Archivos Españoles de Urología (Ed. impresa)
versión impresa ISSN 0004-0614
Objectives: To report one case of partial androgen insensitivity syndrome. Methods: The patient underwent history and physical examination, blood tests, hormone determinations, androgen stimulation and suppression tests, nuclear chromatin and karyotype, imaging and endoscopic tests, exploratorylaparoscopy with gonadal biopsy and bilateral orchyectomy, and subsequent genital plasty. Results: We report the case of a phenotypically female patient with genital ambiguity, with a dorsally curved peniform clitoris and a urogenital sinus with partial labia fusion. Blood tests, hormonal determinations, and androgenstimulation-suppression tests were all normal. Both ultrasound and laparoscopy showed absence of internal genitalia. The biopsy showed testicles with relative Leydig cellhyperplasia and slight basal membrane thickening. The cosmetic and functional results were completely satisfactory with normal sexual intercourse. Conclusions: The reinforcement of the generic role after genital plasty provided satisfactory identification and sexual performance.
Palabras clave : Genital ambiguity; Genital plasty; Feminization; Neoplasic degeneration; Androgen insensitivity.