The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Surabhi Tomar - One of the best experts on this subject based on the ideXlab platform.
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Bicornuate Uterus: Infertility Treatment and Pregnancy Continuation without
2016Co-Authors: Meenal Parmar, Surabhi TomarAbstract:Introduction: Uterine malformation in general population is around 7 %- 8%. Abnormal fusion of the para-mesonephric duct (mullerian duct) during embryonic life results in a variety of congeni-tal uterine malformations, such as Uterus didelphys, Uterus bicornis bicollis, Uterus bicornis uni-collis, Uterus subseptae, Uterus arcuatus, Uterus unicornis. The bicornuate Uterus accounts for approximately 10 % of the mullerian anomalies. Women with bicornuate Uterus have no extr
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bicornuate Uterus infertility treatment and pregnancy continuation without cerclage an unusual case
Open Journal of Obstetrics and Gynecology, 2014Co-Authors: Meenal Parmar, Surabhi TomarAbstract:Introduction: Uterine malformation in general population is around 7% - 8%. Abnormal fusion of the para-mesonephric duct (mullerian duct) during embryonic life results in a variety of congenital uterine malformations, such as Uterus didelphys, Uterus bicornis bicollis, Uterus bicornis unicollis, Uterus subseptae, Uterus arcuatus, Uterus unicornis. The bicornuate Uterus accounts for approximately 10% of the mullerian anomalies. Women with bicornuate Uterus have no extra uterine infertility issues. The uterine malformations are known to be associated with spontaneous miscarriages, intrauterine growth restriction, preterm deliveries, preterm prelabour rupture of membranes, breech presentation and increased rate of caesarean delivery. The rates of spontaneous abortion and premature delivery have been reported to reflect the degree of non fusion of the horns. The common complications and adverse reproductive outcomes associated with bicornuate Uterus are recurrent pregnancy loss (25%), preterm birth (15% - 25%) and cervical insufficiency (38%). We reported a case of bicornuate unicollis pregnancy which was infertility treated and carried till 38 weeks and had a good outcome. Case Report: A 32-year-old nullipara presented to Infertility OPD at NIMS Medical College and Hospital with the chief complaint of inability to conceive in spite of having regular sexual intercourse for 12 years without using any contraception. Patient was then investigated, bicornuate Uterus identified. Infertility treatment was done by Intrauterine Insemination (IUI). Patient conceived and pregnancy continued till term uneventfully. Discussion: The prevalence of uterine anomalies is 7% - 8%. And now because of better availability of diagnostic modalities, better detection of such anomalies is possible. Bicornuate Uterus is a congenital uterine anomaly that results from defective lateral fusion of the paramesonephric ducts at about the tenth week of intrauterine life around the fundus. A bicornuate Uterus consists of two symmetric cornua that are fused caudad, with communication of the endometrial cavities—most often at the level of the uterine isthmus. In a partial bicornuate unicollis Uterus the intervening cleft is of variable length. Bicornuate Uterus has been reported to have the highest prevalence of cervical incompetence among mullerian anomalies. Prophylactic placement of cervical cerclage in selected patients has been reported to increase fetal survival rates.
Zou Kunxiang - One of the best experts on this subject based on the ideXlab platform.
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the clinical analysis of b sonography diagnosis of Uterus myoma
Journal of Gannan Medical University, 2011Co-Authors: Zou KunxiangAbstract:Objective:To discuss the clinical value of B-sonography diagnosis of Uterus myoma.Method:Analyzing 96 cases with Uterus myoma by B-sonography,with the combination of surgery and pathological diagnosis.Result:In the 96 cases diagnosed by B-sonography with Uterus myoma,92 cases were proved with the disease after the surgery and the pathology verifier.The the accuracy rate of diagnosis was 95.8%.Conclusion: B-sonography diagnosis of Uterus myoma is to be performed,no wound,no pain,the detection accuracy rate is high.It is easy to make a follow-up visit and reexamination.The timely treatment can be done for the patients with strict operative indications.However,B-ultrasound diagnosis for Uterus myoma also has certain error diagnostic rate and careful efforts should be made to reduce the mis-diagnosis.
Meenal Parmar - One of the best experts on this subject based on the ideXlab platform.
