Reproductive outcome of septate uterus after hysteroscopic metroplasty

• DOI: 10.1007/s00404-002-0378-4
• Publication Date: 2003-10-27T19:41:00Z
• Authors: Esra Saygili-Yilmaz; Sema Yildiz; Munire Erman-Akar; Gulcan Akyuz; Zarif Yilmaz
• Keywords: Adult; Uterus; Pregnancy Outcome; Hysteroscopy; 3. Good health; Abortion, Spontaneous; 03 medical and health sciences; Obstetric Labor, Premature; 0302 clinical medicine; Pregnancy; Humans; Female; Infertility, Female

We evaluated the reproductive outcome after hysteroscopic metroplasty in the patients with septate uterus. The reproductive performance of 361 patients with septate uterus during the follow-up period of 18 months after the surgery was analyzed retrospectively for a period of 10 years. A total of 180 (49.8%) pregnancies were achieved after metroplasty during the follow-up period of 18 months. Of the 180 pregnancies 117 (57.2%) reached to term and 34 (18.8%) ended in preterm delivery and the remaining 29 (16%) resulted in abortion. Of the preterm babies 18 (52.9%) were able to live. We obtained 135 (75%) live babies totally. Hysteroscopic metroplasty improves the reproductive performance of septate uterus significantly especially in the cases with recurrent pregnancy loss and should be considered highly as a corrective approach for such patients.