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Comparison of the ESHRE-ESGE and ASRM classifications of Müllerian duct anomalies in everyday practice.

Ludwin A, Ludwin I - Hum. Reprod. (2014)

Bottom Line: The percentages of all congenital malformations and results of the differentiation between the anomaly and norm were obtained after excluding the confounding original ESHRE-ESGE criterion of dysmorphic uterus (internal indentation <50% uterine wall thickness).K/ZDS/003821).The authors have no competing interests to declare.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology and Oncology, Jagiellonian University, ul. Kopernika 23, Krakow 31-501, Poland Ludwin & Ludwin Gynecology, Private Medical Center, Krakow 31-511, Poland ludwin@cm-uj.krakow.pl.

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Class U3 or bicorporeal uterus by the ESHRE–ESGE system (external cleft >50% uterine wall thickness). (A–C) Subclass U3c or bicorporeal septate. (D and E) Subclass U3a or partial bicorporeal uterus with (D) septate and (E) double cervix. (F) Subclass U3b or complete bicorporeal uterus with double cervix. Bicorporeal septate uterus included malformations classified by ASRM as (A) class V (septate uterus with <1 cm external cleft), (B and C) class IV (bicornuate uterus), (D and E) uterus without classification (bicornuate with septate cervix) and (F) class III (uterus didelphys).
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DEU344F4: Class U3 or bicorporeal uterus by the ESHRE–ESGE system (external cleft >50% uterine wall thickness). (A–C) Subclass U3c or bicorporeal septate. (D and E) Subclass U3a or partial bicorporeal uterus with (D) septate and (E) double cervix. (F) Subclass U3b or complete bicorporeal uterus with double cervix. Bicorporeal septate uterus included malformations classified by ASRM as (A) class V (septate uterus with <1 cm external cleft), (B and C) class IV (bicornuate uterus), (D and E) uterus without classification (bicornuate with septate cervix) and (F) class III (uterus didelphys).

Mentions: Our results with the ESHRE–ESGE classification suggest that by separating malformations of the corpus uteri, cervix and vagina, this classification system can be more useful than ASRM for cataloguing complex anomalies of the female reproductive system (Fig. 4; Supplementary data, Fig. S1) and transitional cases (Acién et al., 2009). However, more studies such as long-term, multicenter or retrospective studies of rare congenital anomalies (Acién et al., 2004; Fedele et al., 2013; Kisu et al., 2014) are required to verify this.Figure 4


Comparison of the ESHRE-ESGE and ASRM classifications of Müllerian duct anomalies in everyday practice.

Ludwin A, Ludwin I - Hum. Reprod. (2014)

Class U3 or bicorporeal uterus by the ESHRE–ESGE system (external cleft >50% uterine wall thickness). (A–C) Subclass U3c or bicorporeal septate. (D and E) Subclass U3a or partial bicorporeal uterus with (D) septate and (E) double cervix. (F) Subclass U3b or complete bicorporeal uterus with double cervix. Bicorporeal septate uterus included malformations classified by ASRM as (A) class V (septate uterus with <1 cm external cleft), (B and C) class IV (bicornuate uterus), (D and E) uterus without classification (bicornuate with septate cervix) and (F) class III (uterus didelphys).
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4325671&req=5

DEU344F4: Class U3 or bicorporeal uterus by the ESHRE–ESGE system (external cleft >50% uterine wall thickness). (A–C) Subclass U3c or bicorporeal septate. (D and E) Subclass U3a or partial bicorporeal uterus with (D) septate and (E) double cervix. (F) Subclass U3b or complete bicorporeal uterus with double cervix. Bicorporeal septate uterus included malformations classified by ASRM as (A) class V (septate uterus with <1 cm external cleft), (B and C) class IV (bicornuate uterus), (D and E) uterus without classification (bicornuate with septate cervix) and (F) class III (uterus didelphys).
Mentions: Our results with the ESHRE–ESGE classification suggest that by separating malformations of the corpus uteri, cervix and vagina, this classification system can be more useful than ASRM for cataloguing complex anomalies of the female reproductive system (Fig. 4; Supplementary data, Fig. S1) and transitional cases (Acién et al., 2009). However, more studies such as long-term, multicenter or retrospective studies of rare congenital anomalies (Acién et al., 2004; Fedele et al., 2013; Kisu et al., 2014) are required to verify this.Figure 4

Bottom Line: The percentages of all congenital malformations and results of the differentiation between the anomaly and norm were obtained after excluding the confounding original ESHRE-ESGE criterion of dysmorphic uterus (internal indentation <50% uterine wall thickness).K/ZDS/003821).The authors have no competing interests to declare.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology and Oncology, Jagiellonian University, ul. Kopernika 23, Krakow 31-501, Poland Ludwin & Ludwin Gynecology, Private Medical Center, Krakow 31-511, Poland ludwin@cm-uj.krakow.pl.

Show MeSH
Related in: MedlinePlus