Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation?

A complete uterine septum, with a double cervix and vaginal septum, is a complex and rare congenital genital tract anomaly. The diagnosis is difficult and often challenging, requiring complex imaging investigations and diagnostic hysteroscopy. The benefit of hysteroscopic metroplasty for this uterin...

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Main Authors: Iulian Gabriel Goidescu, Adelina Staicu, Alexandra-Andreea Poienar, Mihai Surcel, Romeo Micu, Dan Boitor Borza, Daniel Muresan
Format: Article
Language:English
Published: MDPI AG 2024-07-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/14/15/1649
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author Iulian Gabriel Goidescu
Adelina Staicu
Alexandra-Andreea Poienar
Mihai Surcel
Romeo Micu
Dan Boitor Borza
Daniel Muresan
author_facet Iulian Gabriel Goidescu
Adelina Staicu
Alexandra-Andreea Poienar
Mihai Surcel
Romeo Micu
Dan Boitor Borza
Daniel Muresan
author_sort Iulian Gabriel Goidescu
collection DOAJ
description A complete uterine septum, with a double cervix and vaginal septum, is a complex and rare congenital genital tract anomaly. The diagnosis is difficult and often challenging, requiring complex imaging investigations and diagnostic hysteroscopy. The benefit of hysteroscopic metroplasty for this uterine malformation is still the subject of dispute. However, the potential benefits of obtaining pregnancies and reducing the rate of abortions make this surgical method a desirable one. We present a series of three cases with U2bC2V1 malformation that were diagnosed via magnetic resonance imaging (MRI), in which hysteroscopic removal of the uterine septum and resection of the longitudinal vaginal septum were performed, with the preservation of the two cervixes. All patients became pregnant after the hysteroscopic intervention and reported an improvement in dyspareunia and dysmenorrhea.
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series Diagnostics
spelling doaj-art-b6cbda3b24fa4e3b8b62c2de541f3d922024-12-09T16:37:37ZengMDPI AGDiagnostics2075-44182024-07-011415164910.3390/diagnostics14151649Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation?Iulian Gabriel Goidescu0Adelina Staicu1Alexandra-Andreea Poienar2Mihai Surcel3Romeo Micu4Dan Boitor Borza5Daniel Muresan6Department of Obstetrics and Gynecology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, RomaniaDepartment of Obstetrics and Gynecology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, RomaniaRegina Maria Hospital, Endoinstitute, 400117 Cluj-Napoca, RomaniaDepartment of Obstetrics and Gynecology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, RomaniaDepartment of Obstetrics and Gynecology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, RomaniaDepartment of Obstetrics and Gynecology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, RomaniaDepartment of Obstetrics and Gynecology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, RomaniaA complete uterine septum, with a double cervix and vaginal septum, is a complex and rare congenital genital tract anomaly. The diagnosis is difficult and often challenging, requiring complex imaging investigations and diagnostic hysteroscopy. The benefit of hysteroscopic metroplasty for this uterine malformation is still the subject of dispute. However, the potential benefits of obtaining pregnancies and reducing the rate of abortions make this surgical method a desirable one. We present a series of three cases with U2bC2V1 malformation that were diagnosed via magnetic resonance imaging (MRI), in which hysteroscopic removal of the uterine septum and resection of the longitudinal vaginal septum were performed, with the preservation of the two cervixes. All patients became pregnant after the hysteroscopic intervention and reported an improvement in dyspareunia and dysmenorrhea.https://www.mdpi.com/2075-4418/14/15/1649septate uterusduplicated cervixvaginal septumhysteroscopymetroplastydyspareunia
spellingShingle Iulian Gabriel Goidescu
Adelina Staicu
Alexandra-Andreea Poienar
Mihai Surcel
Romeo Micu
Dan Boitor Borza
Daniel Muresan
Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation?
Diagnostics
septate uterus
duplicated cervix
vaginal septum
hysteroscopy
metroplasty
dyspareunia
title Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation?
title_full Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation?
title_fullStr Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation?
title_full_unstemmed Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation?
title_short Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation?
title_sort is hysteroscopic metroplasty advisable for u2bc2v1 malformation
topic septate uterus
duplicated cervix
vaginal septum
hysteroscopy
metroplasty
dyspareunia
url https://www.mdpi.com/2075-4418/14/15/1649
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