Hysteroscopic metroplasty of the complete uterine septum, duplicate cervix, and vaginal septum

Parsanezhad, Mohammad Ebrahim; Alborzi, Saeed; Zarei, Afsoon; Dehbashi, Sanaz; Shirazi, Lila Ghasempour; Rajaeefard, Abdolreza; Schmidt, Ernst Hienrich

doi:10.1016/j.fertnstert.2005.10.044

Cited by 86 publications

(34 citation statements)

References 18 publications

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“…Although the septum is usually restricted to the uterine corpus, it may extend through the cervix and vagina. In such cases visual inspection and pelvic examination shows a complete longitudinal vaginal septum and cervical duplication that is usually misdiagnosed as uterus didelphys [1].…”

Section: Introductionmentioning

confidence: 99%

Hysteroscopic septum resection in patients with recurrent abortions and infertility

Güven¹,

Bakay

Kuruoğlu³

et al. 2012

OJOG

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Objective: The aim of this study was to assess the achievement of pregnancy as well as the reproductive outcome after hysteroscopic septum resection in women with recurrent abortions or infertility. Design: retrospective, clinical trial. Setting: University hospitals. Patient(s): Fourty women with a diagnosis of uterine septum who had a history of pregnancy loss or infertility. They were randomized into two groups. Group I includes 18 infertile women and Group II includes 22 recurrent miscarriage women. Intervention(s): Hysteroscopic metroplasty was performed on all patients in both groups. Result(s): 40 patients who were diagnosed with a partial septate uteri had hysteroscopic septum resection and were divided into two groups: Group I (18 patients) presented with infertility and Group II (22 patients) with recurrent abortions. The mean post-operative follow up period was 24 months. Group I, 12 patients (66.6%) and Group II, 17 patients (77.2%) achieved pregnancy, with respective abortion rates of 2 (11.1%) and 4 (18.1%). Conclusion(s): Using hysteroscopy to perform metroplasty on septate uteri makes the procedure safer, easier, and less complicated. This procedure is recommended for all cases diagnosed with an uterine septum.

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Section: Introductionmentioning

confidence: 99%

Hysteroscopic septum resection in patients with recurrent abortions and infertility

Güven¹,

Bakay

Kuruoğlu³

et al. 2012

OJOG

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“…Others prefer to unify the cervices to facilitate surgery and decrease the likelihood of recurrent symptoms 6,15 . In patients with a complete uterine septum extending into the cervix, Parsanezhad et al demonstrated that resection of the cervical septum made the hysteroscopic metroplasty easier, faster, and safer than preserving it 17 . In addition, this procedure did not increase the risk of cervical incompetence.…”

Section: Discussionmentioning

confidence: 99%

Septate uterus with cervical duplication and longitudinal vaginal septum

Ribeiro¹,

Yamakami²,

Tormena³

et al. 2010

Rev. Assoc. Med. Bras.

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“…32 Patients with a confirmed diagnosis of cervical agenesis should be referred for hysterectomy, preferentially performed laparoscopically. Several surgical attempts to create a cervix have resulted in tragic outcomes, often associated with fatal complications.…”

Section: Therapeutic Managementmentioning

confidence: 99%

“…A randomized controlled trial performed to evaluate the safety and efficacy of resection of the cervical septum during hysteroscopic metroplasty showed that this procedure was safer and easier with resection than with preservation of the cervical septum. 32 The use of estrogen therapy or an intrauterine device are postsurgical alternatives for minimizing formation of uterine adherences (synechiae). 32,33 The follow-up in these cases includes hysteroscopy, one to three months after the initial surgery.…”

Section: Therapeutic Managementmentioning

confidence: 99%

“…32 The use of estrogen therapy or an intrauterine device are postsurgical alternatives for minimizing formation of uterine adherences (synechiae). 32,33 The follow-up in these cases includes hysteroscopy, one to three months after the initial surgery. 31 Laparoscopy should be used to excise obstructed, rudimentary uterine horns and adjacent tubes in patients with a unicornuate uterus.…”

Section: Therapeutic Managementmentioning

confidence: 99%

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Müllerian duct anomalies: review of current management

et al. 2009

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The aim of this paper was to discuss the embryological aspects of Müllerian duct anomalies and to analyze the current diagnostic methods and therapy.Müllerian anomalies are congenital defects of the female reproductive tract resulting from failure in the development of the Müllerian ducts and their associated structures. Their cause has yet to be fully clarified, and it is currently believed to be multifactorial. Symptoms appear principally during adolescence or early adulthood, and affect the reproductive capacity of these women. When clinically suspected, investigations leading to diagnosis include imaging methods such as hysterosalpingography, ultrasonography and magnetic resonance. The classification of these malformations relates to their embryogenesis, and defines the therapy and prognosis. Müllerian anomalies consist of a wide range of defects that may vary from patient to patient.Therefore, their management must also be individual, taking anatomical and clinical characteristics into consideration, as well as the patient's wishes. RESUMOO objetivo deste trabalho foi discutir as malformações müllerianas desde seus aspectos embriológicos, analisando os atuais métodos diagnóstico e terapêuticos. As malformações müllerianas são anomalias congênitas do trato reprodutivo feminino decorrentes de falha do desenvolvimento dos ductos de Müller e estruturas associadas. Sua causa não foi completamente elucidada, acreditando-se, atualmente, que seja multifatorial. Os sintomas se manifestam, principalmente, durante a adolescência e início da vida adulta, e afetam a capacidade reprodutiva dessas mulheres. A partir da suspeita clínica, a investigação diagnóstica inclui métodos de imagem, como a histerosalpingografia, ultrassonografia e ressonância magnética. A classificação das malformações está relacionada à sua embriogênese e direciona a terapêutica e prognóstico. As malformações müllerianas são um grupo amplo de anomalias que variam de paciente para paciente. Portanto, sua abordagem também é individual, devendo-se considerar os aspectos anatômicos, clínicos e o desejo da paciente.

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Hysteroscopic metroplasty of the complete uterine septum, duplicate cervix, and vaginal septum

Cited by 86 publications

References 18 publications

Hysteroscopic septum resection in patients with recurrent abortions and infertility

Hysteroscopic septum resection in patients with recurrent abortions and infertility

Septate uterus with cervical duplication and longitudinal vaginal septum

Müllerian duct anomalies: review of current management

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