Laparoscopic gonadectomy in a kidney transplant patient with pure gonadal dysgenesis: A case report

Yukihiro Terada, Maiko Arai-Kikuch, Tomohisa Ugajin, Rei Yokomizo, Hiroyuki Kikuchi, Nobuo Yaegashi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: Laparoscopy has been successfully used following renal transplantation for many procedures, including native kidney nephrectomy, revision of transplant ureters and cholecystectomy. Laparoscopic surgery has also been used recently to treat pelvic disorders in patients after renal transplantation, such as removal of endometriotic cyst and hysterectomy. In such cases, we must pay special attention to the anatomy of the renal graft transplanted into the pelvic cavity. CASE: A woman received a kidney transplant at 7 years old, with her mother as the donor. At 19 years old, she was diagnosed with pure gonadal dysgenesis and began hormone replacement therapy and monitoring of tumor markers. At 23 years old, laparoscopic gonadectomy was performed under general anesthesia. Bilateral atrophic gonads were removed without any complications. The renal graft in the right hemipelvis did not obstruct the operation. CONCLUSION: To our knowledge, this case is the first published report of laparoscopic castration in a patient with a sexual differentiation disorder and prior renal transplantation.

Original languageEnglish
Pages (from-to)655-658
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume54
Issue number10
Publication statusPublished - 2009 Oct 1
Externally publishedYes

Keywords

  • Castration
  • Female
  • Gonadal dysgenesis
  • Laparoscopy
  • Renal transplantation

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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