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Uterus didelphys: a report of 26 cases
Summary
Uterus didelphys, a uterine malformation, presents common gynecological symptoms and is associated with high-risk pregnancies. Despite complications like premature delivery and breech presentation, the fetal survival rate remains relatively good.
Area of Science:
- Reproductive Medicine
- Gynecology
- Obstetrics
Background:
- Uterus didelphys is a congenital uterine anomaly characterized by a duplicated uterus and cervix.
- Often accompanied by a longitudinal vaginal septum, it can lead to various gynecological and obstetric complications.
Observation:
- A 21-year observational study included 26 female patients diagnosed with uterus didelphys and a longitudinal vaginal septum.
- Common presenting symptoms included dysmenorrhea, dyspareunia, and leukorrhea.
Findings:
- Eighteen women experienced 40 pregnancies, resulting in a 67.5% fetal survival rate and a 3.6% perinatal mortality rate.
- Pregnancies were complicated by 21% premature delivery, 43% breech presentation, and 82% cesarean section rates.
- Intravenous pyelograms revealed renal abnormalities in 35% of cases, including kidney agenesis in four patients.
Implications:
- Uterus didelphys classifies patients as high-risk, necessitating specialized obstetric care.
- Despite associated risks, pregnancy outcomes in women with uterus didelphys can be comparatively favorable with appropriate management.