Document Detail

The VCUAM (Vagina Cervix Uterus Adnex-associated Malformation) classification: a new classification for genital malformations.
MedLine Citation:
PMID:  16275249     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: With an incidence of up to 5% in the general population, genital malformations are a frequent clinical occurrence. However, using the existing published classifications of malformations, difficulties arise in classifying genital malformations appropriately. The aim of the present study was to produce a simple, systematic, and reproducible classification system. DESIGN: A systematic arrangement of genital and associated malformaltions, using a structure similar to that in the TNM classification of oncological tumors, was developed and validated. SETTING: Patients with genital malformations in a university hospital. PATIENT(S): Ninty-nine premenopausal patients with genital malformations. INTERVENTION(S): Patients were diagnosed for genital malformation using laparoscopy or magnetic resonance imaging. MAIN OUTCOME MEASURE(S): A new classification (VCUAM) is presented to evaluate patients with different genital malformations. RESULT(S): The external and internal female genital organs were divided into the following subgroups in accordance with the anatomy: vagina (V), cervix (C), uterus (U), and adnexa (A). Associated malformations were assigned to a subgroup (M) relative to each specific organ. The classification was validated in a group of 99 patients with genital malformations. CONCLUSION(S): The VCUAM classification for the first time makes it possible to reflect even complex malformations in a precise and individual fashion, taking associated malformations into account. The classification makes it easier to provide appropriate clinical care for the affected patients.
Peter Oppelt; Stefan P Renner; Sara Brucker; Pamela L Strissel; Reiner Strick; Patricia G Oppelt; Hellmuth G Doerr; Guenther E Schott; Juergen Hucke; Diethelm Wallwiener; Matthias W Beckmann
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Publication Detail:
Type:  Journal Article; Validation Studies    
Journal Detail:
Title:  Fertility and sterility     Volume:  84     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-08     Completed Date:  2006-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1493-7     Citation Subset:  IM    
Department of Gynecology and Obstetrics, University Hospital, Erlangen, Germany.
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MeSH Terms
Abnormalities, Multiple / classification*,  diagnosis,  pathology
Cervix Uteri / abnormalities
Fallopian Tubes / abnormalities*
Ovary / abnormalities*
Uterus / abnormalities*
Vagina / abnormalities*

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