Persistent mullerian duct syndrome, characterized by the presence of a
uterus and fallopian tubes in a phenotypic male, frequently presents
as undescended testis, either intra-abdominal or within a hernial sac.
We report the first two postpubertal cases successfully managed by a
one-stage laparoscopic-assisted orchidopexy, The first had one and the
second had two intraabdominal testes. All testes were brought to the
scrotum after dividing the spermatic vessels while the collateral circ
ulation was carefully preserved. The two cardinal therapeutic goals, i
ntrascrotal placement of well-vascularized testes and normal hormonal
function, were achieved, Laparoscopic surgical techniques for this con
dition are discussed.