Role of three-dimensional ultrasound in the diagnosis of double uterine cavity anomalies and concordance with laparoscopic and hysteroscopic diagnosis

ObjectivesTo determine whether three-dimensional (3D) ultrasound can replace combined hysteroscopic–laparoscopic role in differentiating bicornuate, septate and arcuate uterus.Patient(s)Seventy-two patients with history of infertility, recurrent abortions or preterm labor with hysterosalpingographic and/or two dimensional ultrasound diagnosis of double uterine cavity anomaly were included in this study.Intervention(s)Three-dimensional ultrasound (3D US) was done to all patients. Laparoscopy was done to differentiate bicornuate, septate and arcuate uterine anomalies. Simultaneous hysteroscopic metroplasty was done in patients with septate uteri.ResultsThere was absolute concordance between 3D ultrasound and combined laparoscopic and hysteroscopic gold-standard in differentiation between bicornuate, septate and arcuate uteri in all our seventy two patients.Conclusion(s)3D US can differentiate septate, bicornuate and arcuate uteri and can eliminate the need for invasive laparoscopic diagnosis of these uterine anomalies.