Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation?

Autor: Goidescu IG; Department of Obstetrics and Gynecology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.; 1st Department of Obstetrics and Gynecology, Emergency County Hospital Cluj, 400347 Cluj-Napoca, Romania., Staicu A; Department of Obstetrics and Gynecology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.; 1st Department of Obstetrics and Gynecology, Emergency County Hospital Cluj, 400347 Cluj-Napoca, Romania., Poienar AA; Regina Maria Hospital, Endoinstitute, 400117 Cluj-Napoca, Romania., Surcel M; Department of Obstetrics and Gynecology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.; 1st Department of Obstetrics and Gynecology, Emergency County Hospital Cluj, 400347 Cluj-Napoca, Romania., Micu R; Department of Obstetrics and Gynecology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania., Boitor Borza D; Department of Obstetrics and Gynecology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania., Muresan D; Department of Obstetrics and Gynecology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.; 1st Department of Obstetrics and Gynecology, Emergency County Hospital Cluj, 400347 Cluj-Napoca, Romania.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2024 Jul 30; Vol. 14 (15). Date of Electronic Publication: 2024 Jul 30.
DOI: 10.3390/diagnostics14151649
Abstrakt: A complete uterine septum, with a double cervix and vaginal septum, is a complex and rare congenital genital tract anomaly. The diagnosis is difficult and often challenging, requiring complex imaging investigations and diagnostic hysteroscopy. The benefit of hysteroscopic metroplasty for this uterine malformation is still the subject of dispute. However, the potential benefits of obtaining pregnancies and reducing the rate of abortions make this surgical method a desirable one. We present a series of three cases with U2bC2V1 malformation that were diagnosed via magnetic resonance imaging (MRI), in which hysteroscopic removal of the uterine septum and resection of the longitudinal vaginal septum were performed, with the preservation of the two cervixes. All patients became pregnant after the hysteroscopic intervention and reported an improvement in dyspareunia and dysmenorrhea.
Databáze: MEDLINE
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