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Prophylactic Laparoscopic Bilateral Gonadectomy for Complete Androgen Insensitivity Syndrome

J. Corbin Norton1; Amrit Singh, MD2; Laura L. Hollenbach, MD3; Georgia Gamble, MD3; Laura A. Gonzalez-Krellwitz, MD2; Stephen J. Canon, MD4

1Department of Urology, University of Arkansas for Medical Sciences
2Department of Pathology, University of Arkansas for Medical Sciences / Arkansas Children’s Hospital
3Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences
4Department of Pediatric Urology, Arkansas Children’s Hospital

1. Introduction

2. Injection of Local Anesthetic

3. Incision and Access to Abdominal Cavity

4. Abdominal Exploration and Placement of Working Ports

5. Right Gonadectomy

  1. Dissection
  2. Transection of Vas Deferens
  3. Inspection and Hemostasis

6. Left Gonadectomy

  1. Dissection
  2. Transection of Vas Deferens

7. Final Inspection, Hemostasis, and Specimen Extraction

8. Closure

9. Post-op Remarks

  1. Discussion of Pathology Findings