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Difference in reproductive performance between two subtypes of bicornuate uterus
Masato Nishida1, Yasuo Otsubo2, Yuko Arai2
1Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, 2-7-14 Shimotakatsu, Tsuchiura, Ibaraki, 300-8585, Japan. nishidamasato@mac.com.
Archives of Gynecology and Obstetrics
|February 20, 2016
Summary
Reproductive outcomes differ for bicornuate uterus subtypes after Strassmann metroplasty. Partial type bicornuate uterus patients achieved live births, while complete type patients did not conceive.
Area of Science:
- Reproductive medicine
- Gynecologic surgery
Background:
- Bicornuate uterus is a congenital uterine anomaly affecting reproductive outcomes.
- The Strassmann metroplasty is a surgical procedure to correct uterine anomalies.
Purpose of the Study:
- To compare reproductive outcomes in patients with partial versus complete bicornuate uterus after Strassmann metroplasty.
Main Methods:
- Eleven patients with bicornuate uterus, classified by R-AFS definition into partial and complete types, underwent Strassmann metroplasty.
- Reproductive outcomes were evaluated post-surgery.
Main Results:
- Four patients with partial bicornuate uterus conceived and achieved live births.
- None of the seven patients with complete bicornuate uterus conceived.
Conclusions:
- Strassmann metroplasty offers a favorable prognosis for partial bicornuate uterus.
- Complete bicornuate uterus cases may be better managed as uterus didelphys, avoiding metroplasty.
