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Radiology, Vol 144, 793-796, Copyright © 1982 by Radiological Society of North America


ARTICLES

Duplication of the mullerian ducts and genitourinary malformations. Part I: the value of excretory urography

V Gilsanz and RH Cleveland

Forty-seven females with duplication of the uterus and cervix were retrospectively studied and their associated urinary tract malformations were analyzed. In 31 of the patients duplication of the mullerian ducts was diagnosed during the work-up for major genitourinary malformations that corresponded to three main complexes of anomalies: cloacal anomalies (16 patients), exstrophic deformities (4 patients), and renal malformation on the same side as an occluded mullerian duct (11 patients). Another five patients with normal kidneys had incomplete mullerian duct fusion discovered incidentally at autopsy, surgery, or during the work-up for urinary tract infections. None of the 11 women examined by excretory urography following the discovery of duplication of mullerian ducts by hysterosalpingography had urinary tract abnormalities. Therefore, although failure of fusion of the mullerian ducts frequently coexists with other genitourinary anomalies, the associated malformations manifest themselves clinically. Women who are found to have duplication of the reproductive tract during the work-up for infertility and who are otherwise asymptomatic and have a normal physical examination do not require urographic investigation.


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