Taiwanese Journal of Obstetrics and Gynecology
Volume 44, Issue 4 , Pages 359-361, December 2005

Uterine Anomalies with Ipsilateral Renal Agenesis

  • Chi-Feng Su
    • ,
  • Gin-Den Chen
    • ,
  • Tsung-Ho Ying

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr. Tsung-Ho Ying, Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, 110, Section 1, Chien-Kao North Road, Taichung 402, Taiwan

Department of Obstetrics and Gynecology, Chung Shan Medical University and Hospital, Taichung, Taiwan

Received 7 June 2005; received in revised form 6 July 2005; accepted 7 July 2005.

Article Outline

Summary 

Objective

To describe the management of bicornuate uterus with ipsilateral renal agenesis.

Case Report

Two patients were diagnosed with bicornuate uterus and ipsilateral renal agenesis; one of which was identified as bicornuate unicollis. Both patients were successfully treated with metroplasty. In one patient, the central myometrium was found to extend to the level of the internal cervical os, suggesting bicornuate unicollis. Dysmenorrhea decreases during menstrual periods and there is no restriction on childbearing.

Conclusion

Bicornuate uterus carries the potential risks of back flow of menstrual secretion and ascending infection. Metroplasty is a valuable treatment for bicornuate uterus with a single cervix and vagina, and also prevents the back flow of menstruation which would otherwise progress to pelvic endometriosis.

Key Words:  bicornuate unicollis , bicornuate uterus , kidney , metroplasty , renal agenesis , uterus , uterus didelphys

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References 

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PII: S1028-4559(09)60172-8

doi:10.1016/S1028-4559(09)60172-8

Taiwanese Journal of Obstetrics and Gynecology
Volume 44, Issue 4 , Pages 359-361, December 2005

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