Uterus Bicornis ve Uterus Duplex: 14 Olgunun Analizi
Abstract
Congenital Müllerian anomalies such as uterus bicornis and uterus duplex arise from incomplete fusion of the paired Müllerian ducts during embryogenesis. These anomalies occur in approximately 1% of women and often coexist with renal malformations. We retrospectively reviewed 14 patients diagnosed and treated between 1968 and 1973 at Ankara University Women’s Hospital. Presentations included primary or secondary infertility (6/14), habitual abortion (4/14), dysmenorrhea or menorrhagia (2/14), pelvic pain (1/14), and incidental discovery during repeat cesarean section (1/14). Four patients underwent Strassman metroplasty for bicornuate uterus, one had uterine septum resection, and one had metroplasty combined with appendectomy. Surgical outcomes were favorable: patients with infertility and habitual abortion achieved subsequent successful pregnancies or normalization of menstrual function; one patient with myoma in a duplex uterus underwent unilateral extirpation; three patients with pain or menorrhagia had abdominal hysterectomy. Our findings support that appropriate surgical correction of uterine fusion anomalies improves reproductive outcomes and symptom relief.
Keywords
Uterus bicornis, Uterus duplex, Müllerian fusion anomaly, Strassman metroplasty, Septum resection
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