Difference in reproductive performance between two subtypes of bicornuate uterus

Archives of Gynecology and Obstetrics
Masato NishidaMiyako Sakanaka

Abstract

We compared reproductive outcome in patients with two subtypes of bicornuate uterus who underwent a Strassmann metroplasty procedure. Eleven patients diagnosed using the R-AFS definition were divided into partial and complete type, then reproductive outcome following a Strassmann metroplasty was evaluated. All four patients with the partial type anomaly conceived and achieved a live birth, while none of the seven with the complete type anomaly were able to conceive. Patients with the partial type of bicornuate uterus showed a favorable prognosis after a Strassmann metroplasty. Conversely, those with the complete type should be treated as uterus didelphis, and not undergo a metroplasty.

References

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