The unicornuate uterus: clinical implications

Donderwinkel, Peter F.J.; Dörr, Joep P. J.; Willemsen, Wim N.P.

doi:10.1016/0028-2243(92)90043-x

Cited by 46 publications

(31 citation statements)

References 13 publications

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“…Gynecological problems usually include endometriosis, hematometra, hematosalpinx, and pelvic pain (17). Retrograde menstruation and metaplastic conversion of omnipotential mesothelium to functional endometrium have been hypothesized as causes of endometriosis in such cases (18). Pelvic pain is often the presenting symptom, the investigation of which will often lead to the discovery of the M} ullerian anomaly.…”

Section: Complicationsmentioning

confidence: 99%

Pregnancy outcomes in unicornuate uteri: a review

Reichman

Laufer

Robinson

2009

Fertility and Sterility

215

198

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Section: Complicationsmentioning

confidence: 99%

Pregnancy outcomes in unicornuate uteri: a review

Reichman

Laufer

Robinson

2009

Fertility and Sterility

215

198

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“…Thus, selection biases are considerable. Current estimates of the frequency of uterine anomalies range from 1% to 10% [Donderwinkel et al, 1992;Pellerito et al, 1992] or from 0.1% to 0.5% of all deliveries [Rock and Schlaff, 1985], and they reflect data derived either from deliveries [Green and Barris, 1976] or laparoscopy for elective sterilization [Donderwinkel et al, 1992]. Because uterine anomalies cannot be ascertained by physical examination at birth, they are not represented in some published birth defect registries [Shulman et al, 1993].…”

Section: Introductionmentioning

confidence: 98%

Prevalence of m�llerian duct anomalies detected at ultrasound

et al. 2000

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The true prevalence of müllerian duct abnormalities is not well established. We used standard ultrasound examinations to establish the prevalence of müllerian duct abnormalities in girls and women who were evaluated for reasons unrelated to the presence of uterine anomalies. Prospective ultrasound examinations for nonobstetric indications in 2,065 consecutive girls and women (aged 8-93) showed that 8 had anomalies, including bicornuate uterus, septate uterus, and double uterus. In this first attempt to determine the prevalence of uterine anomalies in the general population, using noninvasive methodology, the rate of anomalies was 3.87 per 1,000 women (exact 95% confidence interval: 1.67-7.62), or approximately 1 in 250 women. This prevalence estimate may be greater than the true rate if selection biases are strong, or less than the true prevalence if ultrasound detection rates are low. As a first attempt to establish the prevalence by pelvic ultrasound in a consecutive series, these data may serve as a baseline estimate.

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“…It is likely that the incidence of rupture is inversely proportional to the size of the uterine horn, and that diminished muscle mass plays a part in second trimester miscarriage and premature delivery [2]. It was deemed that, due to the large size of the uterine body, the rupture rate was low, and after counselling, continuation of pregnancy was not thought to be contraindicated.…”

Section: Discussionmentioning

confidence: 99%

“…Unicornuate uteri with rudimentary horns are susceptible to many gynaecological and obstetric complications, such as infertility, endometriosis, urinary tract anomalies and premature delivery [2]. They can also, although seldom, undergo horn torsion [3].…”

Section: Introductionmentioning

confidence: 99%