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Hysteroscopic Surgery

T or Y Shaped Uterus

Mullerian anomalies are congenital abnormalities which are present in 5% of infertile population and 15% of the patients with recurrent miscarriage. Patients with in utero DES exposure or some unknown aetiologies are likely to have a T-shaped uterus with corneal restriction bands, pretubal bulges, lower uterine segment dilation, and a small and irregular cavity with borders resembling adhesions.

The complications of the T or Y shaped uterus are as follows:
Infertility
Early abortions
Recurrent miscarriages
Recurrent implantation failures
Intrauterine growth retardation
Fetal positioning abnormalities
Preterm labor



Management:Hysteroscopic enlargement of the lateral and upper walls of the uterus
1 month of intrauterine device
Balloon procedure and hormonal treatment
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