REMOVAL OF GONADS IN Y-CHROMOSOME-BEARING GONADAL-DYSGENESIS AND IN ANDROGEN INSENSITIVITY SYNDROME BY LAPAROSCOPIC SURGERY

Background: This paper addresses the value of laparoscopic surgery for the removal of gonads in patients with Y-chromosome-bearing gonadal d ysgenesis and and androgen insensitivity syndrome, who are otherwise f aced with a high rate of gonadal malignancy. Methods: Three patients w ith Y-chromosome-bearing gonadal dysgenesis and one patient with andro gen insensitivity syndrome were operated upon laparoscopically, Remova l of gonads was accomplished by their mobilization and dissection from the pelvic side walls, with ligation and transection of the utero-ova rian and infundibulopelvic ligaments. Results: Surgery was without com plications, Histological examination of the gonads showed complete rem oval and absence of malignancy in each patient. Patients were discharg ed the day after surgery. Conclusions: The laparoscopic approach is a safe and effective alternative to laparotomy in the management of pati ents with Y-chromosome-bearing gonadal dysgenesis and with androgen in sensitivity syndrome.