A novel approach in the intraoperative management of ovotesticular DSD. Issue 6 (December 2020)

• Record Type: Journal Article
• Authors: Delforge, Xavier; Brachet, Cécile; Damry, Nasroola; Segers, Valérie; Luyckx, Stephane; Heinrichs, Claudine; Khelif, Karim
• Is Part Of: Journal of pediatric urology. Volume 16:Issue 6(2020)
• Page Start: 768
• Page End: 770
• Publication Date: 2020-12
• Subjects: Ovotestis -- DSD -- Minimal invasive surgery -- Gonadal separation -- Laparoscopy; Ovotesticular Differences in Sex Development OTD -- Ultrasonography US; Pediatric urology -- Periodicals; Urologic Diseases -- Periodicals; Urogenital Diseases -- Periodicals; Urologic Surgical Procedures -- Periodicals; Child; Infant; Urologie pédiatrique -- Périodiques; Appareil urinaire -- Maladies -- Périodiques; Pédiatrie; Urologie; Pediatric urology; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); Electronic journals; Periodicals; Electronic journals; 618.926
• DOI: 10.1016/j.jpurol.2020.10.007
• Languages: English
• ISSNs: 1477-5131

Abstract

Summary: Ovotesticular disorder of sex development (OTD) management remains challenging. In OTD, cautious gonadal evaluation and separation of ovarian and testicular components might be required to avoid virilization of a patient with female identity. Herein we report our minimal invasive approach in this very rare condition. The gonads are externalized under laparoscopic control through trocar openings. Intraoperative ovotesticular ultrasonography (US) is used for clear identification of ovarian and testicular tissue which can then be safely separated. We strongly promote the use of a minimal invasive approach in the management of these patients undergoing long term treatment and often multiple procedures.