Successful Outcome of Twin Gestation after Endoscopic Metroplasty of Complete Septate Uterus

Jakiel, Grzegorz; Robak-Chołubek, Dorota

doi:10.1159/000091791

Gynecol Obstet Invest

2006

DOI: 10.1159/000091791

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Successful Outcome of Twin Gestation after Endoscopic Metroplasty of Complete Septate Uterus

Grzegorz Jakiel¹,

Dorota Robak-Chołubek²

Abstract: The successful outcome of twin gestation after the endoscopic metroplasty of uterus septus class Va was described. Authors described and discussed the technical details of diagnosis and treatment of this rare malformation. Five months after treatment the patient spontaneously became pregnant. The pregnancy was determined as dizygotic twins. The cesarean section was performed in the 36th week of gestation because of growth arrest of one fetus and two healthy newborns were delivered.

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2024

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References 19 publications

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Applicability and Suitability of the Embryological–Clinical Classification of Female Genital Malformations: A Systematic Review

Navarro,

Acién,

Acién

2024

JCM

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Complex urogenital malformations are clinically highly relevant; thus, they must be appropriately diagnosed and classified before initiating treatment. Background/Objectives: This study aimed to evaluate the applicability and suitability of the embryological–clinical classification of female genital malformations. Methods: A systematic review of cases of genital malformations reported in the literature from 2000 to 2020 was conducted. Case reports and series with the following combinations: “female genital tract” AND (malformation OR anomaly OR müllerian anomaly OR uterine anomaly OR cervical anomaly OR vaginal anomaly OR cloacal anomaly OR urogenital sinus); and “female genital tract” AND (renal agenesis OR ectopic ureter) were searched. A total of 3124 articles were identified, of which 824 cases of genital malformation were extracted. The characteristics of each malformation were included in a database for further analyses. Results: Using the embryological–clinical classification, 89.9% of the published cases and 86.5% of the 52 cases defined as unclassifiable by their authors have been classified in this review. In 73 cases (72.2%), the classification of the malformation using the AFS system was incomplete because although the type of uterine anomaly of the AFS classification matched that of the embryological–clinical classification, characteristics of the urinary system or the vagina were overlooked when using the AFS system. Following a dispersion matrix, we have been able to show that the embryological–clinical classification system is able to classify and subclassify the genitourinary malformations more accurately. Conclusions: The applicability of the embryological–clinical classification has been confirmed after classifying most of the cases of genital malformation previously published. This system also provides a more complete and accurate classification than other classifying systems exclusively based on Müllerian duct development or uterovaginal parameters, demonstrating its suitability.

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Applicability and Suitability of the Embryological–Clinical Classification of Female Genital Malformations: A Systematic Review

Navarro,

Acién,

Acién

2024

JCM

View full text Add to dashboard Cite

show abstract

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Successful Outcome of Twin Gestation after Endoscopic Metroplasty of Complete Septate Uterus

Cited by 1 publication

References 19 publications

Applicability and Suitability of the Embryological–Clinical Classification of Female Genital Malformations: A Systematic Review

Applicability and Suitability of the Embryological–Clinical Classification of Female Genital Malformations: A Systematic Review

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