Reproductive Outcome of the Patients with Uterus Unicornis: Five Year Experience in a Tertiary Center
Aim: The aim is to evaluate the pregnancy outcomes of patients with uterus unicornis for 5-year experience in a tertiary center. Material & Method: Twenty patients with uterus unicornis who were diagnosed with hysterosalpingography and/or 3D TVUSG between 2017 and 2021 and then confirmed wi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Vilnius University Press
2022-11-01
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| Series: | Acta Medica Lituanica |
| Subjects: | |
| Online Access: | https://www.zurnalai.vu.lt/AML/article/view/27865 |
| _version_ | 1811179682878455808 |
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| author | Sule Atalay Mert Berna Dilbaz Ece Sevin Cukurova Caner Kose Yaprak Engin Ustun |
| author_facet | Sule Atalay Mert Berna Dilbaz Ece Sevin Cukurova Caner Kose Yaprak Engin Ustun |
| author_sort | Sule Atalay Mert |
| collection | DOAJ |
| description |
Aim: The aim is to evaluate the pregnancy outcomes of patients with uterus unicornis for 5-year experience in a tertiary center.
Material & Method: Twenty patients with uterus unicornis who were diagnosed with hysterosalpingography and/or 3D TVUSG between 2017 and 2021 and then confirmed with laparoscopy and simultaneous hysteroscopy were recruited for this retrospective study. The reproductive outcome and obstetric complications of the patients were followed up for two years postoperative period.
Results: Overall 20 patients who fulfilled the inclusion criterion were recruited for the study. The mean age was 28.65±5.03 years. Thirteen patients (65%) had primary infertility while the remaining seven had secondary infertility with two of them having a previous ectopic pregnancy. Rudimentary communicating uterine horn was observed in 7 (35%) of the patients. The horns were excised during laparoscopy. Overall, 14 (70%) pregnancies were achieved during the 2 years follow-up period. Twelve (85.7%) patients had a live birth, (71.4% term delivery, 21.4% preterm delivery), and two had a first-trimester spontaneous abortion (15.3%). Six (50%) of 12 patients who had a live birth received tocolytics for preterm labor.
Conclusion: Unicorn uterus is a rare anomaly diagnosed mostly during infertility work-out and might be related to the poor obstetric outcome, but early diagnosis is important for successful pregnancy results for preterm delivery especially in the secondary infertile group. In addition, rudimentary horn excision is recommended due to the high risk of obstetric complications.
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| first_indexed | 2024-04-11T06:38:46Z |
| format | Article |
| id | doaj.art-f6b04777279b4709b337abb1d7221a54 |
| institution | Directory Open Access Journal |
| issn | 1392-0138 2029-4174 |
| language | English |
| last_indexed | 2024-04-11T06:38:46Z |
| publishDate | 2022-11-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Acta Medica Lituanica |
| spelling | doaj.art-f6b04777279b4709b337abb1d7221a542022-12-22T04:39:37ZengVilnius University PressActa Medica Lituanica1392-01382029-41742022-11-0129210.15388/Amed.2022.29.2.14Reproductive Outcome of the Patients with Uterus Unicornis: Five Year Experience in a Tertiary CenterSule Atalay Mert0Berna Dilbaz1Ece Sevin Cukurova2Caner Kose3Yaprak Engin Ustun4University of Health Sciences, Etlik Zubeyde Hanim Women's Health, Training and Research Hospital, Department of Reproductive Endocrinology and IVF, Ankara, TurkeyUniversity of Health Sciences, Etlik Zubeyde Hanim Women's Health, Training and Research Hospital, Department of Reproductive Endocrinology and IVF, Ankara, TurkeyUniversity of Health Sciences, Etlik Zubeyde Hanim Women's Health, Training and Research Hospital, Department of Reproductive Endocrinology and IVF, Ankara, TurkeyUniversity of Health Sciences, Etlik Zubeyde Hanim Women's Health, Training and Research Hospital, Department of Reproductive Endocrinology and IVF, Ankara, TurkeyUniversity of Health Sciences, Etlik Zubeyde Hanim Women's Health, Training and Research Hospital, Department of Reproductive Endocrinology and IVF, Ankara, Turkey Aim: The aim is to evaluate the pregnancy outcomes of patients with uterus unicornis for 5-year experience in a tertiary center. Material & Method: Twenty patients with uterus unicornis who were diagnosed with hysterosalpingography and/or 3D TVUSG between 2017 and 2021 and then confirmed with laparoscopy and simultaneous hysteroscopy were recruited for this retrospective study. The reproductive outcome and obstetric complications of the patients were followed up for two years postoperative period. Results: Overall 20 patients who fulfilled the inclusion criterion were recruited for the study. The mean age was 28.65±5.03 years. Thirteen patients (65%) had primary infertility while the remaining seven had secondary infertility with two of them having a previous ectopic pregnancy. Rudimentary communicating uterine horn was observed in 7 (35%) of the patients. The horns were excised during laparoscopy. Overall, 14 (70%) pregnancies were achieved during the 2 years follow-up period. Twelve (85.7%) patients had a live birth, (71.4% term delivery, 21.4% preterm delivery), and two had a first-trimester spontaneous abortion (15.3%). Six (50%) of 12 patients who had a live birth received tocolytics for preterm labor. Conclusion: Unicorn uterus is a rare anomaly diagnosed mostly during infertility work-out and might be related to the poor obstetric outcome, but early diagnosis is important for successful pregnancy results for preterm delivery especially in the secondary infertile group. In addition, rudimentary horn excision is recommended due to the high risk of obstetric complications. https://www.zurnalai.vu.lt/AML/article/view/27865Müllerian malformationslaparoscopic surgeryhysteroscopyrudimentary hornuterus unicornis |
| spellingShingle | Sule Atalay Mert Berna Dilbaz Ece Sevin Cukurova Caner Kose Yaprak Engin Ustun Reproductive Outcome of the Patients with Uterus Unicornis: Five Year Experience in a Tertiary Center Acta Medica Lituanica Müllerian malformations laparoscopic surgery hysteroscopy rudimentary horn uterus unicornis |
| title | Reproductive Outcome of the Patients with Uterus Unicornis: Five Year Experience in a Tertiary Center |
| title_full | Reproductive Outcome of the Patients with Uterus Unicornis: Five Year Experience in a Tertiary Center |
| title_fullStr | Reproductive Outcome of the Patients with Uterus Unicornis: Five Year Experience in a Tertiary Center |
| title_full_unstemmed | Reproductive Outcome of the Patients with Uterus Unicornis: Five Year Experience in a Tertiary Center |
| title_short | Reproductive Outcome of the Patients with Uterus Unicornis: Five Year Experience in a Tertiary Center |
| title_sort | reproductive outcome of the patients with uterus unicornis five year experience in a tertiary center |
| topic | Müllerian malformations laparoscopic surgery hysteroscopy rudimentary horn uterus unicornis |
| url | https://www.zurnalai.vu.lt/AML/article/view/27865 |
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