By Samantha M. Pfeifer
Bringing jointly the main up to date details on congenital Müllerian anomalies, this complete textual content explores advances in realizing the embryological explanations of those malformations, the platforms used to categorise the various varieties of malformation that could be visible, and the field’s present analysis, evaluate and administration options. Surgical innovations, together with minimally invasive strategies, are defined intimately, with chapters divided into sections: vertical anomalies, reminiscent of imperforate hymen, transverse genital septum, and cervical and Müllerian agenesis; and lateral anomalies, reminiscent of septate, unicornate and bicornate uterus, uterus didelphys and obstructed hemivagina. aimed toward assisting to keep up the longer term reproductive wishes of the sufferer using assisted reproductive applied sciences, this e-book is a superb reference for OB/GYN surgeons and reproductive drugs experts treating either adolescent or grownup sufferers with those congenital malformations.
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Additional info for Congenital Müllerian Anomalies: Diagnosis and Management
Virginity sparing hymenectomy procedure has been proposed which may be preferred in cultures and religious groups in which the integrity of the hymen is important . This technique involves making a vertical incision, <1 cm in the hymen, then after drainage of the hematocolpos, the hymenal edges are then sutured obliquely to form a circular opening. In cases of urinary retention due to hematometrocolpos, urethral catheterization is suggested as the ﬁrst-line treatment . In cases where this is unsuccessful, insertion of a suprapubic catheter can be performed.
Transrectal ultrasonography in the assessment of congenital vaginal canalization defects. Hum Reprod. 1999;14(2):359–62. 43. Riccabonna M. Three Dimensional Ultrasound based virtual cystoscopy of the pediatric urinary bladder: a preliminary report on feasibility and potential value. J Ultrasound Med. 2008;27(10):1453–9. 44. Bermejo C et al. Three-dimensional ultrasound in the diagnosis of Müllerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol. 2010;35(5):593–601.
56. Acien P, Acien M, Sanchez-Ferrer M. Complex malformations of the female genital tract. New types and revision of classiﬁcation. Hum Reprod. 2004;19: 2377–84. 57. Bean EJ et al. Mayer-Rokitansky-Kuster-Hauser syndrome: sexuality, psychological effects, and quality of life. J Pediatr Adolesc Gynecol. 2009;22:339–46. 58. Brännström M et al. First clinical uterus transplantation trial: a six-month report. Fertil Steril. 2014; 101(5):1228–36. Part II Vertical Anomalies 3 Imperforate Hymen Julie Hakim and Jennifer E.
Congenital Müllerian Anomalies: Diagnosis and Management by Samantha M. Pfeifer