Androgen insensitivity syndrome is a genetic syndrome characterized by complete or partial resistance of end organs to the peripheral effect of androgen. Patients have a male karyotype(46, XY) and bilateral testes. Appearance of the external
genitalia
depend on the degree of androgen insensitivity. In the complete from(Complete AIS), the external genitalia is normal female. In the incomplete from(Incomplete AIS), the external genitalia appearance varies from that of virilized female to that of
an
undervirilized male with a short penis penis and hypospadia. The usual presenting complaint associated with complete AIS is an inguinal hernia in a female infant or primary amenorrhea. In incomplete AIS, the patient present with ambiguous
genitalia
in a
neonate or later because of insufficient virilization during puberty. Recently we experienced one case of this syndrome and removed the gonad by pelviscopic surgery, so we report it with brief review of literature.
@EN The purpose of this study was to evaluate the usefulness, lower cost, convenience for patients of hysteroscopic surgery.
To evaluate the efficacy and safety of hysteroscopic surgery, we reviewed 71 cases treated hysteroscopically from June 1991 to May 1994.
@ES The results were as follows.
@EN 1. Major indications were myoma(25%), polyp(22%), and uterine synechiae(21%).
2. The mean duration of operation is 78.6% minutes for myomectomy, 65.3% minutes for laminaria removal, 57.8% minutes for synechotomy and 15.2 minutes for intrauterine device (IUD) removal.
3. The mean amount of used media is 3800 cc for myomectomy, 1100 cc for polpectomy, 2500 cc for synechotomy, 3500 cc for laminaria removal and 460 cc for IUD removal and corresponds to the operation time.
4. The mean duration of hospitalization is 1.6 days.
5. There are 3 cases of postoperative complications.
We concluded that operative hysteroscopy is safe and cost effective method for selective surgical indication.
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