Sana Khan1, Lisa Mannel1, Christian L Koopman2, Rao Chimpiri2, Karl R Hansen1, LaTasha B Craig3. 1. Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, University of Oklahoma Health Sciences Center, Oklahoma City, OK. 2. Department of Radiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. 3. Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Electronic address: latasha-craig@ouhsc.edu.
Abstract
BACKGROUND: Patients diagnosed with androgen insensitivity syndrome (AIS) need bilateral gonadectomy (orchiectomy) for malignancy risk reduction. Imaging of the gonads (testicles) prior to surgery is recommended. Ultrasonography has typically been used. However, magnetic resonance imaging (MRI) provides better localization of the gonads and pre-surgical planning. CASES: In this case series, we describe how MRI was utilized in planning surgical gonadectomy in 3 patients with complete AIS and to review the literature regarding MRI and AIS. SUMMARY AND CONCLUSIONS: MRI prior to surgery was helpful in localizing and planning for removal of the gonads while preventing injury to other structures. Surgical specialists with experience with inguinal dissection were appropriately consulted when an inguinal dissection was likely to be needed to complete the gonadectomy.
BACKGROUND:Patients diagnosed with androgen insensitivity syndrome (AIS) need bilateral gonadectomy (orchiectomy) for malignancy risk reduction. Imaging of the gonads (testicles) prior to surgery is recommended. Ultrasonography has typically been used. However, magnetic resonance imaging (MRI) provides better localization of the gonads and pre-surgical planning. CASES: In this case series, we describe how MRI was utilized in planning surgical gonadectomy in 3 patients with complete AIS and to review the literature regarding MRI and AIS. SUMMARY AND CONCLUSIONS: MRI prior to surgery was helpful in localizing and planning for removal of the gonads while preventing injury to other structures. Surgical specialists with experience with inguinal dissection were appropriately consulted when an inguinal dissection was likely to be needed to complete the gonadectomy.