DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20201006

Incidence of congenital uterine malformation in fertile female population undergoing laparoscopic tubal ligation at a tertiary care centre, Lucknow, Uttar Pradesh, India: a study of six years

Deepali Srivastava, Sandeepa Srivastava

Abstract


Background: Congenital uterine anomalies are not only uncommon, many are asymptomatic. A uterine malformation is a type of female genital malformation resulting from an abnormal development of the mullerian ducts during embryogenesis. The prevalence of uterine malformation is estimated to be 6.7% in general population.

Methods: This study has included 2423 women who attended family planning OPD in KGMU for purpose of laparoscopic tubal ligation along with general and systemic examination. During the laproscopic ligation procedure the observed uterine anomalies were noted and compared to the data available in the existing medical literature.

Results: Out of 2423 females included in this study during 2011-2016, 104 (4.29%) females were diagnosed with uterine anomalies. The Commonest uterine anomaly was arcuate uterus which was seen in 77 patients. (3.1%). Uni-cornuate uterus was seen in 19 patients (0.8%) and bi-cornuate uterus was seen in 9 patients (0.3%). 3 out of these were uni-cornuate uterus with rudimentary horn.

Conclusions: Though the congenital uterine malformations are frequent findings in infertile patients but few malformations like uni-cornuate uterus, arcuate uterus and bicornuate uterus are although rare but seen in fertile females, showing their lesser impact on pregnancy and its outcome.


Keywords


Congenital uterine malformations, Fertile female, Laparoscopic tubal ligation

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References


Moore KL, Persaud TVN, Torchia MG. The urogenital system. Before we are born: essential of embryology and birth defects, 7th Edn, Philadelphia: Saunders/ Elsevier; 2008:162-189.

Green LK, Harris RE. Uterine anomalies. Frequency of diagnosis and associated obstetric complications. Obstet Gynecol. 1976;47:427-9.

Rock JA, Murphy AA. Anatomic abnormalities. Clin Obstet Gynecol. 1986;29:886-911.

Acien P. Reproductive performance of women with uterine malformations. Hum Reprod. 1993;8:122-6.

Raga F, Bauset C, Remohi J, Bonilla-Musoles F, Simon C, Pellicer A. Reproductive impact of congenital mullerian anomalies. Hum Reprod. 1997;12:2277-81.

Tomazevic T, Ban-Frangez H, Ribic-Pucelj M, Premru-Srsen T, Verdenik I. Small uterine septum is an important risk variable for preterm birth. Eur J Obstet Gynecol Reprod Biol. 2007;135:154-7.

Simon C, Martinez L, Pardo F, Tortajada M, Pellicer A. Mullerian defects in women with normal reproductive outcome. Fertil Steril. 1991;56:1192-3.

Saravelos SH, Cocksedge KA, Li TC. Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal. Hum Reprod Update. 2008;14:415-29.

Saravelos SH, Cocksedge KA, Li TC. The pattern of pregnancy loss in women with congenital uterine anomalies and recurrent miscarriage. Reprod Biomed Online. 2010;20:416-22.

Letterie GS. Structural abnormalities and reproductive failure: effective techniques of diagnosis and management. New York: Blackwell Science; 1998.

Braun P, Grau FV, Pons RM, Enguix DP. Is hysterosalpingography able to diagnose all uterine malformations correctly? A retrospective study. Eur J Radiol. 2005;53(2):274-9.

Devi Wold AS, Pham N, Arici A. Anatomic factors in recurrent pregnancy loss. Seminars in Reprod Med. 2006;24(1):25-32.

Buttram VC, Gibbons WE. Mullerian anomalies: a proposed classification. Fertil Steril. 1979;32:40-6.

The American Fertility Society. The American Fertility Society classiļ¬cations of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Mullerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49:944-55.

Nahum GG. Uterine anomalies. How common are they, and what is their distribution among subtypes? J Reprod Med. 1998;43:877-87.

Grimbizis GF, Camus M, Tarlatzis BC, Bontis JN, Devroey P. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update. 2001;7:161-74.

Saravelos SH, Cocksedge KA, Li TC. The pattern of pregnancy loss in women with congenital uterine anomalies and recurrent miscarriage. Reprod Biomed Online. 2010;20:416-22.

Saovetrs SN, Cocksedge KA, Li T. Prevalence and diagnosis of congenital uterine anomalies in woman with reproductive failure: a critical appraisal. Human Reprod Update. 2008;14c5:415-29.

Chan YY, Jayaprakasan K, Tan A, Thornton JG, Coomarasamy A, Raine-Fennin NJ. Reproductive outcomes in women with congenital uterine anomalies: a systematic review. Ultrasound Obstet Gynecol. 2011;38:371-82.