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Bicornuate Uterus: Infertility Treatment and Pregnancy Continuation without
2016Co-Authors: Meenal Parmar, Surabhi TomarAbstract:Introduction: Uterine malformation in general population is around 7 %- 8%. Abnormal fusion of the para-mesonephric duct (mullerian duct) during embryonic life results in a variety of congeni-tal uterine malformations, such as Uterus didelphys, Uterus bicornis bicollis, Uterus bicornis uni-collis, Uterus subseptae, Uterus arcuatus, Uterus unicornis. The bicornuate Uterus accounts for approximately 10 % of the mullerian anomalies. Women with bicornuate Uterus have no extr
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bicornuate Uterus infertility treatment and pregnancy continuation without cerclage an unusual case
Open Journal of Obstetrics and Gynecology, 2014Co-Authors: Meenal Parmar, Surabhi TomarAbstract:Introduction: Uterine malformation in general population is around 7% - 8%. Abnormal fusion of the para-mesonephric duct (mullerian duct) during embryonic life results in a variety of congenital uterine malformations, such as Uterus didelphys, Uterus bicornis bicollis, Uterus bicornis unicollis, Uterus subseptae, Uterus arcuatus, Uterus unicornis. The bicornuate Uterus accounts for approximately 10% of the mullerian anomalies. Women with bicornuate Uterus have no extra uterine infertility issues. The uterine malformations are known to be associated with spontaneous miscarriages, intrauterine growth restriction, preterm deliveries, preterm prelabour rupture of membranes, breech presentation and increased rate of caesarean delivery. The rates of spontaneous abortion and premature delivery have been reported to reflect the degree of non fusion of the horns. The common complications and adverse reproductive outcomes associated with bicornuate Uterus are recurrent pregnancy loss (25%), preterm birth (15% - 25%) and cervical insufficiency (38%). We reported a case of bicornuate unicollis pregnancy which was infertility treated and carried till 38 weeks and had a good outcome. Case Report: A 32-year-old nullipara presented to Infertility OPD at NIMS Medical College and Hospital with the chief complaint of inability to conceive in spite of having regular sexual intercourse for 12 years without using any contraception. Patient was then investigated, bicornuate Uterus identified. Infertility treatment was done by Intrauterine Insemination (IUI). Patient conceived and pregnancy continued till term uneventfully. Discussion: The prevalence of uterine anomalies is 7% - 8%. And now because of better availability of diagnostic modalities, better detection of such anomalies is possible. Bicornuate Uterus is a congenital uterine anomaly that results from defective lateral fusion of the paramesonephric ducts at about the tenth week of intrauterine life around the fundus. A bicornuate Uterus consists of two symmetric cornua that are fused caudad, with communication of the endometrial cavities—most often at the level of the uterine isthmus. In a partial bicornuate unicollis Uterus the intervening cleft is of variable length. Bicornuate Uterus has been reported to have the highest prevalence of cervical incompetence among mullerian anomalies. Prophylactic placement of cervical cerclage in selected patients has been reported to increase fetal survival rates.
Toshiro Kubota - One of the best experts on this subject based on the ideXlab platform.
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Unusual Uterus didelphys presenting in the retroperitoneum
Fertility and Sterility, 2008Co-Authors: Naoyuki Yoshiki, Hiroshi Suginami, Toshiro KubotaAbstract:We describe a case of Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis. Magnetic resonance imaging (MRI) demonstrated Uterus didelphys and laparoscopy revealed that an affected Uterus was present in the retroperitoneum.
Claudio Benadiva - One of the best experts on this subject based on the ideXlab platform.
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an unusual anatomic variation of a unicornuate Uterus with normal external uterine morphology
Fertility and Sterility, 2004Co-Authors: Lawrence Engmann, D Schmidt, John Nulsen, Donald Maier, Claudio BenadivaAbstract:Objective To describe a case of a unicornuate Uterus with a normal external uterine morphology. Design Case report. Setting University-based fertility center. Patient(s) A 30-year-old nulligravid woman with a 1-year history of infertility found to have a right proximal tubal occlusion on hysterosalpingogram. Intervention(s) Laparoscopy, hysteroscopy, and magnetic resonance imaging. Main outcome measure(s) External and internal morphology of the Uterus. Result(s) Laparoscopy showed a normal external uterine morphology and normal fallopian tubes and ovaries, but chromopertubation failed to demonstrate a fill and spill from the right fallopian tube. Hysteroscopy showed a single tubular uterine cavity projecting to the left with a single left tubal ostium, consistent with a unicornuate Uterus. Magnetic resonance imaging confirmed a normal external uterine fundal contour and an internal uterine morphology consistent with a unicornuate Uterus. Conclusion(s) This is the first reported case of a unicornuate Uterus presenting with a normal external uterine morphology and an internal morphology consistent with a unicornuate Uterus, and we propose inclusion of this anomaly in the classification of mullerian anomalies.
