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Titolo:
Clinical implications of the didelphic uterus: long-term follow-up of 49 cases
Autore:
Heinonen, PK;
Indirizzi:
Tampere Univ, Sch Med, Dept Obstet & Gynecol, FIN-33101 Tampere, Finland Tampere Univ Tampere Finland FIN-33101 necol, FIN-33101 Tampere, Finland Tampere Univ Hosp, FIN-33101 Tampere, Finland Tampere Univ Hosp Tampere Finland FIN-33101 , FIN-33101 Tampere, Finland
Titolo Testata:
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY
fascicolo: 2, volume: 91, anno: 2000,
pagine: 183 - 190
SICI:
0301-2115(200008)91:2<183:CIOTDU>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
IPSILATERAL RENAL AGENESIS; MULLERIAN ANOMALIES; UTERINE ANOMALIES; UNICORNUATE UTERUS; WOMEN; MALFORMATIONS; ENDOMETRIOSIS; HEMIVAGINA;
Keywords:
didelphic uterus; vaginal septum; renal agenesis; fertility; endometriosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Heinonen, PK Tampere Univ, Sch Med, Dept Obstet & Gynecol, POB 607, FIN-33101 Tampere, Finland Tampere Univ POB 607 Tampere Finland FIN-33101 pere, Finland
Citazione:
P.K. Heinonen, "Clinical implications of the didelphic uterus: long-term follow-up of 49 cases", EUR J OB GY, 91(2), 2000, pp. 183-190

Abstract

Objective: The aim of the study was to evaluate reproductive performance of women with didelphic uterus and to consider possible long-term consequences associated with this uterine anomaly. Study design: Forty-nine women were diagnosed as having a didelphic uterus with a longitudinal vaginal septumat Tampere University Hospital, Finland between 1962 and 1998. The presence of other anomalies, gynecologic disorders, fertility and outcome of pregnancies were reviewed. The long-term clinical implications associated with adidelphic uterus were evaluated during the mean (S.D.) follow-up period of9.1 (6.3) years. Results: An obstructed hemivagina was found in nine (18%)out of forty-nine cases; eight of these had ipsilateral renal agenesis. A longitudinal vaginal septum was excised in twenty-six (53%) cases, but metroplasty in none. Five (13%) patients had primary infertility. Thirty-four (94%) out of thirty-six women who wanted to conceive had at least one pregnancy, and they produced seventy-one pregnancies: 21% miscarried, and ectopicpregnancy occurred in 2%. The fetal survival rate was 75%, prematurity 24%, fetal growth retardation 11%, perinatal mortality 5.3%, and cesarean section rate 84%. Pregnancy located more commonly (76%) in the right uterus than in the left. During the follow-up period endometriosis was observed in seven (16%) out of forty-five cases. Ovarian neoplasm was found in four (9%) cases, one of them had ovarian cancer. Conclusions: Fertility in women withdidelphic uterus is not notably impaired. The prognosis of pregnancy is comparatively good: while prematurity and fetal growth retardation indicate meticulous prenatal care. Long-term follow-up did not reveal that didelphic uterus is associated with increased frequency of endometriosis or genital neoplasm. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 06:21:32