Reproductive performance after conventional metroplasty: an evaluation of 102 cases.

OBJECTIVE

To evaluate the influence of conventional metroplasty on reproductive performance of symmetric uterine anomalies and determine the complications of these procedures.

DESIGN

A retrospective clinical analysis of consequently operated 102 women.

SETTING

Institutional.

PATIENTS AND

PARTICIPANTS

One hundred two patients with bicornuate and septate uterus and a history of late recurrent abortion and/or preterm delivery were included in this study.

INTERVENTIONS: Jones, Strassman, and Tompkins procedures for metroplasty and McDonald operation for cervical cerclage.

MAIN OUTCOME MEASURE: The fetal survival rate has increased from 3.7% before operation to 75.0% afterwards. In only two patients uterine rupture was observed.

RESULTS

Conventional metroplasty improves the fetal survival rate in women with symmetric uterine anomalies.

CONCLUSIONS

Our results confirm the view that conventional metroplasty seems to be an operation of choice in women with symmetric uterine anomalies and a history of recurrent late abortion and preterm delivery. However, uterine rupture and postoperative infertility may be potential complications.