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congenital uterine anomalies

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by

Mostafa Youniss

on 3 April 2013

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Transcript of congenital uterine anomalies

we can make diagnosis with investigations is the corner stone of diagnosis what about then i don't have choice except Soooooooooooooo clinical examination hysteroscopy?? laparoscope congenital uterine anomalies welcome in we will tell you incidence embryology classification diagnosis treatment let's gooooooooooooooo Congenital malformations of the uterus are not rare; they affect as much as 7% of women. and increasing in general population 6.7% in the infertile population in the RM population 7.3% 16.7% AFS classification Class I Müllerian agenesis (hypoplasia) it may be vaginal cervical fundal tubal combined or or or or and it's due to Failure of development of the mullerian ducts Class II Unicornuate uterus and it may be one of the following forms communicaing non
communicating no cavity no horn or or or and it may be due to unilateral Arrested Development Of The Mularian Duct Class III diselphys uterus and this type have no subtypes and it's due to Complete Failure of fusion of both mullerian ducts Class IV Bicornuate uterus which may be or partial complete and it's due to incomplete Failure of fusion of both mullerian ducts Class V septate uterus which also may be patial or complete Class VI arcuate uterus and it's due to Total Failure Of Resorption Of The Median Septum and it's due to partial Failure Of Resorption Of The Median Septum usually ,,,, only septate uterus that may need treatment surgical repair of other types usually give no benfit septate uterus is usually treated with hysteroscopic metroplasty it's widely replaced abdominal metroplasty nowdays investigations usually clinical examination gives suggesting information which can't give full diagnosis but still it's important you may find sympotoms just like .pain
.amenorrhea
.infertility
.and
.recurrent pregnancy loss which is totaly non specific but local examination even without speculum may show double vagina which is highly suggestive for didelphys uterus Hysterosalpingography (HSG) which means
a radiologic procedure to investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes normal cases appears like this unicornate uterus is easly diagnosed with HSG bicornate alsoooooooo and septaaaaaaaaate Stop my lord you have lost a lot look back how could you deffrentiate between this and this not just this look here what if it's didelphys uterus ????? what about using 2D ultrasound this is normal but can it give us good details about anomalies????????????? Answer is nooooooooooooo it shows you images like this just 2 cavities and you who have to deffrentiate ok ok oooook this time i'm introducing Guaranteed mthod for diagnosis an ultrasound-based diagnostic imaging technique used for visualizing subcutaneous body structures is the inspection of the uterine cavity by endoscopy with access through the cervix it's highly diagnostic method you see every thing live with eyes photos is almost shouting
"this is Diagnosiiiiiiiiiiiiiiiiiiiiiiiiiiiis" this is normal hysteroscopy and unicornaaaaate and this is septate and finally bicornate hahhhhhhhhhhhhhhhhhhh i can't stop laughing back again, please what is this ????????? how can you deffrentiate??????? and laparoscopy is: an operation performed in the abdomen or pelvis through small incisions (usually 0.5–1.5 cm) with the aid of a camera and it can easly deffrentiate between bicornate septate and look this is septate and this is bicornate clearly different it (laparoscopy) shows unicornate uterus clearly also look >>>> it's clear Sir,I really appretiate your efforts but tell me how could you deffrentiate between normal and septate bicornate and didelphys it's widely similar by hysteroscope we can use both hysteroscope and laparoscopy in compination i mean versus not against objection it's -invasive technique
-expensive too
-and complicated not logic to do so for every diagnosis oooooooooookey ,,,,, it's my last card i have now to use it now it's 3D Ultrasound this is normal and unicornate septaaaaaaaaate bicornate too and it's non invasive not expensive easy technique and some uses CT, MRI BUT it's much expensive and less diagnostic than
3D ultrasound welcome welcome welcome
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