Our 10-year experience of variable Müllerian anomalies and its management

Mane, Sushant; Shastri, Pankaj; Dhende, Nitin P.; Obaidah, Abu; Acharya, Himanshu; Reddy, Suyodhan; Arlikar, Jameer; Goel, Nitin

doi:10.1007/s00383-010-2640-3

Cited by 18 publications

(10 citation statements)

References 13 publications

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“…The typical age of presentation was mostly found in between 15 -17 yrs. In another notable study by Mane et al, the mean age of presentation was typically at 17 years [5]. In another study done by Reindollar et al, it has been shown that the cases of Mullerian abnormalities typically presented at adolescent age group [6].…”

Section: Discussionmentioning

confidence: 96%

Case Series of Mullerian Developmental Defects Encountered in a Tertiary Care Hospital: A One-Year Experience

Banerjee¹,

Mondal²,

Dam³

et al. 2014

OJOG

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Congenital anomalies of the female reproductive tract may involve the uterus, cervix, fallopian tubes, or vagina. Depending on the specific defect, a woman's obstetric and gynecologic health may be adversely affected. In the present series patients presenting in the outpatient department with diagnosed Mullerian abnormalities were classified into several categories based on their presenting complaints. These patients were offered proper judicious management and were followed up as required. After one year of study period it was clear that most of these patients (barring a few exceptions) were treated optimally and they could live a healthy lifestyle thereafter.

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Section: Discussionmentioning

confidence: 96%

Case Series of Mullerian Developmental Defects Encountered in a Tertiary Care Hospital: A One-Year Experience

Banerjee¹,

Mondal²,

Dam³

et al. 2014

OJOG

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“…In 2006, the American Congress of Obstetricians and Gynecologists Committee (13) stated that nonsurgical techniques were the technique of first choice in all patients with an absent vagina. However, since then, there has only been one publication (14) on nonsurgical technique success and 16 publications on surgical techniques (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). None of these surgical techniques match the results of the nonsurgical.…”

Section: Discussionmentioning

confidence: 99%

Mayer-Rokitansky-Küster-Hauser syndrome: a review of 245 consecutive cases managed by a multidisciplinary approach with vaginal dilators

Edmonds

Rose

Lipton

et al. 2012

Fertility and Sterility

119

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“…1,[8][9][10] Incision-only should be avoided because of concerns about spontaneous closure, which might result in recurrence of symptoms. 11,12 Case 3 exemplifies the variability of presentation of patients with Herlyn-Werner-Wunderlich syndrome.…”

Section: Discussionmentioning

confidence: 99%

Herlyn–Werner–Wunderlich Syndrome: Presentation and Surgical Management Options for Five Cases

BolonduroOluwamuyiwa

AkinpeloyeAtinuke

AbuzeidOmar

et al. 2015

Journal of Gynecologic Surgery

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Background: Herlyn-Werner-Wunderlich syndrome is a rare Müllerian-duct anomaly consisting of uterine didelphys, a unilateral obstructed hemivagina, and ipsilateral renal agenesis. This article presents clinical and laparoscopic findings as well as the surgical management of 5 cases with various clinical scenarios. Cases: Case 1: An 11-year-old premenarchal female presented with chronic vaginal discharge and negative cultures. She had a uterus didelphys, a unilateral partial obstructed hemivagina, and ipsilateral renal agenesis. She underwent excision of the hemivagina. Case 2: A 14-year-old female presented with severe dysmenorrhea. As part of the work-up for a two-vessel cord at birth, an ultrasound revealed an absent left kidney. Magnetic resonance imaging suggested uterine didelphys and a left hematometrocolpos. At surgery, the MRI findings were confirmed. She underwent excision of the left hemivagina. Case 3: A 23-year-old asymptomatic female was referred following an incidental finding of a duplicated uterine horn and hematocolpos on ultrasound. She had a uterus didelphys, a unilateral obstructed hemivagina, and ipsilateral renal agenesis. She underwent excision of the hemivagina. Case 4: A 26-year-old female presented with severe dysmenorrhea and chronic pelvic pain. She had a uterus didelphys and a high right-sided obstructed hemivagina, with no hematocolpos, hematometra, hematosalpinx, endometrioma, and ipsilateral renal agenesis. She underwent a hemihysterectomy, unilateral salpingectomy, and endometrioma excision. Case 5: A 15-year-old female had a history of severe dysmenorrhea. During laparoscopy for an acute abdomen, she was noted to have uterus didelphys. Further evaluation revealed a hypoplastic cervix and a high right-sided obstructed hemivagina, with minimal hematocolpos, hematometra and ipsilateral renal agenesis. She underwent a hemihysterectomy. Results: The patients recovered well and, in most cases, had complete resolution of their symptoms. In Case 4, the patient's symptoms were greatly reduced. Conclusions: In patients with obstructed hemivaginas that are diagnosed early, resection of the vaginal septum is a convenient and effective treatment modality. Hemihysterectomy should be considered in patients with cervical hypoplasia/ aplasia and high position of obstructed hemivaginas, and in patients with severe endometriosis, tubal damage, and extensive pelvic adhesions. ( J GYNECOL SURG 31:46)

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Our 10-year experience of variable Müllerian anomalies and its management

Abstract: Müllerian duct anomalies can present in any age group and with variable symptoms. Sigmoid colon vaginoplasty is an excellent procedure for complete or partial Müllerian agenesis. Correct evaluation of these patients and proper management is a challenge.

Cited by 18 publications

References 13 publications

Case Series of Mullerian Developmental Defects Encountered in a Tertiary Care Hospital: A One-Year Experience

Case Series of Mullerian Developmental Defects Encountered in a Tertiary Care Hospital: A One-Year Experience

Mayer-Rokitansky-Küster-Hauser syndrome: a review of 245 consecutive cases managed by a multidisciplinary approach with vaginal dilators

Herlyn–Werner–Wunderlich Syndrome: Presentation and Surgical Management Options for Five Cases

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