Persistent mullerian duct syndrome: A single-center experience

Abstract

Context:Persistent Mullerian duct syndrome (PMDS) is a rare disorder. It is a type of male pseudohermaphroditism, usually presenting as “Hernia Uteri Inguinalis”.Aims:This study aims to present our experience of PMDS, over a 7-year period.Settings and Design:Our center is a tertiary care facility, situated in Tamil Nadu, a southern state of India.Subjects and Methods:This is a retrospective study. The study period was from 2007 to 2015. Seven cases presented during that period. The difficulties in diagnosis, treatment options discussed, along with a review of literature are presented.Results:Seven cases of PMDS presented over 8 years. Only four were diagnosed preoperatively. Mullerian remnants were excised in five cases.Conclusions:PMDS is rare. Orchiopexy should be the goal of treatment.

Lessons learned from five patients of persistent Mullerian duct syndrome: A case series

“…It is worthwhile to note that radiological techniques are subjective and may result in false negatives. Thus, laparoscopy remains the gold standard for diagnosis of PMDS [1] .…”

“…The persistent structures in the abdomen prevent normal descent of testes into the scrotum and result in the most common presentation of undescended testis (UDT) on one side and inguinal hernia on the contralateral side. In most cases, the diagnosis is made incidentally during surgery done for the UDT or hernia, although radiologic techniques can enable preoperative diagnosis [1] , [2] , [3] . Here, we discuss five cases of PMDS in compliance with the PROCESS 2020 guidelines and later address the diagnostic challenges, treatment options, and other dilemmas that the surgeon may face in the management of this rare disease [4] .…”

A Rare Case of Persistent Mullerian Duct Syndrome and Review of Literature

“…Thus, Mullerian ducts remain accompanied by testes and male excretory ducts. According to infertility and the risk of malignancy in testis and Mullerian duct remnants, the identification and treatment of these patients are important (2).…”