Pre-, intra-, and postoperative management of Robert's uterus

Ludwin, Artur; Ludwin, I.; Bhagavath, Bala; Lindheim, Steven R.

doi:10.1016/j.fertnstert.2018.05.033

Cited by 31 publications

(36 citation statements)

References 4 publications

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“…Both Robert's uterus and bicornuate uterus are derived from defects of the Müllerian ducts 1 . Despite the fact that satisfactory treatment of the asymmetric uterine septum is simple, 2 surgery to correct bicornuate uterus is quite intricate 3 . It is important to note that this particular case, involving coexistence of bicornuate and septate anomalies, was not diagnosed until a combined hysteroscopy–laparoscopy examination was performed.…”

mentioning

confidence: 97%

Favorable pregnancy outcome for a patient with Robert's uterus, bicornuate uterus, and ipsilateral renal agenesis

Liu

Yang

Duan

et al. 2020

Intl J Gynecology & Obste

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Fibroids are the most common benign tumor of the female reproductive tract. Elective services have been suspended due to the COVID-19 pandemic, resulting in a backlog of patients awaiting surgery. When the curve was flattened in the UK, the second phase of the National Health Service's plan to tackle the pandemic was announced with the reintroduction of elective surgery. Guidance emerged on how to prioritize patients based on urgency, taking into account the risk of surgery during the pandemic. 1 Most women needing surgery for fibroids fell into P3 or P4 categories, 2 defined as procedures that could wait for 3 months. The majority were from ethnic minorities due to greater prevalence of fibroids among black women. East London has a diverse patient population: many women are from black, Asian and minority ethnic (BAME) backgrounds. BAME women are over four times more likely to contract, and be adversely affected by, SARS-CoV-2 than their white counterparts. 3 Women whose fibroid surgery was postponed as a result of COVID-19 were identified using electronic patient records (n=22). Verbal consent was obtained for participation in the study at the time of completing the questionnaire, as written consent was not possible/appropriate amid the pandemic. Pre-COVID-19, women completed 'Uterine Fibroid Symptoms and Health-related Quality of Life Questionnaires' (UFS-QOL), a validated tool for assessing patients'

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mentioning

confidence: 97%

Favorable pregnancy outcome for a patient with Robert's uterus, bicornuate uterus, and ipsilateral renal agenesis

Liu

Yang

Duan

et al. 2020

Intl J Gynecology & Obste

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“…8,11 Additionally, 3D ultrasound is cost-effective for diagnosis, planning surgery, guidance for hysteroscopy, and in postoperative assessment. 2,3 Modern ultrasound techniques are useful for evaluating pre- and postoperative uterine volume and shape. 3,11 In addition to the diagnostic methods described above, salpingography can be used for Robert’s uterus.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 Modern ultrasound techniques are useful for evaluating pre- and postoperative uterine volume and shape. 3,11 In addition to the diagnostic methods described above, salpingography can be used for Robert’s uterus.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy in a blind hemi-cavity of Robert’s uterus with ipsilateral renal agenesis: a case report and literature review

Yang

et al. 2019

J Int Med Res

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Robert’s uterus is an asymmetric septate uterus with a noncommunicating cavity and is a rare Müllerian anomaly. We present a rare case of pregnancy in a blind cavity and the first report of ipsilateral renal agenesis. A 23-year-old primigravida woman presented to our hospital at 7 weeks and 3 days of gestation after an abortion had failed. Three-dimensional ultrasound and magnetic resonance imaging showed pregnancy in a blind hemi-cavity of Robert’s uterus with an ipsilateral renal anomaly. Surgery was performed by hysteroscopy with laparoscopic and ultrasound guidance. The pregnancy was removed and the asymmetric septum was resected. A single normal uterine cavity with bilateral tubal ostium remained. The treatment was considered to be satisfactory. Menstruation ceased to be painful and the uterus was not scarred. Robert’s uterus can be well evaluated by an experienced ultrasound physician and magnetic resonance imaging. Such patients may have renal agenesis and the urinary system must be simultaneously evaluated. Pregnancy in a blind hemi-cavity is extremely rare and easily ignored by gynecologists and sonographers. Timely and accurate diagnosis of this condition is essential to obtain minimally invasive treatment.

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“…For example, several m€ ullerian anomalies can be treated with extirpative surgeries that are associated with irreversible loss or negative impact on reproductive function. Examples include hysterectomy for treatment of a patient with a high transverse vaginal septum or cervical agenesis, hemihysterectomy with vaginectomy for obstructed hemiuterus in blind hemivagina, and amputative or ablative surgery of blind obstructed hemicavity in Robert septate uterus (46). Alternate procedures are available for each of these anomalies that preserve reproductive function.…”

Section: Surgical Approachesmentioning

confidence: 99%

Reproductive surgery for müllerian anomalies: a review of progress in the last decade

Ludwin

Pfeifer

2019

Fertility and Sterility

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Disorders of development, fusion, or resorption of paired m€ ullerian ducts and urogenital sinus may cause various congenital malformations of the corpus uteri, cervix, vagina, and fallopian tubes. Classification systems have been developed to better characterize these anomalies, and each has advantages and disadvantages. Clinical correlation of classification of anomalies with pre-and postsurgical outcomes is needed to better direct treatment. Methods to evaluate these anomalies are primarily radiologic studies, with diagnostic surgery rarely used. Treatment of m€ ullerian anomalies used to focus on relief of symptoms. Now, as diagnostic and surgical options have expanded, preservation or improvement of reproductive potential is a primary goal. As a consequence, controversies in surgical management have also developed. Future directions in this field include better-quality studies with the use of consistent diagnostic criteria to evaluate impacts of treatment on clinical outcomes. (Fertil Steril Ò 2019;112:408-16. Ó2019 by American Society for Reproductive Medicine.

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Pre-, intra-, and postoperative management of Robert's uterus

Cited by 31 publications

References 4 publications

Favorable pregnancy outcome for a patient with Robert's uterus, bicornuate uterus, and ipsilateral renal agenesis

Favorable pregnancy outcome for a patient with Robert's uterus, bicornuate uterus, and ipsilateral renal agenesis

Pregnancy in a blind hemi-cavity of Robert’s uterus with ipsilateral renal agenesis: a case report and literature review

Reproductive surgery for müllerian anomalies: a review of progress in the last decade

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