[Uterine malformations. Diagnosis, prognosis and treatment].
Malformations of the uterus result from a variety of anomalies during embryogenesis from the 6th to the 17th week of development. Agenesia (not discussed here) should be distinguished from unicornis, pseudo-unicornis, bicornis, bipartitus and communicating uteri (Musset's classification). Such malformations occur in 3 to 4% of all women. Sonography provides the most useful information for diagnosis and should be used as first intention examination together with a work-up to determine extension. In certain cases, hysterography and laparoscopy may be required. Sterility is not increased in women with a malformation of the uterus, but fecundity is reduced due to a high rate of spontaneous abortions (30 to 40%) and premature births (15 to 45%). Obstetrical prognosis in case of a partitioned uterus can be improved by hysteroscopic resection of the partition. Most authors propose endoscopic treatment when a malformation of the uterus is diagnosed during a sterility work-up.
Clinique Gynécologique, Hôpital Saint-André, Bordeaux.
J L
JL
Brun
P
P
Lemoine
D000013:Congenital Abnormalities / Q000000981:diagnostic imaging / Q000196:embryology*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D008297:Male; D011247:Pregnancy; D011379:Prognosis; D016216:Ultrasonography, Prenatal; D014566:Urogenital System / Q000000981:diagnostic imaging / Q000196:embryology; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000196:embryology
Les malformations utérines. Diagnostic, pronostic et traitement.