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Lee and Ku: Diagnosis and current treatment of Müllerian duct anomaly
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Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(3): 132-139.

Published online: 16 March 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.3.132

Diagnosis and current treatment of Müllerian duct anomaly

Hye Jun Lee, MD1, Seung-Yup Ku, MD, PhD1, 2

1Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.

2Institute of Reproductive Medicine and Population, Seoul National University, Seoul, Korea.

Corresponding author: Seung-Yup Ku, MD, PhD. Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 28 Yeongeon-dong, Jongno-gu, Seoul 110-744, Korea. Tel: +82-2-2072-1971, Fax: +82-2-762-3599, jyhsyk@snu.ac.kr

Received 8 October 2010       Revised 22 December 2010       Accepted 19 January 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This is a comprehensive overview that comprises embryology, diagnosis, classification and treatment of Müllerian duct anomaly. Despite its ill effect on obstetric outcomes, a large number of patients remain undetected. Recently the roles of magnetic resonance imaging and 3D ultrasound in diagnosis are highlighted in addition to conventional ultrasound and hysterosalpingography, etc. Corrective surgery, especially for septate uterus, is proven to have dramatic effects on obstetric prognosis, therefore accurate diagnosis and proper management cannot be overemphasized in Müllerian duct anomaly.

Keywords: Müllerian duct anomaly, Diagnosis, Treatment

Figures and Tables

Fig. 1
American Society for Reproductive Medicine classification system for Müllerian fusion/absorption abnormalities (From Fertil Steril 1988;49:944-55, with permission from Elsevier) [18]. DES, diethylstilbestrol.
kjog-54-132-g001
Table 1
Diagnostic methods for the Müllerian anomalies (Reprinted from Jeon, et al. Korean J Obstet Gynecol 2010;53:626-32 [12].)
kjog-54-132-i001
Table 2
Comparison of reproductive outcome before and after hysteroscopic metroplasty for the septate uterus in selected series (From Fedele, et al. Clin Obstet Gynecol 2006;49:767-88, with permission from Lippincott Williams & Wilkins, Inc) [56]
kjog-54-132-i002

NR, not rated.

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