Beneficial effect of hysteroscopic metroplasty on the reproductive outcome in a ’t-shaped’ uterus

Zvi Katz*, Alon Ben-Arie, Samuel Lurie

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Eight women (aged 27-43) with reproductive dysfunction who were diagnosed by hysterosalpingogram and hysteroscopy as having a ’t-shaped’ uterus were operated on using fiberoptic hysteroscopic guidance; the uterine side walls were incised until a normal uterine cavity was achieved. The women’s gynecologic and obstetric records were compared before and after the operation. In all the 8 women the operation was without complications and resulted in a satisfactory uterine cavity. Before the operative procedure, the women had had 10 spontaneous abortions and 1 ectopic pregnancy. The postoperative performance available for 7 of the 8 women showed 4 term pregnancies in 3 women, 1 ectopic pregnancy, and no abortions. Our study suggests that hysteroscopic metroplasty in women with a T-shaped uterus improves the reproductive outcome, mainly in women with repeated abortions. We conclude that women with a T-shaped uterus who want to improve their reproductive function should be encouraged to undergo hysteroscopic metroplasty.

Original languageEnglish
Pages (from-to)41-43
Number of pages3
JournalGynecologic and Obstetric Investigation
Volume41
Issue number1
DOIs
StatePublished - 1 Jan 1996
Externally publishedYes

Keywords

  • Abortion
  • Diethylstilbestrol syndrome
  • Hysteroscopy
  • Infertility
  • Uterine anomaly

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