Robert's uterus: modern imaging techniques and ultrasound‐guided hysteroscopic treatment without laparoscopy or laparotomy

Ludwin, Artur; Ludwin, I.; Martins, Wellington de Paula

doi:10.1002/uog.15976

Cited by 32 publications

(36 citation statements)

References 15 publications

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“…Exclusion criteria were unexpected pregnancy detected during ultrasound, postmenopausal, presence of malignant neoplasm or specific benign lesions and uterine surgery. Moreover, we did not include in this study obvious uterine anomalies that were impossible to classify as either normal/arcuate or partially septate (namely, uterine agenesis, unicornuate, bicornuate, didelphys or complete septate uteri) or unique obstructive anomalies. T‐shaped and asymmetrical uteri with internal indentation were not, however, excluded.…”

Section: Methodsmentioning

confidence: 99%

Congenital Uterine Malformation by Experts (CUME): better criteria for distinguishing between normal/arcuate and septate uterus?

Ludwin

Martins

Nastri

et al. 2018

Ultrasound in Obstet & Gyne

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127

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Section: Methodsmentioning

confidence: 99%

Congenital Uterine Malformation by Experts (CUME): better criteria for distinguishing between normal/arcuate and septate uterus?

Ludwin

Martins

Nastri

et al. 2018

Ultrasound in Obstet & Gyne

Self Cite

127

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show abstract

“…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%

“…Ludwin et al. 2 proposed that hysteroscopic metroplasty with ultrasound guidance by experienced surgeons was safe for patients. This technique reduces the need for more invasive operations, such as laparoscopy or laparotomy, which might miss treating superficial endometriosis.…”

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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“…It is very helpful to have separate subclassifications for cataloging of rare and unique complex anomalies. However, there is still confusion by connection of embryologic origin for interpretation of cervical morphology (e.g., class of unilateral cervical aplasia) (27,28).…”

Section: Eshre/esge Classification System (2013 2016)mentioning

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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Robert's uterus: modern imaging techniques and ultrasound‐guided hysteroscopic treatment without laparoscopy or laparotomy

Abstract: Robert

Cited by 32 publications

References 15 publications

Congenital Uterine Malformation by Experts (CUME): better criteria for distinguishing between normal/arcuate and septate uterus?

Congenital Uterine Malformation by Experts (CUME): better criteria for distinguishing between normal/arcuate and septate uterus?

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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