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Published on: September 20, 2018
Clinical characteristics and treatment of Herlyn-Werner-Wunderlich syndrome
Jinhui Wang1, Lan Zhu, Jinghe Lang
1Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, 100730, China, jinhuiwang@gmail.com.
Objective:
To investigate the clinical characteristics and treatment of the Herlyn-Werner-Wunderlich syndrome (HWWS).
Methods:
Sixty-one patients diagnosed with HWWS were retrospectively analyzed. HWWS is categorized into three types in China.
Results:
Age at presentation of all the cases was after menarche. The most common clinical presentations were dysmenorrhea for type I and vaginal discharge for types II and III. Clinical presentations of types II and III may not occur until reproductive age. HWWS occurred on the right in 39/61. Excision of the obstructed vaginal septum was the treatment utilized in this cohort. After surgery, subsequent pregnancies were ipsilateral in 52.9 %.
Conclusions:
Clinical presentation in untreated HWWS suggests the anatomic anomaly. Early recognition and treatment can reduce symptoms. Pregnancies occur in both the affected and unaffected uterus.
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