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. 2014 Nov;290(5):947-50.
doi: 10.1007/s00404-014-3286-5. Epub 2014 May 28.

Clinical characteristics and treatment of Herlyn-Werner-Wunderlich syndrome

Jinhui Wang  1 , Lan Zhu, Jinghe Lang, Zhufeng Liu, Dawei Sun, Jinhua Leng, Qingbo Fan
Affiliations

Clinical characteristics and treatment of Herlyn-Werner-Wunderlich syndrome

Jinhui Wang et al. Arch Gynecol Obstet. 2014 Nov.

Abstract

Objective: To investigate the clinical characteristics and treatment of the Herlyn-Werner-Wunderlich syndrome (HWWS).

Methods: Sixty-one patients diagnosed with HWWS were retrospectively analyzed. HWWS is categorized into three types in China.

Results: Age at presentation of all the cases was after menarche. The most common clinical presentations were dysmenorrhea for type I and vaginal discharge for types II and III. Clinical presentations of types II and III may not occur until reproductive age. HWWS occurred on the right in 39/61. Excision of the obstructed vaginal septum was the treatment utilized in this cohort. After surgery, subsequent pregnancies were ipsilateral in 52.9 %.

Conclusions: Clinical presentation in untreated HWWS suggests the anatomic anomaly. Early recognition and treatment can reduce symptoms. Pregnancies occur in both the affected and unaffected uterus.

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