Congenital Mullerian Anomalies: Diagnosis and Management-1판

Bringing together the most up-to-date information on congenital Mullerian anomalies, this comprehensive text
explores advances in understanding the embryological causes of these malformations, the systems used to classify
the many types of malformation that may be seen, and the field's current diagnosis, evaluation and management
techniques. Surgical strategies, including minimally invasive techniques, are described in detail, with chapters
divided into two sections: vertical anomalies, such as imperforate hymen, transverse genital septum, and cervical
and Mullerian agenesis; and lateral anomalies, such as septate, unicornate and bicornate uterus, uterus didelphys
and obstructed hemivagina. Aimed at helping to maintain the future reproductive needs of the patient utilizing
assisted reproductive technologies, this book is an excellent reference for OB/GYN surgeons and reproductive
medicine specialists treating both adolescent or adult patients with these congenital malformations.



Part I: Etiology and Diagnosis

1: Mulerian Anomaly Classification Systems
References
2: Diagnostic Approach to M?lerian Anomalies
Introduction
History and Physical Examination
Prepubertal Diagnosis
Clinical Presentation of Obstructed Anomalies
Clinical Presentation of Nonobstructed Anomalies
Postpubertal Diagnosis
Primary Amenorrhea without Abdominal Pain
Amenorrhea and Pelvic Pain
Pelvic Pain Associated with Menstruation
Vaginal Anomalies
Reproductive Complications
Diagnostic Imaging
Transabdominal Ultrasound
Transvaginal Ultrasound
Transperineal Ultrasound
Transrectal Ultrasound
3D Ultrasound
Magnetic Resonance Imaging
Hysterosalpingogram
Diagnosis Disclosure
References

Part II: Vertical Anomalies

3: Imperforate Hymen
Introduction
Incidence
Etiology
Diagnosis
Associated Anomalies
Differential Diagnoses
Treatment
Impact on Fertility and Reproduction
Conclusion
References
4: Transverse Vaginal Septum
Introduction and Incidence
Etiology
Differential Diagnosis
Diagnosis
Presentation
Physical Examination
Treatment
Primary Resection and Anastomosis
Drainage and Suppression of Menstruation
Delayed Anastomosis
Impact on Fertility and Reproduction
References
5: Cervical Agenesis
Definition
Incidence
Etiology
Diagnosis
Differential Diagnosis
Treatment
Removal of Uterus
Uterine Vaginal Anastomosis
Medical Suppression
Associated Vaginal Agenesis
Management Considerations
Impact on Fertility/Reproduction
References
6: Mulerian Agenesis: Diagnosis, Treatment, and Future Fertility
Incidence
Etiology
Differential Diagnosis
Diagnosis
Treatment
Method of Delivering the Diagnosis to Patient
Creation of the Vagina
Vaginal Dilation
Dissection of the Perineal Space
McIndoe Technique
Agents Used to Line the Canal
Davydov Technique
Bowel Vaginoplasty
Vulvovaginal Pouch
Traction on the Retrohymeneal Space
Impact on Fertility and Reproduction
References

Part III: Lateral Anomalies

7: The Septate Uterus
Incidence
Etiology
Differential Diagnosis
Diagnosis (Table 7.1)
Treatment
Indications
Surgical Adjuvants
Abdominal Procedures
Hysteroscopic Procedures
Complications
Postoperative Uterine Cavity Evaluation
Impact on Fertility and Reproduction
Conclusions
References
8: Bicornuate Uterus
Incidence
Etiology
Differential Diagnosis
Diagnosis
Imaging
Treatment
Impact on Fertility/Reproduction
Conclusion
References
9: Uterus Didelphys: Diagnosis, Treatment, and Impact on Fertility and Reproduction
Incidence
Differential Diagnosis
Diagnosis
Treatment
Impact on Fertility and Reproduction
References
10: Unicornuate Uterus
Prevalence
Etiology
Differential Diagnosis
Diagnosis
Therapy
Impact on Fertility/Reproduction
References
11: Noncommunicating Rudimentary Uterine Horns
Incidence
Etiology
Differential Diagnosis
Diagnosis
Treatment
Impact on Fertility and Reproduction
Conclusions
References
12: Obstructed Hemivagina
Incidence
Etiology
Differential Diagnosis
Diagnosis
Treatment
Resection of Vaginal Septum and Marsupialization
Hemihysterectomy with Ipsilateral Hemicolpectomy
Drainage of Hematocolpos
Treatment of Double Uterus and Obstructed Hemivagina with Microperforation
Impact on Fertility
Conclusions
References
Index