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Management and reproductive outcome of complete septate uterus with duplicated cervix and vaginal septum: review of 21 cases

  • General Gynecology
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Abstract

Aim

To evaluate the reproductive outcomes of complete septate uterus with duplicated cervix and vaginal septum.

Methods

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.

Results

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).

Conclusions

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.

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Authors and 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

    Shu-Qin Chen, Hong-Ye Jiang, Jin-Bo Li, San Lu & Shu-Zhong Yao

  2. Department of Obstetrics and Gynecology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, People’s Republic of China

    Ni Deng

Authors
  1. Shu-Qin Chen
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  2. Ni Deng
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  3. Hong-Ye Jiang
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  4. Jin-Bo Li
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  5. San Lu
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  6. Shu-Zhong Yao
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Corresponding author

Correspondence to Shu-Zhong Yao.

Additional information

Dr. S.-Q. Chen and Dr. N. Deng equally contributed to this work.

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Chen, SQ., Deng, N., Jiang, HY. et al. Management and reproductive outcome of complete septate uterus with duplicated cervix and vaginal septum: review of 21 cases. Arch Gynecol Obstet 287, 709–714 (2013). https://doi.org/10.1007/s00404-012-2622-x

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  • DOI: https://doi.org/10.1007/s00404-012-2622-x

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