Our 10-year experience of variable Müllerian anomalies and its management.
OBJECTIVE
Though the Müllerian duct anomalies are rare in incidence, their variable age, and mode of presentation makes their management difficult.


METHODS
In the last 10 years authors managed 14 patients with different types of Müllerian anomalies. There were eight patients with complete Müllerian agenesis: three of partial Müllerian agenesis, one patient had uterine didelphys with vertical and transverse vaginal septum on left side, one patient had uterine didelphys with cervical agenesis on the right side, one patient had MRKH with anorectal malformation.


RESULTS
Patients with complete Müllerian agenesis underwent bowel vaginoplasty, and patients with partial Müllerian agenesis with hydrocolpos underwent pull-through vaginoplasty. Patient of uterine didelphys one with septum underwent septum excision and in another with cervical agenesis, cervix opened and drain kept. In MRKH with vestibular fistula, fistulous opening was kept as vaginal opening and rectum brought down as a neoanus.


CONCLUSIONS
Müllerian duct anomalies can present in any age group and with variable symptoms. Sigmoid colon vaginoplasty is an excellent procedure for complete or partial Müllerian agenesis. Correct evaluation of these patients and proper management is a challenge.
Mane
Shivaji B
SB
Sir JJ Hospital, Grant Medical College, Mumbai, India.
Shastri
Pankaj
P
Dhende
Nitin P
NP
Obaidah
Abu
A
Acharya
Himanshu
H
Reddy
Suyodhan
S
Arlikar
Jameer
J
Goel
Nitin
N
D000293:Adolescent; D000328:Adult; D000568:Amenorrhea / Q000209:etiology; D001003:Anal Canal / Q000002:abnormalities / Q000601:surgery; D002584:Cervix Uteri / Q000002:abnormalities / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010535:Laparoscopy; D009095:Mullerian Ducts / Q000002:abnormalities*; D016896:Treatment Outcome; D014564:Urogenital Abnormalities / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000601:surgery