Surgical approach to and reproductive outcome after surgical correction of a T-shaped uterus

BACKGROUND The aim of this study was to describe the surgical approach to, and evaluate the reproductive outcome of, a T-shaped uterus. METHODS The study included 97 women who were eligible for hysteroscopic surgery, by either monopolar or bipolar electrosurgical instruments. All had diagnostic hyst...

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Bibliographic Details
Published in:Human reproduction (Oxford) 2011-07, Vol.26 (7), p.1730-1734
Main Authors: Fernandez, Hervé, Garbin, Olivier, Castaigne, Vanina, Gervaise, Amélie, Levaillant, Jean-Marc
Format: Article
Language:English
Subjects:
Abortion, Habitual - surgery
Adult
Biological and medical sciences
Birth Rate
Female
Gynecology. Andrology. Obstetrics
Humans
Hysteroscopy - methods
Infertility, Female - surgery
Medical sciences
Pregnancy
Pregnancy Complications
Pregnancy Outcome
Pregnancy Rate
Pregnancy, Ectopic
Retrospective Studies
Treatment Outcome
Uterus - abnormalities
Uterus - surgery
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Summary:BACKGROUND The aim of this study was to describe the surgical approach to, and evaluate the reproductive outcome of, a T-shaped uterus. METHODS The study included 97 women who were eligible for hysteroscopic surgery, by either monopolar or bipolar electrosurgical instruments. All had diagnostic hysteroscopy 2 months afterwards to assess the success of the procedure and determine whether any synechiae were present. RESULTS Forty-eight women (49.5%) became pregnant after metroplasty. The overall live birth rate per pregnancy before surgery was 0%; for these patients, it increased to 73%, and their miscarriage rate fell from 78 to 27% (P < 0.05). For all 57 pregnancies in 48 women, the ectopic pregnancy rate was 9% (n = 5), the miscarriage rate 28% (n = 16), the preterm delivery rate 14% (n = 8), the term delivery rate 49% (n = 28) and the live birth rate was 63% (n = 36). CONCLUSIONS Hysteroscopic metroplasty improves the live birth rate for women with a T-shaped uterus and a history of primary infertility, recurrent abortion or preterm delivery, although it is not a treatment of infertility.
ISSN:0268-1161
1460-2350
DOI:10.1093/humrep/der056