Evidence map›Paper›PMID 40736559›Full record

ArticlePediatric surgery international2025

Excision versus division of Müllerian duct remnants in male disorders of sexual development and differentiation: a prospective study to generate anatomical assessment criteria.

Mohamed Sayed Abd El-Monsif, Ahmed Mohamed Kadry Wishahy, Noha Arafa, Mohamed Magdy Elbarbary, Gamal Eltagy, Mahmoud Marei Marei

Abstract read
In one paragraph

Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mohamed Sayed Abd El-MonsifPaediatric Surgery Section/Units, Department of Paediatric Surgery, 4th Floor, Cairo University Specialised Paediatric Hospital (CUSPH) and Cairo University Children's Hospital (Abu El-Reesh El-Mounira), Cairo University Hospitals and Faculty of Medicine (Kasr Alainy), 1 Aly Pacha Ibrahim Street, Kasr Al-Ainy Region, 11562, Cairo, Egypt.
Ahmed Mohamed Kadry WishahyPaediatric Surgery Section/Units, Department of Paediatric Surgery, 4th Floor, Cairo University Specialised Paediatric Hospital (CUSPH) and Cairo University Children's Hospital (Abu El-Reesh El-Mounira), Cairo University Hospitals and Faculty of Medicine (Kasr Alainy), 1 Aly Pacha Ibrahim Street, Kasr Al-Ainy Region, 11562, Cairo, Egypt.ORCID http://orcid.org/0000-0002-6507-1200
Noha ArafaCairo University, Giza, Egypt.ORCID https://orcid.org/0000-0002-4582-1035
Mohamed Magdy ElbarbaryPaediatric Surgery Section/Units, Department of Paediatric Surgery, 4th Floor, Cairo University Specialised Paediatric Hospital (CUSPH) and Cairo University Children's Hospital (Abu El-Reesh El-Mounira), Cairo University Hospitals and Faculty of Medicine (Kasr Alainy), 1 Aly Pacha Ibrahim Street, Kasr Al-Ainy Region, 11562, Cairo, Egypt.ORCID http://orcid.org/0000-0003-2112-4611
Gamal EltagyPaediatric Surgery Section/Units, Department of Paediatric Surgery, 4th Floor, Cairo University Specialised Paediatric Hospital (CUSPH) and Cairo University Children's Hospital (Abu El-Reesh El-Mounira), Cairo University Hospitals and Faculty of Medicine (Kasr Alainy), 1 Aly Pacha Ibrahim Street, Kasr Al-Ainy Region, 11562, Cairo, Egypt.
Mahmoud Marei MareiPaediatric Surgery Section/Units, Department of Paediatric Surgery, 4th Floor, Cairo University Specialised Paediatric Hospital (CUSPH) and Cairo University Children's Hospital (Abu El-Reesh El-Mounira), Cairo University Hospitals and Faculty of Medicine (Kasr Alainy), 1 Aly Pacha Ibrahim Street, Kasr Al-Ainy Region, 11562, Cairo, Egypt. m.marei@cu.edu.eg.ORCID http://orcid.org/0000-0002-8670-1830

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMüllerian duct remnants (MDRs) in male disorders of sexual development (DSD) exhibit variable degrees of development and Wolffian duct relations, influencing surgical decision-making.

objectivesThis study introduces the G-V

methodsA cohort of 18 male-reared DSD patients with MDRs was prospectively managed laparoscopically, out of 20 initially considered cases. Surgical approaches included either longitudinal splitting/division or near-total excision. G-V

resultsPatients with higher EMS (≥ 8.5) were more likely to require MDR division due to complex MDR-vas deferens relations, while those with EMS ≤ 5.5 underwent excision. Bilateral MDR-vas deferens relations favoured division (83.3%), whereas unilateral or absent MDR-vas deferens relations were more common in the excision group (41.6% and 50%, respectively). A significant correlation was found between EMS and surgical approach (p = 0.004).

conclusionThe G-V

Indexed as

Disorders of Sex DevelopmentMullerian DuctsChild, PreschoolHumansInfantLaparoscopyMaleProspective Studies46, XY DSDDifferences of sexual differentiationDisorders of sexual developmentExternal masculinisation scoreGender assignmentGender-conforming reconstructive surgeryGender reassignmentGonadal dysgenesisIntersexMasclinising surgeryMasculinizing surgeryMüllerian duct remnantsOvotestisPersistent Müllerian duct syndromeUnder-virilisation

Identifiers

PMID40736559
PMCPMC12310905

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.