OP19.05: Three dimensional echographic evaluation of septate uterus after hysteroscopic septum resection and correlation with pregnancy outcome

Ionescu, Crîngu Antoniu; Gheorghiu, Diana; Pacu, Irina; Davitoiu, B.; Dimitriu, M.

doi:10.1002/uog.9439

Cited by 2 publications

(1 citation statement)

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“…Most of the researchers have shown a better reproductive outcome after hysteroscopic resection of uterine septum in woman with septate uterus, however, there is no evidence on the postoperative management of the hysteroscopic septum division ( 27 )( 48 ). Most of authors also reported hysteroscopic metroplasty in patients with uterine septum improved pregnancy rate ( 10 , 42 ). In this study, pregnancy rate and live birth rate after hystroscopic septum resection in women with septate uterus was high.…”

Section: Discussionmentioning

confidence: 97%

Reproductive Outcome Following Hysteroscopic Treatment of Uterine Septum

2014

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Background:Septate uterus is the most common uterine anomaly and a cause for miscarriage and infertility. Existing data suggested a better reproductive outcome of uterine septum following hysteroscopic septum resection.Objective:Current study was administered to share our experience in hystroscopic septum resection for reproductive outcome following hysteroscopic treatment of uterine septum and specifically focusing on different treatment protocols after hysteroscopic septum resection.Methods& materials:This study was a cross-sectional study based on secondary data that was obtained from medical records of infertile women who had undergone transvaginal hysteroscopy and used different treatment protocols after hysteroscopic correction of uterine septum in Infertility and Reproductive Health Research Center between April 2005 and February 2014.Results:The total number of infertile women underwent hysteroscopy uterine septoplasty was 106. The hysteroscopy septoplasty resulted in an overall pregnancy rate of 67% and a live birth 57.5%. Pregnancy rate for patients who had not male infertility was 92.1%. The chi-square test did not reveal any statistically significant difference in side affect, pregnancy, live birth, abortion, preterm deliveries, and term deliveries rate between these patients either with consistent hormone therapy plus IUD insertion or with alternate hormone therapy plus IUD after hysteroscopic metroplasty.Conclusion:The findings of the present study indicated hysteroscopic septum resection to remove a uterine septum in women with infertility is safe and may be an efficacious procedure. Treatment following hysteroscopic septum resection, either the consistent or the alternate protocol is both beneficial to improve pregnancy rate.

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