title: Difference in reproductive performance between two subtypes of bicornuate uterus.
abstract: We compared reproductive outcome in patients with two subtypes of bicornuate uterus who underwent a Strassmann metroplasty procedure.
  
  
  
  Eleven patients diagnosed using the R-AFS definition were divided into partial and complete type, then reproductive outcome following a Strassmann metroplasty was evaluated.
  
  
  
  All four patients with the partial type anomaly conceived and achieved a live birth, while none of the seven with the complete type anomaly were able to conceive.
  
  
  
  Patients with the partial type of bicornuate uterus showed a favorable prognosis after a Strassmann metroplasty. Conversely, those with the complete type should be treated as uterus didelphis, and not undergo a metroplasty.
authors.affiliation: Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, 2-7-14 Shimotakatsu, Tsuchiura, Ibaraki, 300-8585, Japan. nishidamasato@mac.com.
authors.forename: Masato
authors.initials: M
authors.lastname: Nishida
authors.affiliation: Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, 2-7-14 Shimotakatsu, Tsuchiura, Ibaraki, 300-8585, Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Otsubo
authors.affiliation: Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, 2-7-14 Shimotakatsu, Tsuchiura, Ibaraki, 300-8585, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Arai
authors.affiliation: Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, 2-7-14 Shimotakatsu, Tsuchiura, Ibaraki, 300-8585, Japan.
authors.forename: Ryota
authors.initials: R
authors.lastname: Ichikawa
authors.affiliation: Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, 2-7-14 Shimotakatsu, Tsuchiura, Ibaraki, 300-8585, Japan.
authors.forename: Miyako
authors.initials: M
authors.lastname: Sakanaka
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D050498:Live Birth; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014564:Urogenital Abnormalities; D014591:Uterine Diseases / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*
keywords: Bicornuate uterus; Fertility; Metroplasty; Uterine anomaly; Uterus didelphis