editors. Endoscopic surgery in infants and children. Berlin: Springer; 2008. p. 737–41. (Chapter 99).
McDougall EM, Clayman RV, Bowles WT. Laparoscopic excision of müllerian duct remnant. J Urol. 1994;152(2 Pt 1):482–4.
Najmaldin A, Antao B. Early experience of tele-robotic surgery in children. Int J Med Robot. 2007;3:199–202.
JA W, Hsieh MH. Robot-assisted laparoscopic hysterectomy, gonadal biopsy, and orchiopexies in an infant with persistent Mullerian duct syndrome. Urology. 2014;83:915–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Lima, M., Gargano, T., Maffi, M., Ruggeri, G., Libri, M. (2017). Robotic Treatment of Utricular Cysts. In: Mattioli, G., Petralia, P. (eds) Pediatric Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-41863-6_13
Download citation
DOI: https://doi.org/10.1007/978-3-319-41863-6_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-41862-9
Online ISBN: 978-3-319-41863-6
eBook Packages: MedicineMedicine (R0)