ESPU Congress 2018 - Abstract Book

105 11–14 APRIL, 2018, HELSINKI, FINLAND 17:00–17:05 S12-6 (VP) ROBOTIC EXCISION OF A NON-COMMUNICATING RUDIMENTARY UTERINE HORN WITH ENDOMETRIOSIS IN A POST PUBERTAL FEMALE Aparajita MITRA  1 , Rajiv PADANKATTI  2 and Venkat SRIPATHI  1 1) Apollo Children's Hospital, Pediatric Urology, Chennai, INDIA - 2) Apollo Children's Hospital, Pediatric Surgery, Chennai, INDIA PURPOSE A non-communicating uterine horn with endometrial lining can lead to severe dysmenorrhoea at menarche and endometriosis. The risk of an ectopic pregnancy and rupture add to the surgical indications. Under the American Society of Reproductive Medicine Classification this condition is classified as a 2B Mullerian Duct Anomaly. MATERIAL AND METHODS A 15 year old girl with severe dysmenorrhea of six months duration was evaluated in the Emergency Department. She had marked left iliac fossa tenderness and a palpable mass. MRI of the pelvis revealed a left sided unicornuate uterus markedly distended with blood, a large hematosalpinx and multiple ovarian chocolate cysts. RESULTS Robotic excision was done successfully. The Harmonic scalpel was particularly useful and helped in ovarian preservation. Dissection was done without fear of ureteric injury as she also had left renal agenesis. Three menstrual cycles following surgery were painless and ultrasound has shown normal ovaries. CONCLUSIONS The video aims to demonstrate the use of Robotic Assistance in tackling this difficult and rare mul- lerian anomaly with an excellent outcome and minimal morbidity. 17:05–17:14 Discussion