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Hum Reprod. 2011 Jul;26(7):1730-4. doi: 10.1093/humrep/der056. Epub 2011 Mar 11.

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

Author information

1
Service Gynécologie Obstétrique, Hôpital Bicêtre, Kremlin Bicêtre, France. herve.fernandez@bct.aphp.fr

Abstract

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.

PMID:
21398337
DOI:
10.1093/humrep/der056
[Indexed for MEDLINE]

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