Persistent Mullerian Duct Syndrome: A Single-Center Experience

J Indian Assoc Pediatr Surg. 2018 Oct-Dec;23(4):203-205. doi: 10.4103/jiaps.JIAPS_61_17.

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.

Keywords: Male pseudohermaphroditism; Orchipexy; persistent Mullerian duct syndrome; transverse testicular ectopia.