This paper is only available as a PDF. To read, Please Download here.
Abstract
From 1973 through 1987, 19 girls with malformation of the urogenital drainage system
were observed, treated, and followed-up. Each had a double uterus: one uterus emptied
into a normally developed vagina; the other either ended blindly (hemihematometra,
8 cases) or led into an atretic vagina (hemihematocolpos, 11 cases). On the non-communicating
side, the kidney and ureter were undeveloped, probably due to nondevelopment of the
mesonephric (wolffian) duct on the affected side. The proper diagnosis (using x-ray,
ultrasonography, and biopsy) is very important for surgical correction. When the hemihematocolpos
was present, establishing a wide communication between the two vaginas was always
sufficient. Extirpation of the uterus in these cases was not the treatment of choice.
In hemihematometra, extirpation of the uterus on the atretic side was required in
three cases. Several patients became pregnant and delivered healthy children.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric and Adolescent GynecologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Über einen seltenen Fall von Uterus bicornis bicollis und Vagina duplex mit Hämatokolpos dextra bei partieller Scheidenatresie und Aplasia Renis dextra.Geburtsh u Frauenheilk. 1972; 32: 225
- Uterus didelphys with an obstructed hemivagina diagnosed by transrectal ultrasonic scanning.Ped Adolesc Gynecol. 1983; 1: 19
- Beitrag zur Symptomatologie der Gynatresia unilateralis bei Uterus duplex und Vagina septa sowie Aplasie der kollateralen Niere und regelmässiger Menstruations aus der kontralateralen Genitalanlage.Geburtsh u Frauenheilk. 1971; 31: 1080
- Haematometrabildung bei Uterus bicornis unilateralis rudimentarius.Zbl Gynäk. 1984; 106: 345
- Klinische Aspekte einer seltenen utero-vaginalen Doppelmissbildung.Zbl Gynak. 1974; 96: 506
- Vaginal adenosis in the vaginal septum of a double genital tract.Ped Adolesc Gynecol. 1983; 1: 197
- Herlyn-Werner- und Wunderlich-Syndrome.Zbl Gynäk. 1979; 101: 1411
- Utérus double associé à une imperforation d’un col à un hèmivagin borgne.Gynécologie. 1984; 35: 43
- Postepowanie diagnos-tycne i operacyjne w wadach rozwojowych zdwojenie macicy i pochwy, z niedrozna, jedna, pochva. V.in: Symposium polonum paedogynaecologorum cum partici-patione internationali. Proc WDL Lódž. 1985: 108
- Seltene Variante einer Genitalimissbildung mit Aplasie der rechten Niere.Zbl Gynäk. 1976; 98: 559
- Das gemeinsame Vorkommen von offener Gartner-Gang-Zyste, gleichseitiger Nierenapla-sie und Uterusdoppelmissbildung als typisches Missbildungssyndrom.Geburtsh u Frauenheilk. 1971; 31: 340
- Genetic studies in incomplete müllerian fusion.Obstet Gynecol. 1984; 63: 276
- The double uterus associated with an obstructed hemivagina and ipsilateral renal agenesis.Am J Obstet Gynecol. 1980; 138: 339
- The uterine reduplication, incomplete vaginal reduplication and unilateral ureteral and renal aplasia syndrome (syndrome of the unilateral non-development of the lower portion of one of the Wolffian mesonephric ducts). IV.in: Symposium polonum pae-dogynecologorum cum participatione internationali. Proc POLFA, Warszawa—Lódž. 1980: 86
- Poruchy somatosexuálního vývoje.in: Hálkova sb 18, Avicenum, Praha. 1973
- Development of Male Genital System and Male Pseudohermaphroditism. Johns Hopkins Press, Baltimore1971
- Teenage endometriosis and congenital abnormality of genital system.Ped Adolesc Gynecol. 1985; 3: 215
- Practical Pediatric and Adolescent Gynecology. Marcel Dekker, New York1980: 73-74
Article info
Identification
Copyright
© 1988 Springer-Verlag New York Inc. Published by Elsevier Inc. All rights reserved.
