Reproductive outcomes in women with congenital uterine anomalies: a systematic review

Chan, Y.; Jayaprakasan, Kanna; Tan, Alice Hyun Kyung; Thornton, Jim; Coomarasamy, Arri; Raine‐Fenning, Nick

doi:10.1002/uog.10056

Cited by 418 publications

(316 citation statements)

References 50 publications

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“…Bicornuate uterus does not lead to reduced fertility, but it may be associated with adverse pregnancy outcomes. 5 Studies have shown that uterine rupture might occur during pregnancy because of a thin wall and inability of malformed uterus to expand as a normal one. 6 Early ultrasound is a contributing method for evaluation of the effects of abnormal uterus on pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy in bicornuate uterus

Borgohain

Srivastava

2017

Int J Reprod Contracept Obstet Gynecol

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The incidence of the uterine malformations is estimated to be 3% to 5% in the general population. Abnormal fusion of the mesonephric duct (Mullerian duct) during embryonic life results in a variety of congenital uterine malformations like septate uterus, unicornuate uterus, and bicornuate uterus. Fertility and evolution of pregnancy depends on the type of uterine anomaly. Many of them are asymptomatic but it is important to consider this diagnosis in recurrent miscarriages, preterm labours, malpresentations, and intrauterine growth restrictions. We are presenting a 22-years-old pregnant woman with a history of abortion. The patient was not diagnosed with a bicornuate uterus in her first pregnancy. However, she was diagnosed with a bicornuate uterus based on the findings of ultrasound in the present pregnancy. A successful caesarean section was performed on the subject in the 39th week of gestation. According to the results, successful outcome could be achieved in patients with bicornuate uterus.

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Section: Discussionmentioning

confidence: 99%

Pregnancy in bicornuate uterus

Borgohain

Srivastava

2017

Int J Reprod Contracept Obstet Gynecol

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“…Unification defects, namely unicornuate, bicornuate, and didelphic uterus, increase the risk for abortion, preterm labor, and fetal malpresentation. Once considered a minor defect, arcuate uterus is found to increase the risk for second trimester pregnancy losses and preterm labor [3].…”

Section: Congenital Anomaliesmentioning

confidence: 99%

Role of Three-Dimensional Ultrasound in Gynecology

Türkgeldi

Urman

Ata

2014

J Obstet Gynecol India

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Three-dimensional ultrasound (3D USG) is a fast-evolving imaging technique that holds a great potential for use in gynecology. Its sensitivity and specificity is reported to be close to 100 % for diagnosing congenital uterine anomalies, comparable with those of magnetic resonance imaging (MRI) and laparoscopy. With 3D USG, a coronal view of the uterus can be obtained, clearly outlining the external contour of the uterus and providing accurate information about the shape of the cavity. Although 3D USG may not perform well in thin endometria, combining it with saline infusion sonography (SIS) overcomes this problem. Research shows that 3D USG is more sensitive and specific than two-dimensional ultrasound (2D USG) in defining and mapping uterine lesions, such as fibroids, adenomyosis, and intrauterine synechia. In cases of suspected malignancy, 3D USG is mainly used in the initial evaluation of patients. Measuring various indices and mapping vascular architecture with 3D power Doppler have been proposed for evaluating adnexal masses. Although some studies raised hope, no consensus is reached about its use, success, and limitations. In urogynecology, translabial 3D USG is proved to be a valuable tool, as it provides instant access to the axial plane, which clearly depicts the relationship of the vagina, urethra, rectum, and the muscular pelvic floor. Studies report no significant differences between translabial 3D USG and MRI measurements for evaluation of the pelvic floor. In conclusion, adding 3D USG to routine gynecological workup can be beneficial for clinicians, as it provides fast and accurate results in a relatively cost-effective setting.

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“…Patients may opt to have the septum resected and have metroplasty performed. 3,13 These patients have good reproductive outcomes and they have full-term pregnancies because each horn is technically a fullydeveloped uterus. Surgical treatment is not indicated if a patient has recurrent pregnancy loss, because it is generally believed that it would not improve pregnancy outcomes.…”

Section: Case 4: Bicornuate Uterusmentioning

confidence: 99%

“…Surgical treatment is not indicated if a patient has recurrent pregnancy loss, because it is generally believed that it would not improve pregnancy outcomes. 13 Embryologically, didelphic uterus has a similar etiology as bicornuate uterus. It is due to failure of fusion of the paramesonephric ducts during the 7th to 9th weeks of development.…”

Section: Case 4: Bicornuate Uterusmentioning

confidence: 99%

The Role of Three-dimensional Ultrasound in the Assessment of Congenital Uterine Anomalies

Tabi¹

2012

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Three-dimensional (3D), two-dimensional (2D) ultrasound and saline infusion sonography (SIS) are beneficial tools in diagnosing congenital uterine anomalies. This article illustrates six various case scenarios based on 3D ultrasound images in order to review the concepts of ultrasound diagnosis of congenital uterine anomalies and apply it to the presented case studies. These cases scenarios educate the reader on arcuate uterus, septate uterus, bicornuate uterus, didelphic uterus, uterus duplex and unicornuate uterus. This article also presents the sequence of embryologic events leading to the congenital uterine anomalies. The role of 3D ultrasound in diagnosis and treatment of congenital uterine anomalies is presented, along with its advantages over 2D ultrasound, SIS, X-ray hysterosalpingography, magnetic resonance imaging, hysteroscopy and laparoscopy. The effects of hysteroscopic metroplasty on fertility are also illustrated and discussed. After this case-based discussion is completed, the readers will be able to make a differential diagnosis of the different types of congenital uterine anomalies.

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Reproductive outcomes in women with congenital uterine anomalies: a systematic review

Cited by 418 publications

References 50 publications

Pregnancy in bicornuate uterus

Pregnancy in bicornuate uterus

Role of Three-Dimensional Ultrasound in Gynecology

The Role of Three-dimensional Ultrasound in the Assessment of Congenital Uterine Anomalies

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