Classification of the Female Genital Tract Malformations and its Embryological Origin. Diagnostic and Therapeutical Considerations

Abstract

Female genital tract malformations are known to be a frequent cause of reproductive problems. Besides, complex malformations also frequently generate serious gynaecological problems, often ones with inappropriate surgical solutions, as the gynecologist does not think of the malformation as either the cause of the symptoms or of its embryonic origin. Apart from analyzing the embryological bases in the development of the female genital and urinary tract, it is presented the update of the clinical and embryological classification for malformations. Knowing the embryological origin of the female genitourinary malformations, the schematic drawing of the malformations and their related symptoms, will allow the gynaecologist to choose the best therapeutical approach for the patient. Therefore, a discussion on ethiopathogenical deductions and therapeutical management of malformations is also done with clinical recommendations for the general gynaecologist. Keywords: Malformations of the female genital tract, complex malformations, embryology, embryology of the vagina, renal agenesis, blind vagina, mullerian anomalies, mesonephric anomalies.