(Specify length in cm)
(Specify length in cm)
Degree of Resorption of Adjoining walls (%)
Mesonephric duct remnant
Source of information
Clinical examination / Ultrasonography / Computerized tomography / Magnetic resonance imaging / Hysterosalpingography / Hysteroscopy / Laparoscopy / Laparotomy / Dilatation and Curettage
- The length of concerned part should be specified in centimetres.
- Distinction is not made between atresia of cervix and presence of cervix in the form of a fibrous band, fragments, and some lumen in a small part.
- Degree of resorption of adjacent walls (degree of lateral fusion) is indicated as a percentage of the total length, as in case of a longitudinal septum in the uterus or vagina, and degree of separation of the two horns.
- If a particular organ is not mentioned, then it is normal, e.g. if only two horns of the uterus are mentioned and the cervix is not mentioned, then the cervix is single and normal.
- The column on ‘remarks’ is for making entries not covered in the previous part, such as shape of the uterine cavity (T-shaped, arcuate), thickness of a septum, location of rudimentary horns etc. These entries are made in the chart and also in parentheses at the end of the final class.
- Malformations present in a given patient are charted, and then written in sequence with dashes in between.
- Any complications are written in the column on remarks, and in parentheses at the end of the final class, e.g. pelvic endometriosis.
- A number of syndromes are associated with malformations of the female genital tract. If a syndrome is diagnosed, it is stated in a separate row.
- The sources of diagnostic information are listed in one row. Dilatation and curettage is included, as a septum or two uterine horns can be felt by a uterine sound and a curette. The sources applicable in a given patient are encircled.
- UtR 6 cm Fn NoObst: Right unicornuate uterus measuring 6 cm in length with functioning endometrium and communicating with cervix (no outflow tract obstruction).
- UtR 3 cm Fn NoObst – UtL 7 cm Fn Obst - 70%: Bicornuate uterus, with 3 cm long functional, communicating right horn and 7 cm long functional noncommunicating left horn with hematometra, and upper 70% uterus is in the form of two horns, while lower 30% is single. (Note: a functioning horn produces menstrual blood, which collects in the horn due to outflow tract obstruction, producing hematometra. Presence of hematometra is not mentioned separately, as it is implied from the classification.)
- UtR 6 cm Fn NoObst – UtL 5 cm Fn NoObst – VgR 9 cm Fn NoObst – VgL Fn Obst – (hematometra, hematosalpinx): Bicornuate uterus with right functional horn opening in right patent vagina, and left functional horn opening in left obstructed vagina (left hematocolpos is not entered, as it is always present in such a situation. Hematometra and hematosalpinx need to be mentioned in the column on remarks, as they develop later, and may not be present in all cases).
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