Congenital utero-vaginal anomalies
Updates to Article Attributes
Body
was changed:
There are many classification systems for congenital utero-vaginal anomalies. These include
- Buttram and Gibbons classification 2
- American Fertility Society (AFS) classification
- modified Rock and Adam - AFS classification
Modified Rock and Adam - AFS classification
This classification divides congenital uterine anomalies into four main types:
-
class I - dysgenesis ofMüllerian ducts
- includes agenesis or hypoplasia of themüllerian duct derivatives: the uterus andupper two-thirds of the vagina
- the most commonform is the Mayer-Rokitansky-Kuster-Hauser syndrome - is combinedagenesisof the uterus, cervix, and upper portion of thevagina
-
class II - disorders of vertical fusion
- these anomalies are due to failure of fusion of the müllerian system with the sinovaginal bulb
- they include cervical dysgenesis and obstructive and nonobstructive transverse vaginal septa
-
class III- disorders of lateralfusion
- describes anomalies that result in a duplicated orpartially duplicated reproductivetract
- these disorders are due to impaired fusionand / or septal resorption of fusing Müllerian ducts attempting to formtheuterus, cervix, and upper vagina
- it includesanomalies due to failure of fusion of the paired müllerian ducts (as in didelphicand bicornuate uteri) and failure of midlineseptum resorption after fusion (as in septate uterus)
- disorders due tolateralfusion defects are further subclassified into
- a- symmetric non-obstructive forms seen in five types: unicornuate, bicornuate, didelphic, septate, and DES-related uteri
- b - asymmetric obstructive forms seen in three types: unicornuate uterus with obstructed horn, double uterus with unilaterallyobstructed horn, and double uterus with unilaterally obstructed vagina
- class IV - unusual configurations and combinations of defects
-</li>-<li>American Fertility Society (AFS) classification</li>-<li>modified Rock and Adam - AFS classification</li>- +</li>
- +<li>American Fertility Society (AFS) classification</li>
- +<li>modified Rock and Adam - AFS classification</li>
-<li>-<strong>class I</strong> - dysgenesis of-Müllerian ducts<ul>-<li>includes agenesis or hypoplasia of the-müllerian duct derivatives: the uterus and- upper two-thirds of the vagina</li>-<li>the most common-form is the <a href="/articles/mayer-rokitansky-kuster-hauser-syndrome" title="Mayer-Rokitansky-Küster-Hauser syndrome">Mayer-Rokitansky-Kuster-Hauser syndrome</a> - is combined-agenesis- of the uterus, cervix, and upper portion of the-vagina</li>- +<li>
- +<strong>class I</strong> - dysgenesis of Müllerian ducts<ul>
- +<li>includes agenesis or hypoplasia of the müllerian duct derivatives: the uterus and upper two-thirds of the vagina</li>
- +<li>the most common form is the <a href="/articles/mayer-rokitansky-kuster-hauser-syndrome">Mayer-Rokitansky-Kuster-Hauser syndrome</a> - is combined agenesis of the uterus, cervix, and upper portion of the vagina</li>
-</li>-<li>- +</li>
- +<li>
-<li>these anomalies are due to failure of fusion of the müllerian system with the sinovaginal bulb</li>-<li>they include cervical dysgenesis and obstructive and nonobstructive <a href="/articles/transverse-vaginal-septa" title="transverse vaginal septa">transverse vaginal septa</a>-</li>- +<li>these anomalies are due to failure of fusion of the müllerian system with the sinovaginal bulb</li>
- +<li>they include cervical dysgenesis and obstructive and nonobstructive <a href="/articles/transverse-vaginal-septa">transverse vaginal septa</a>
- +</li>
-</li>-<li>-<strong>class III </strong>- disorders of lateral- fusion<ul>-<li>describes anomalies that result in a duplicated or-partially duplicated reproductive- tract</li>-<li>these disorders are due to impaired fusion-and / or septal resorption of fusing Müllerian ducts attempting to form-the- uterus, cervix, and upper vagina</li>-<li>it includes-anomalies due to failure of fusion of the paired müllerian ducts (as in-<a href="/articles/uterus_didelphys" title="Didelphic uterus">didelphic</a>- and <a href="/articles/bicornuate_uterus" title="Bicornuate uterus">bicornuate</a> uteri) and failure of midline-septum resorption after fusion (as in <a href="/articles/septate-uterus" title="Septate uterus">septate uterus</a>)</li>-<li>disorders due to-lateral- fusion defects are further subclassified into <ul>-<li>-<strong>a </strong>- symmetric <strong>non-obstructive forms</strong> seen in five types: unicornuate, bicornuate, didelphic, septate, and DES-related uteri</li>-<li>-<strong>b</strong> - asymmetric <strong>obstructive forms</strong> seen in three types: unicornuate uterus with obstructed horn, double uterus with unilaterally- obstructed horn, and double uterus with unilaterally obstructed vagina</li>- +</li>
- +<li>
- +<strong>class III </strong>- disorders of lateral fusion<ul>
- +<li>describes anomalies that result in a duplicated or partially duplicated reproductive tract</li>
- +<li>these disorders are due to impaired fusion and / or septal resorption of fusing Müllerian ducts attempting to form the uterus, cervix, and upper vagina</li>
- +<li>it includes anomalies due to failure of fusion of the paired müllerian ducts (as in <a href="/articles/uterus-didelphys">didelphic</a> and <a href="/articles/bicornuate-uterus">bicornuate</a> uteri) and failure of midline septum resorption after fusion (as in <a href="/articles/septate-uterus">septate uterus</a>)</li>
- +<li>disorders due to lateral fusion defects are further subclassified into <ul>
- +<li>
- +<strong>a </strong>- symmetric <strong>non-obstructive forms</strong> seen in five types: unicornuate, bicornuate, didelphic, septate, and DES-related uteri</li>
- +<li>
- +<strong>b</strong> - asymmetric <strong>obstructive forms</strong> seen in three types: unicornuate uterus with obstructed horn, double uterus with unilaterally obstructed horn, and double uterus with unilaterally obstructed vagina</li>
-</li>- +</li>
-</li>-<li>-<strong>class IV</strong> - unusual configurations and combinations of defects</li>- +</li>
- +<li>
- +<strong>class IV</strong> - unusual configurations and combinations of defects</li>
Images Changes:
Image 1 CT (C+ portal venous phase) ( create )
Unable to process the form. Check for errors and try again.