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Chapter 5 - Sonographic Assessment of Congenital Uterine Anomalies

Published online by Cambridge University Press:  28 February 2020

Kanna Jayaprakasan ,
Lukasz Polanski  and
Kamal Ojha
By
Sotirios H. Saravelos  and
Tin-Chiu Li
Kanna Jayaprakasan
Affiliation:
Department of Maternity and Gynaecology, Royal Derby Hospital, Derby
Lukasz Polanski
Affiliation:
Assisted Conception Unit, Guy’s Hospital, London
Kamal Ojha
Affiliation:
Department of Obstetrics and Gynecology, St George's University Hospital, London
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Summary

Congenital uterine anomalies (CUAs) are gaining increasing attention in the field of gynaecological ultrasound for a number of reasons: first, they appear to be of relatively high prevalence in both selected and unselected groups of women ; second, they appear to have a significant impact on reproductive outcomes and, on occasion, in adolescent symptomatology ; third, there has been a recent surge in relevant publications, which has culminated in a new international classification , and also a new international consensus for diagnosis. Three-dimensional (3D) ultrasound is now recommended as the gold standard method for diagnosis, which implies that gynaecologists and/or sonographers may be expected to attain the correct diagnoses and classification of CUA for women presenting to them with, and even without, symptomatology.

Type
Chapter
Information
Gynaecological Ultrasound Scanning
Tips and Tricks
 , pp. 69 - 78
Publisher: Cambridge University Press
Print publication year: 2020

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References

Saravelos, SH, Cocksedge, KA, Li, TC. Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal. Hum Reprod Update 2008;14:415–29.Google Scholar
Chan, YY, Jayaprakasan, K, Zamora, J, et al. The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update 2011;17:761–71.CrossRefGoogle ScholarPubMed
Chan, YY, Jayaprakasan, K, Tan, A, et al. Reproductive outcomes in women with congenital uterine anomalies: a systematic review. Ultrasound Obstet Gynecol 2011;38:371–82.Google Scholar
Venetis, CA, Papadopoulos, SP, Campo, R, et al. Clinical implications of congenital uterine anomalies: a meta-analysis of comparative studies. Reprod Biomed Online 2014;29:665–83.CrossRefGoogle ScholarPubMed
Grimbizis, GF, Gordts, S, Di Spiezio Sardo, A, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod 2013;28:2032–44.Google Scholar
Grimbizis, GF, Di Spiezio Sardo, A, Saravelos, SH, et al. The Thessaloniki ESHRE/ESGE consensus on diagnosis of female genital anomalies. Hum Reprod 2016;31:2–7.Google Scholar
Acien, P, Acien, MI. The history of female genital tract malformation classifications and proposal of an updated system. Hum Reprod Update 2011;17:693–705.Google Scholar
Buttram, VC Jr., Gibbons, WE. Mullerian anomalies: a proposed classification (an analysis of 144 cases). Fertil Steril 1979;32:40–6.CrossRefGoogle ScholarPubMed
AFS. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Mullerian anomalies and intrauterine adhesions. Fertil Steril 1988;49:944–55.Google Scholar
Oppelt, P, Renner, SP, Brucker, S, et al. The VCUAM (vagina cervix uterus adnex-associated malformation) classification: a new classification for genital malformations. Fertil Steril 2005;84:1493–7.Google Scholar
Acien, P. Embryological observations on the female genital tract. Hum Reprod 1992;7:437–45.Google Scholar
Ludwin, A, Ludwin, I. Comparison of the ESHRE-ESGE and ASRM classifications of Mullerian duct anomalies in everyday practice. Hum Reprod 2014; 30:569–80.Google ScholarPubMed
Graupera, B, Pascual, MA, Hereter, L, et al. Accuracy of three-dimensional ultrasound compared with magnetic resonance imaging in diagnosis of Mullerian duct anomalies using ESHRE-ESGE consensus on the classification of congenital anomalies of the female genital tract. Ultrasound Obstet Gynecol 2015;46:616–22.Google Scholar
Saravelos, SH, Li, TC. Intra- and inter-observer variability of uterine measurements with three-dimensional ultrasound and implications for clinical practice. Reprod Biomed Online 2015;31:557–64.Google Scholar
Acien, P, Acien, M. The presentation and management of complex female genital malformations. Hum Reprod Update 2016;22:48–69.Google Scholar
Rikken, JF, Kowalik, CR, Emanuel, MH, et al. Septum resection for women of reproductive age with a septate uterus. Cochrane Database Syst Rev 2017;1:CD008576.Google Scholar

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