Reproductive outcomes after hysteroscopic metroplasty for uterine septum.

PURPOSE OF INVESTIGATION: To evaluate reproductive outcome after hysteroscopic metroplasty.

METHODS

We analyzed the reproductive outcome of 30 patients with different degrees of septate uterus undergoing hysteroscopic metroplasty. In all cases the procedure was performed by resectoscope.

RESULTS

The patients had a total 74 pregnancies before metroplasty. Of these, ten (14%) were carried to term, six (8%) ended in preterm delivery, and 58 (78%) ended in spontaneous abortion. At least one year following hysteroscopic metroplasty a total of 20 pregnancies occurred. Of these, 11 (55%) were carried to term, two (10%) ended in preterm delivery, seven (35%) ended in spontaneous abortion.

CONCLUSION

Correction of uterine septum significantly improves the prognosis of the pregnancies in patients with a history of severe obstetric problems. These results are similar to the results reported in the literature. Our data analysis suggests that hysteroscopic metroplasty for uterine septum improves pregnancy outcome of patients who come to us with a desire to conceive.