Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 16 , ISSUE 1 ( January-February, 2024 ) > List of Articles


Uniting the Uteri: A Case Series

Adithi Jayaprakash, Ashok Anand, C Pushpa, Aditi R Jain

Keywords : Bicornuate uterus, Metroplasty, Mullerian anomalies, Recurrent pregnancy loss, Uterine didelphys, Vaginoplasty

Citation Information : Jayaprakash A, Anand A, Pushpa C, Jain AR. Uniting the Uteri: A Case Series. J South Asian Feder Obs Gynae 2024; 16 (1):45-49.

DOI: 10.5005/jp-journals-10006-2331

License: CC BY-NC 4.0

Published Online: 10-01-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Background: Metroplasty is a reconstructive surgery to repair congenital uterine anomalies. Anomalous uteri cause infertility and recurrent abortions due to defective implantation, restrictive fetal growth, and malpresentation. Aim: To discuss our experiences and surgical techniques with various cases of metroplasty in women with structural uterine anomalies with infertility or recurrent abortions at a tertiary care hospital in Mumbai. Case description: A descriptive study of case series of metroplasty conducted in a tertiary care hospital in women with bicornuate and didelphys uterus by opening the uterine cavities by incision on the medial aspect of the hemicolpos and approximating the myometrial edges and suturing them to create a single uterine cavity. Conclusion: By the unification of two smaller uterine cavities, metroplasty restores normal anatomy of the uterine cavity as is required for positive implantation and good obstetric outcomes. Clinical significance: After metroplasty, the chances of conception and probability of carrying conception to full term rise significantly.

  1. Hoffman BL, et al. Williams Gynecology, 3rd edition; 2016. p. 422.
  2. Homer HA. Modern management of recurrent miscarriage. Aust N Z J Obstet Gynaecol 2018;59:36–44. DOI: 10.1111/ajo.12920.
  3. Tomasz R, Marta M, Aleksandra B. Clinical effectiveness of Strassman operation in the treatment of bicornuate uterus. Ginekol Pol 2009;80(2):88–92. PMID: 19338203.
  4. Juillion P. What is the difference between bicornuate and didelphys uterus? Available at:
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.