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67-Year-Old Dad Goes To Hospital With Herniated Disc… Only To Find Out He Has An Ovary Attached To The Testicle

Father, 67, born without a testicle, goes to hospital with a ‘hernia’… only to find that his 6-inch-wide bulge contained an ovary, uterus and fallopian tubes (as well as his other testicle)

  • Doctors discover ovary, uterus and cervix in man undergoing hernia surgery
  • Rare condition causes men to be born with both sets of reproductive organs
  • Symptoms of PMDS include undescended testicles and groin hernias



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Doctors who operated on a 67-year-old man to treat his “hernia” discovered an ovary attached to one of his testicles.

The married father of three went to an undisclosed hospital in Kosovo complaining of swelling in his groin that had persisted for a decade.

Doctors found that the man, who was born with only one testicle but otherwise had normal male genitalia, had a protruding 6-by-4-inch mass that was filled with female reproductive organs.

They found a fully developed uterus, cervix, fallopian tube and ovary, as well as his missing testicle.

Doctors diagnosed the man with Persistent Mullerian Duct Syndrome (PMDS) – an extremely rare condition in which men have male genitalia that appear normal, as well as female reproductive organs.

It’s unclear how common the condition is, but only 200 cases have been reported in the medical literature.

All fetuses develop with the beginnings of a uterus known as Muller’s duct, which breaks down in early male development.

But in very rare cases this does not happen, causing some boys to be born with both sets of reproductive organs.

Symptoms of the condition include undescended testicles and hernias in the groin, but female organs are usually not discovered unless surgery is performed to treat the hernia.

Persistent Mullerian duct syndrome is a genetic condition, meaning both sets of genitals will form.  Symptoms include one or both testicles failing to descend and fleshy hernias in the lower abdomen

Persistent Mullerian duct syndrome is a genetic condition, meaning both sets of genitals will form. Symptoms include one or both testicles failing to descend and fleshy hernias in the lower abdomen

The case was revealed in the magazine Urology Case Reports by doctors working at the University of Prishtina in Kosovo.

The patient had had a lump for 10 years that expanded when he stood up or coughed, but flattened when he lay flat. However, it is not clear whether he had the lump since birth.

WHAT IS PERSISTENT MULLERIAN CHANNEL SYNDROME?

All fetuses develop with the beginnings of a uterus known as Muller’s duct.

In the male fetus, hormones are produced that cause them to shrink and eventually disappear.

But in people with PMDS, these hormones are not produced, or the body will not respond to them.

This means that Muller’s duct will develop into female genitalia, including cervix, ovaries, and uterus.

Since several hormones are responsible for the growth of a penis, the male reproductive organs will also develop.

Symptoms include one or both testicles failing to descend and fleshy hernias in the lower abdomen.

Doctors diagnosed him with an inguinal hernia — when tissue penetrates the groin at the top of the inner thigh.

It is the most common type of hernia and occurs mainly in men.

But during surgery to repair it — in which doctors usually make a cut through which they push the lump back into the abdomen — doctors found a “pear-like structure” that they discovered was a uterus.

They also found a scrotal sac containing a fallopian tube and a testicle, to which an ovary was attached.

They diagnosed him with PMDS, the main symptom of which is an inguinal hernia.

This usually happens when the undescended testicle pulls the fallopian tube and uterus into the canal through which it descended.

People with PMDS are at greater risk of being infertile, but doctors noted that the condition never affected the patient’s reproductive abilities, as he had three children and a “well-developed penis” with a urethral opening in the right place.

Doctors estimate that between 30 and 80 percent of PMDS patients suffer from an inguinal hernia, infertility, or pseudohermaphroditism — when they have both genitals or female genitalia on the outside.

In these cases, parents have to decide what gender their child will be, often requiring surgery and sex hormones.

The case comes seven years after businessman Duane Walters became the first British man to have a hysterectomy — when the uterus is surgically removed — after doctors discovered he had PMDS.

His condition was discovered when doctors tested him for bladder cancer after he repeatedly suffered from blood in his urine.

He had suffered from menstrual pain and premenstrual tension since his teenage years.

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