Date: 17 Nov 2012
Management and reproductive outcome of complete septate uterus with duplicated cervix and vaginal septum: review of 21 cases
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To evaluate the reproductive outcomes of complete septate uterus with duplicated cervix and vaginal septum.
Twenty-one patients who have complete septate uterus with duplicated cervix and vaginal septum were retrospectively reviewed in this study. In Group I, 11 patients with a poor reproductive outcome (spontaneous miscarriage or infertility) or dyspareunia underwent hysteroscopic metroplasty and removal of vaginal septum with the preservation of cervical septum. In Group II, 10 patients without a history of spontaneous miscarriage did not undergo hysteroscopic transection of the uterine septum. Of 10, four underwent vaginal septum incision due to dyspareunia, two underwent mere laparoscopic pelvic adhesiolysis because of infertility, and four without symptoms had no intervention. The primary endpoints included the pregnancy rate and outcomes of pregnancies.
In Group I, the pregnancy rate after surgery is 81.8 % (9/11). Of nine women who conceived, six had term delivery, one encountered induced abortion due to the malformation of the fetal heart, and two had ongoing pregnancy. In Group II, among six patients accepting surgery, three had term delivery. The pregnancy rate after operation is 50 % (3/6).
The uterine septum may not necessarily be transected for patients who have complete septate uterus with duplicated cervix and vaginal septum, and meanwhile have no a history of poor reproductive outcome.
Dr. S.-Q. Chen and Dr. N. Deng equally contributed to this work.
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- Management and reproductive outcome of complete septate uterus with duplicated cervix and vaginal septum: review of 21 cases
Archives of Gynecology and Obstetrics
Volume 287, Issue 4 , pp 709-714
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- Complete septate uterus
- Hysteroscopic metroplasty
- Reproductive outcome
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- Author Affiliations
- 1. Department of Obstetrics and Gynecology, The First Affiliated Hospital, Sun Yat-sen University, 58# Zhong Shan Road II, Guangzhou, 510080, People’s Republic of China
- 2. Department of Obstetrics and Gynecology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, People’s Republic of China