Creatsas modification of Williams vaginoplasty: more than 20 years of experience

To the Editor:

In a recent article in Fertility and Sterility, Fedele et al. discuss the efficacy of the Williams vaginoplasty as a method of treatment for the colpopoiesis in Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome patients with a pelvic kidney, and compare the safety and efficacy of this method with those of the Vecchietti’s laparoscopic modification. (1)

The Obstructed Hemivagina, Ipsilateral Renal Anomaly, Uterus Didelphys Triad

To the Editor:

We read with interest the paper by Asha and Manila published in September 2008. (1) Here the authors described a case of the triad of obstructed hemivagina, uterus didelphys and ipsilateral renal anomaly.

Re: Serologic markers of autoimmunity in women with the polycystic ovary syndromeTo the Editor:

To the Editor:

I would like to thank Dr. Hefler-Frischmuth et al. for their fine article (1). In this study, they found that women with polycystic ovary syndrome (PCOS) had significantly elevated serum levels of antihistone and anti-double-stranded DNA (anti-dsDNA) antibodies, whereas serum levels of anti-nuclear antibodies (ANAs) and antinucleosome antibodies were similar between PCOS and healthy controls. When autoimmune markers were correlated with clinical and biochemical parameters, a significant correlation between serum levels of ANAs and serum thyroid stimulating hormone (TSH) were established.

Re: Laproscopic metroplasty in bicornuate and didelphic uteri

To the Editor:

Alborzi et al. (1) described the technique of laparoscopic metroplasty for didelphic uteri and bicornuate uteri. The indication for the metroplasty is history of recurrent spontaneous abortions in less than 5 months of pregnancy. Three months after metroplasty, they did laparoscopic and hysterscopic examination. The laproscopic examination of the pelvic cavity revealed filmy adhesions of the uterus to the omentum; the hysteroscopy revealed spacious uniform cavity. They also found a sub-septum at the fundus of the unified uteri.

Embryonic Heart Rates

To the Editor:

It continues to bewilder me why articles such as the one by Rauch et al. (1) continue to stratify the embryonic heart rate (EHR) rather than performing a simple regression analysis of the EHR on the embryonic age when it has been shown that there is a linear relationship (2-6). It seems researchers continue to look for a lower threshold for the EHR, when it is obviously age and embryonic size relationship (Figure).

Terry J. DuBose, M.S., R.D.M.S., F.S.D.M.S., F.A.I.U.M.
Associate Professor & Diagnostic Medical Sonography Program Director
University of Arkansas for Medical Sciences, CHRP
Little Rock, Arkansas