[Hysteroscopic metroplasty for uterine enlargement: a treatment for diethylbestrol-exposed and hypoplastic uteri].

OBJECTIVE

To determine the feasibility of correcting the uterine deformity in the diethylbestrol-exposed uterus and hypoplastic uterus.

DESIGN

Hysteroscopic metroplasty. Patients served as their own controls.

PATIENTS: Five patients referred for primary sterility (2 cases) or primo-secondary infertility with recurrent pregnancy loss or ectopic pregnancy (3 cases). Three of them had been exposed in utero to diethylbestrol. All of them have a hypoplastic uterus or uterine deformities as seen by hysterosalpingogram.

OUTCOME MEASURES: Postoperative hysterosalpingogram aspect. Ability to conceive and carry pregnancy to livebirth.

RESULTS

All the postoperative hysterosalpingograms appeared more normal than the preoperatively. Three patients have conceived since surgery.

CONCLUSION

Hysteroscopic metroplasty is feasible. It gives good anatomic results. This technique could be used in the patients with diethylbestrol-exposed or hypoplastic uteri, with severe infertility, recurrent pregnancy loss or implantations failures in a IVF programm.