Residual uterine septum of less than 1 cm after hysteroscopic metroplasty does not impair reproductive outcome.
نویسندگان
چکیده
The objective of this study was to ascertain if incomplete correction leaving a residual uterine septum of < or = 1 cm affects fertility outcome. Reproductive outcome in 17 women with a residual septum of between 0.5 cm and 1 cm after hysteroscopic metroplasty was compared to that in 51 women with no residual septum or one of < 0.5 cm. Septal lysis was performed with microscissors or resectoscope. One month after operative hysteroscopy, abdominal ultrasonography was performed on all the women and those with a residual septum of > 1 cm then underwent a second operative hysteroscopy to complete the lysis. The cumulative pregnancy and birth rates were calculated and the curves compared using the log-rank test. The cumulative 18 month probability of becoming pregnant was 44.5% in the patients with residual septum and 52.7% in those with no residual septum (not significantly different), and the cumulative 18 month probability of giving birth to a child was 27.5 and 36% respectively (also not significant). The presence of a residual uterine septum of between 0.5 and 1 cm as shown by ultrasonography appears not to worsen the reproductive prognosis compared with that in women in whom the septum has been completely or almost completely corrected.
منابع مشابه
HYSTEROSCOPIC METROPLASTY: SECTION OF THE CERVICAL SEPTUM DOESN\'T IMPAIR REPRODUCTIVE OUTCOME
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Uterine Septum Dimensions in Patients with Infertility and Recurrent Abortion and the Outcomes of Hystroscopic Metroplasty
Background & Aims: It is believed that uterine septum, because of its effect on infertility and recurrent abortion is very important and pregnancy outcome is obviously improved by hysteroscopic metroplasty (HM). In this study, the probable relationship of uterine septum dimensions (length and width) with infertility and recurrent abortion has been investigated. Methods: This clinical trial was ...
متن کاملReproductive Outcome Following Hysteroscopic Treatment of Uterine Septum
BACKGROUND Septate uterus is the most common uterine anomaly and a cause for miscarriage and infertility. Existing data suggested a better reproductive outcome of uterine septum following hysteroscopic septum resection. OBJECTIVE Current study was administered to share our experience in hystroscopic septum resection for reproductive outcome following hysteroscopic treatment of uterine septum ...
متن کاملHYSTEROSCOPIC METROPLASTY: REPORT OF 76 CASES
Congenital Mullerian abnormalities, particularly the septate uterus, may result in recurrent abortion, premature labor and infertility. The purpose of this study is to report the surgical and reproductive outcome in two groups of patients who underwent hysteroscopic metroplasty (HMP). Between Aug. 1993 and March 1998,76 women underwent HMP in Shiraz University of Medical Sciences' affiliat...
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ورودعنوان ژورنال:
- Human reproduction
دوره 11 4 شماره
صفحات -
تاریخ انتشار 1996