2012, Number 4
<< Back Next >>
An Med Asoc Med Hosp ABC 2012; 57 (4)
Prevalence of patients with Müllerian anomalies that assisted to the Gynecology and Human Reproduction Clinic
Montańez DTI, Mariscal MLF, Chabat MMP, González CJ, Solano SR, Navarro MC
Language: Spanish
References: 16
Page: 300-306
PDF size: 87.42 Kb.
ABSTRACT
Objectives: To determine the prevalence of patients with Müllerian anomalies that assisted to the Gynecology and Human Reproduction Clinic in the American British Cowdray Medical Center.
Methods: We performed a cross-sectional observational study to determine the frequency of Müllerian malformations in patients who underwent laparoscopy and hysteroscopy in the period 1994 to 2012.
Results: Of a total of 1,100 patients attending the clinic for pelvic pain, infertility, uterine fibroids and/or amenorrhea, we identified 30 of them with Müllerian malformation, resulting in a prevalence of 2.7%. A higher prevalence of this anomalies were found in patients with infertility. Uterine septum was the most common malformation within all anomalies. Discussion and conclusions: The prevalence of Müllerian malformations was 2.7% and the anomalies found in our study were the uterine septum in 50% of cases, arcuate uterus in 23% and didelphus uterus in 16% of patients. Such anomalies are more frequent in patients with infertility problems and today it is important to conduct hysteroscopy and laparoscopy for assessment and management, in order to improve reproductive health.
REFERENCES
Puerta-Fonolla AJ. Morphogenesis of the human genital tract. Ital J Anat Embryol 1998; 103: 3-15.
Gurtcheff SE, Hatasaka H, Lambert P, Empey R, Morris E, Hammoud A, Clinical presentation of Müllerian anomalies in a large population cohort. Fertil Steril 2008; 90 (1): S153-S154.
Pérez LE. Anomalías müllerianas. Revisión. Rev Med 2007; 15 (2): 251-260.
Acien P, Acien MI. The History of female genital tract malformation classifications and proposal of an updated system. Hum Reprod 2011; (17): 693-705.
Acien P. Embryological observations on the female genital tract. Hum Reprod 1992; 7: 437-445.
Buttram VC Jr, Gibbons WE. Müllerian anomalies: a proposed classification (an analysis of 144 cases). Fertil Steril 1979; 32: 40-46.
Tarry WF, Duckett JW, Stephens FD. The Mayer-Rokitansky syndrome: pathogenesis, classification and management. J Urol 1986; 136: 648-652.
Swart P, Mol BWJ, Vanderveen F, Vanbeurden M, Redekop WK, Bossuyt PMM. The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta-analysis. Fertil Steril 1995; 64 (3): 486-491.
Chandler TM, Machan LS, Cooperberg PL. Müllerian duct anomalies: from diagnosis to intervention. BJR 2009; (984): 1034-1042.
Pellerito JS, McCarthy SM, Doyle MB, Glickman MG, DeCHerney AH. Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal ultrasound, and hysterosalpingography. Radiology 1992; 183: 795-800.
Reuter KL, Daly DC, Cohen SM. Septate versus bicornuate uteri: errors in imaging diagnosis. Radiology 1989; 172: 749-752.
De CHerney AH, Russell JB, Graebe Ra, Polan ML. Resectoscopic management of Müllerian fusion defects. Fertil Steril 1986; 45: 726-728.
Fedele L. Bianchi S, Agnoli B, Tozzi L, Vignali M. Urinary tract anomalies associated with unicornuate uterus. J Urol 1996; 155: 847-848.
Troiano RN, McCarthy SM. Müllerian duct anomalies: imaging and clinical issues. Radiology 2004; 233: 19-34.
De Sá Rosa e de Silva AC, Rosa e Sila JC, Cándido dos Reis FJ, Nogueira AA, Ferriani RA. Routine office hysteroscopy in the investigation of infertile couples before assisted reproduction. J Reprod Med 2005; 50 (7): 501-506.
Zhang Y, Zhao Y. Obstetric outcome of women with uterine anomalies in China. Chin Med J 2010; 123 (4): 418-422.
Full text