The diagnosis and reproductive outcome after surgical treatment of the complete septate uterus, duplicated cervix and vaginal septum

Patton, Phillip E.; Novy, Miles J.; Lee, David M.; Hickok, Lee R.

doi:10.1016/j.ajog.2004.02.046

Cited by 141 publications

(76 citation statements)

References 25 publications

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“…11 Saygili et al reported 9 cases which suggest that this atypical septate uterus is probably more frequent than reported. 12 Best approach to management to this anomaly is controversial.…”

Section: Discussionmentioning

confidence: 91%

“…Patton et al and Üstün Y et al also spared the cervical unification in their management. 11,13 Our patient has not conceived yet, if conceives, elective caesarean section at term will be the mode of delivery.…”

Section: Discussionmentioning

confidence: 99%

“…Hysteroscopic resection of septum is the gold standard to improve obstetric outcome. 11,6 Various materials like metal or plastic dilator, foley's balloon 13 used to distend or indent the septum for resection. We used metal dilator in the other cavity and septum is resected above the level of internal os.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Complete septate uterus with cervical duplication and longitudinal vaginal septum: an uncommon mullerian anomaly

Sonawane

Bhavsar

2015

Int J Reprod Contracept Obstet Gynecol

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“…11 Saygili et al reported 9 cases which suggest that this atypical septate uterus is probably more frequent than reported. 12 Best approach to management to this anomaly is controversial.…”

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Complete septate uterus with cervical duplication and longitudinal vaginal septum: an uncommon mullerian anomaly

Sonawane

Bhavsar

2015

Int J Reprod Contracept Obstet Gynecol

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“…Hysteroscopic resection of a uterine septum using a minimally invasive approach (improving obstetric outcomes) is the gold standard according to most authorities. [7][8][9][10] There have been different methods reported to distend or indent the septum for the hysteroscopic incision, including the use of metal probes, Foley catheters, or plastic dilators. The union of the two cervices is another area of controversy.…”

Section: Discussionmentioning

confidence: 99%

An unusual case of septate uterus with double cervix and longitudinal vaginal septum simulating uterus didelphys

Vijay¹,

Salve²,

Murdia³

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Rare mullerian anomalies not falling in any present classification are sometimes reported. A 27-year‐old woman came to our hospital with history of secondary infertility. She was found to have a longitudinal vaginal septum, cervical duplication and two endometrial cavities, separated by a complete septum. Laparoscopic examination revealed a relatively intact uterine fundus with both patent fallopian tubes. Hysteroscopic exam confirmed the presence of double vagina and double cervix, as well as complete uterine septum. It was a rare variant of complete septate uterus with double cervix, which could be successfully treated by hysteroscopic operation. Diagnosis and management of this unusual Müllerian anomaly are discussed in the context of a literature review.

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“…21,22 Biz de vakalarımızda komplet septumu olan hastalarda bu risklerden ötürü servikal septum insizyonu yapmayıp, hastaların doğum şeklini de sezaryan olarak belirledik.…”

Section: Primer Infertilunclassified

The Effect of Hysterescopic Uterine Septum Surgery on Pregnancy Rates

Cömert¹,

Çetin²,

Çetin³

et al. 2017

TJRMS

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A Am ma aç ç: : Primer infertilite, tekrarlayan gebelik kaybı, preterm doğum öyküsü veya sekonder infertilite tanısı ile kliniğimize başvuran ve uterin septum tespit edilen olgularda, histeroskopik cerrahi müdahale sonrası gebelik sonuçlarının incelenmesi amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön n--t te em ml le er r: : Ocak 2008-Aralık 2014 tarihleri arasında Çukurova Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Kliniği İnfertilite Polikliniğine primer infertilite, tekrarlayan gebelik kaybı, preterm doğum öyküsü veya sekonder infertilite tanısı ile başvuran ve histerosalpingografide uterin septum tespit edilen 118 hasta çalışmaya dahil edildi. Tüm olgulara genel anestezi altında laparoskopi eşliğinde histeroskopik septum insizyonu uygulandı. Hastalar postop 24 ay gebelik açısından takip edildi. B Bu ul lg gu ul la ar r: : Hastaların 48'i (%40,6) primer infertil, 70'i (%59,3) sekonder infertildi. 44 (%37,2) hastanın komplet septumu, 74 (%62,7) hastanın inkomplet septumu mevcuttu. Toplam 118 hastanın operasyon sonuçları 84 (%71,1)'sı gebe kaldı, 34 (%28,8)'sında gebelik oluşmadı.Toplam gebelik sayısı 164 idi. Bunun 28 (%17)'i spontan abortus, 23 (%14)'i preterm doğum, 113 (%68,9)'i term doğum olarak saptandı. 118 hastadan toplam doğum yapan hasta sayısı 74 (%62,7) bulundu. Toplam preterm ve term doğum sayısı; komplet septumu olan 44 hastadan 30 (%68,1)'unda, inkomplet septumu olan 74 hastadan 54 (%72,9)'ünde tespit edildi. S So on nu uç ç: : Uterus septumun tekrarlayan in vitro fertilizasyon (IVF) başarısızlığı, düşük, preterm eylem gibi gebelik kayıplarıyla ilişkili olduğu bilinmektedir. Uterin septumun histeroskopik insizyonu kolay uygulanabilir ve gebelik sonuçları üzerine olumlu etkileri olan bir yöntemdir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Histeroskopik cerrahi; infertilite; gebelik sonuçları A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The pregnancy outcomes after the hyteroscopic surgery of the patients who presented with primary/secondary infertility, recurrent pregnancy loss and preterm birth and who were diagnosed with uterine septum, were aimed to be evaluated. M Ma at te er ri ia al ls s a an nd d M Me et th ho od ds s: : 118 patients who presented to Cukurova University Medical School Department of Obstetrics and Gynecology Infertility Clinic between January 2008 and December 2014 and who presented with primary/secondary infertility, recurrent pregnancy loss and preterm birth and who were diagnosed with uterine septum with the hysterosalpingography were admitted to the study. All patients had laparoscopy together with hysteroscopic septum incision under general anesthesia. Patients were followed up for 24 months for pregnancy. R Re es su ul lt ts s: : 48 patients (40.6%) had primary infertility, 70 patients (59.3%) had secondary infertility. 44 patients (37.2%) had complete septum and 74 patients had incomplete septum (62.7%). 84 patients (71.1%) got pregnant, but 34 patients (28.8%) could not get pregnant after the surgery. Total pregnancy number was ...

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The diagnosis and reproductive outcome after surgical treatment of the complete septate uterus, duplicated cervix and vaginal septum

Cited by 141 publications

References 25 publications

Complete septate uterus with cervical duplication and longitudinal vaginal septum: an uncommon mullerian anomaly

Complete septate uterus with cervical duplication and longitudinal vaginal septum: an uncommon mullerian anomaly

An unusual case of septate uterus with double cervix and longitudinal vaginal septum simulating uterus didelphys

The Effect of Hysterescopic Uterine Septum Surgery on Pregnancy Rates

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