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

18 08 2009

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) Read the rest of this entry »


The Obstructed Hemivagina, Ipsilateral Renal Anomaly, Uterus Didelphys Triad

17 08 2009

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. Read the rest of this entry »

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

6 08 2009

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. Read the rest of this entry »

Re: Laproscopic metroplasty in bicornuate and didelphic uteri

5 08 2009

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. Read the rest of this entry »

Embryonic Heart Rates

4 08 2009

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
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