Congenital Uterine Anomalies: Evaluation and Surgical Management (Didelphys, Bicornuate, and Septate Uterus)

Congenital uterine anomalies, such as uterus didelphys, bicornuate uterus, or septate uterus, are structural variations that may be evaluated in connection with reproductive concerns, recurrent pregnancy loss, or obstetric complications. At Dr. Abdul Basith’s practice, surgical techniques such as hysteroscopy and laparoscopy are utilized to diagnose and manage these congenital conditions based on clinical indication.

A didelphic uterus consists of two separate uterine cavities, which may be evaluated in cases of reproductive difficulties or recurrent loss. Bicornuate and septate uteruses are characterized by a partial or complete division of the uterine cavity. Diagnosis is established through imaging modalities such as ultrasound or MRI, followed by hysteroscopy or laparoscopy for detailed anatomical assessment.

Hysteroscopy permits direct visualization of the internal uterine cavity, while laparoscopy allows examination of the external uterine surface and pelvic organs. When surgical intervention is indicated, corrective procedures may be performed to excise a uterine septum or address specific structural variations.

Surgical management aims to address structural cavity abnormalities. Surgical feasibility, treatment risks, and individual reproductive prognosis are discussed during clinical evaluation.