Uterine Anomalies with Ipsilateral Renal Agenesis

To describe the management of bicornuate uterus with ipsilateral renal agenesis. Two patients were diagnosed with bicornuate uterus and ipsilateral renal agenesis; one of which was identified as bicornuate unicollis. Both patients were successfully treated with metroplasty. In one patient, the centr...

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Bibliographic Details
Published in:Taiwanese journal of obstetrics & gynecology 2005-12, Vol.44 (4), p.359-361
Main Authors: Su, Chi-Feng, Chen, Gin-Den, Ying, Tsung-Ho
Format: Article
Language:English
Subjects:
bicornuate unicollis
bicornuate uterus
kidney
metroplasty
renal agenesis
uterus
uterus didelphys
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Summary:To describe the management of bicornuate uterus with ipsilateral renal agenesis. Two patients were diagnosed with bicornuate uterus and ipsilateral renal agenesis; one of which was identified as bicornuate unicollis. Both patients were successfully treated with metroplasty. In one patient, the central myometrium was found to extend to the level of the internal cervical os, suggesting bicornuate unicollis. Dysmenorrhea decreases during menstrual periods and there is no restriction on childbearing. Bicornuate uterus carries the potential risks of back flow of menstrual secretion and ascending infection. Metroplasty is a valuable treatment for bicornuate uterus with a single cervix and vagina, and also prevents the back flow of menstruation which would otherwise progress to pelvic endometriosis.
ISSN:1028-4559
DOI:10.1016/S1028-4559(09)60172-8