Desfecho reprodutivo após septoplastia histeroscópica: estudo retrospectivo

Fernandes, Sílvia; Maçães, Ana; Marques, A.; Leite, Helena Vasconcelos Barros

doi:10.1590/so-720320150005258

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…Miscarriage rate in our study was seen only in 10 cases out of 79. Patients obtained a significant improvement of reproductive outcomes with a fivefold reduction in miscarriage rate after hysteroscopic septoplasty [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Fertility-enhancing hysteroscopic surgery; multi-center retrospective cohort study of reproductive outcome

Al-Husban,

Odeh,

AlRamahi

et al. 2023

BMC Women's Health

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Introduction Hysteroscopic surgery and assisted reproduction technology are feasible ways to improve the reproductive outcome. Our aim was to study hysteroscopic septoplasty and myomectomy’s effect on infertility and reproductive performance. Methods Retrospective cohort of patients who had unexplained infertility and/or recurrent miscarriages and had myomectomy or septoplasty in the period September 2016-october 2021 with a total of 18 months’ follow up. The main outcome measures were spontaneous pregnancy, term pregnancy and miscarriage. For analysis, we used Statistical Package for Social Sciences (SPSS) version 20. Results One hundred and sixty-five patients were included. The mean age of patients was 39 years. 40 patients had septum resection and 125 patients had hysteroscopic myomectomy. A spontaneous pregnancy rate after surgery was achieved in 46 patients (27.9%). Out of the 64 patients who had failed IVF preoperatively, 32 patients (50%) had a successful IVF post-hysteroscopic surgery and there were more successful cases in the patients who had fibroid resection but this difference did not reach a statistical significance (P value 0.055). In the 79 pregnancies after surgery, preterm birth and miscarriage were seen in 10 patients (12.7%), similarly, respectively after septal or fibroid resection. Miscarriages were less post-operatively. Hysteroscopic myomectomy, compared with hysteroscopic metroplasty, was significantly associated with higher spontaneous pregnancy rate (63.0% Vs 37.0%, P value 0.018), more term pregnancies (87.5% vs. 12.5%, P value 0.001) and less miscarriage rate (40%vs 60%, P value 0.003). Pregnancy post-operatively in patients with primary infertility was more statistically significantly associated with hysteroscopic myomectomy than with hysteroscopic septoplasty (95.8% vs. 4.2%, p value 0.030). In patients who got pregnant postoperatively there was no statistically significant difference in the mode of delivery. Conclusion In carefully selected patients with unexplained infertility and recurrent miscarriage, hysteroscopic myomectomy, compared with hysteroscopic metroplasty, was significantly associated with higher spontaneous pregnancy, more term pregnancies and less miscarriage rates. More than metroplasty, hysteroscopic myomectomy led to higher spontaneous pregnancies in patients with primary infertility. Trial registration NCT05560295.

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Section: Discussionmentioning

confidence: 99%

Fertility-enhancing hysteroscopic surgery; multi-center retrospective cohort study of reproductive outcome

Al-Husban,

Odeh,

AlRamahi

et al. 2023

BMC Women's Health

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Limitations of imaging screening tests in the detection of incomplete uterine septum or arcuate uterine anomaly

Yousif

Moustafa

Abuzeid

et al. 2022

Intl J Gynecology & Obste

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Objectives:To determine the detection rates of hysterosalpingogram (HSG), transvaginal 2D ultrasound (TV 2D US), transvaginal 3D ultrasound (TV 3D US) in diagnosing of incomplete uterine septum (IUS) and significant arcuate uterine anomaly (AUA).Methods: This retrospective cohort study included patients with infertility or recurrent pregnancy loss (516) that were found to have IUS (317) or significant AUA (199) on diagnostic hysteroscopy (DHS). We compared the detection rate of the various radiological tests in all patients with documented IUS or AUA on DHS. Results:The diagnosis of IUS and AUA was made in 49.7% on HSG, 54.2% on TV 2D US and 69.5% on TV 3D US. When both HSG and TV 2D US or HSG and TV3D US were used, the diagnosis was correct in 67.7% and 82.6% of patients, respectively. Conclusion:Although HSG, TV 2D US, TV 3D US are useful in the screening for IUS/ AUA, none of these imaging tests alone or in combination are accurate enough to rule out the diagnosis of such congenital uterine anomalies. In patients with a history of infertility or RPL and negative radiologic tests, DHS is the only reliable method to rule out IUS or significant AUA.

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Esterilidad de origen uterino. Revisión narrativa de la bibliografía

Romero-Matas

Frías-Sánchez

Río-Romero

2021

Clínica e Investigación en Ginecología y Obstetricia

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Desfecho reprodutivo após septoplastia histeroscópica: estudo retrospectivo

Abstract: The results of this study are consistent with those described in the literature. Patients obtained a significant improvement of reproductive outcomes with a fivefold reduction in miscarriage rate after hysteroscopic septoplasty.

Cited by 3 publications

References 21 publications

Fertility-enhancing hysteroscopic surgery; multi-center retrospective cohort study of reproductive outcome

Fertility-enhancing hysteroscopic surgery; multi-center retrospective cohort study of reproductive outcome

Limitations of imaging screening tests in the detection of incomplete uterine septum or arcuate uterine anomaly

Esterilidad de origen uterino. Revisión narrativa de la bibliografía

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