Can congenital uterine malformation be treated?

Some women often worry about their congenital uterine malformations, fearing that it will affect their future pregnancy problems. In fact, congenital uterine malformations are quite common. For some people, uterine malformations will affect future conception, while for others, it will basically have no effect on uterine conception. Moreover, if uterine malformation occurs, it can be corrected if active treatment is carried out.

Uterine anastomosis

Except for those with bicornuate uterus and recurrent miscarriage, other causes of miscarriage not caused by uterine malformation can be treated with uterine anastomosis. A horizontal incision is made from one uterine horn to the opposite uterine horn and the uterine cavity is cut into. If there is a septum, it should be removed. The incision can be sutured longitudinally with absorbable sutures in the seromuscular layer without passing through the endometrial layer. The apexes of the incisions on both sides of the uterine horns are brought together to form a longitudinal suture so that the corrected uterus has a complete uterine cavity. If the distance between the two sides of the uterine cavity is far, a "V"-shaped incision can be made at the fundus of the uterus and the suturing method is the same as above.

Uterine septum resection

It can be done through abdominal surgery or surgery. At present, many domestic hospitals adopt the method of removing the uterine septum under monitored supervision, which improves the safety of the operation and achieves a success rate of about 75%. The operation should be performed 5 to 10 days after menstruation, using 5% glucose as the uterine distension fluid and laser or electric knife resection, with the uterine septum cut open from bottom to top. To prevent postoperative intrauterine adhesions, an IUD can be inserted. The recurrent miscarriage rate after surgery is reduced, and the full-term pregnancy rate and delivery rate are increased.

Rudimentary horn hysterectomy

In cases of rudimentary horn pregnancy, rudimentary horn of uterus with functional endometrium causing menstrual blood retention, and those diagnosed with rudimentary horn of uterus during the non-pregnancy period, a rudimentary horn of uterus must be removed, and the fallopian tube on the same side must be removed at the same time to avoid ectopic pregnancy in the future. After the above corrective surgery, contraception must be continued for more than one year before pregnancy can be achieved, and cesarean section is the preferred method of delivery.

For congenital uterine malformations, symptomatic treatment can be carried out through the three surgical methods mentioned above. Generally speaking, the effects are very good, so people with congenital uterine malformations do not have to worry too much. As long as they can actively treat it, they can give birth to new life just like a normal uterus.