Pregnancy in true hermaphrodites and all male offspring to date.

Background: There are 11 reported cases of pregnancy in true hermaphrodites, but none with advanced genetic testing. All known fetuses have been male.

Case: A true hermaphrodite with a spontaneous pregnancy prenatally known to have a remaining portion of a right ovotestis, delivered a male neonate.

Restoration of fertility after hysteroscopic removal of intrauterine bone fragments.

Background: The presence of intrauterine bone fragments is rare. They may prevent pregnancy by an intrauterine device-like effect. Hysteroscopy is required for definitive diagnosis and treatment.

Incidence of lower urinary tract injury at the time of total laparoscopic hysterectomy.

Objectives: To determine the incidence of and risk factors for injury to the lower urinary tract during total laparoscopic hysterectomy.

Methods: All patients who underwent total laparoscopic hysterectomy for benign disease from January 1, 2002 to December 31, 2005, at an academic medical center are included. Subjects undergoing laparoscopic-assisted vaginal hysterectomy, supracervical hysterectomy, or hysterectomy for malignancy were excluded.