Resumo

JARA-VELEZ, Carlos Alberto; RENGIFO-CRUZ, José Manuel  e  ARANGO-MARTINEZ, Adriana. Muller ducts abnormalities, prevalence at the Medellín General Hospital (2000-2005). Rev Colomb Obstet Ginecol [online]. 2006, vol.57, n.2, pp.82-87. ISSN 0034-7434.

Objectives: Determining the prevalence and clinical characteristics of patients with Müllerian malformations consulting a third-level hospital. Methodology: A cross-sectional study of patients diagnosed with Müllerian malformations at the Medellín General Hospital between 2000 and 2005. Results: 39 out of 1,450 patients who consulted the urgency or external gynaecological services or were hospitalised fulfilled the inclusion criteria (i.e. 2.6% prevalence). The most frequent malformations were vaginal agenesis, bicornuate uterus and vaginal partition. The most common symptoms were pelvic pain (18.7%) and amenorrhoea (14%). Transvaginal echography was the main diagnostic aid in these patients (48.7%). 38.5% of the patients received surgical treatment: neovaginal surgery, hymenoplasty, vaginal partition resection, hysteroscopy, correction during Caesarean section. Urinary infection was the most frequent complication (7.7%). 41% required up to 4 days&#; hospitalization. Conclusions: The prevalence of Müllerian malformation was 2.6%, the most frequent alterations being bicornuate uterus, agenesis and vaginal partition. Chronic pelvic pain and amenorrhoea were the most common reasons for consultation and required complementary studies for discarding this pathology.

Palavras-chave : Müller conduits; anomaly; prevalence; signs and symptoms.

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