IMR Press / CEOG / Volume 43 / Issue 4 / DOI: 10.12891/ceog3056.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Reproductive performance after hysteroscopic metroplasty in infertile women: complete versus partial uterine septum
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1 Ankara Teaching and Research Hospital, Department of Obstetrics and Gynecology, Ankara
2 Etlik Zubeyde Hanim Women’s Health Teaching and Research Hospital, Department of Obstetrics and Gynecology, Ankara
3 Kangal State Hospital, Department of Obstetrics and Gynecology, Sivas
4 Private Edremit Gulf Hospital, Department of Obstetrics and Gynecology, Balıkesir
5 TEB Erzurum Karayazı State Hospital, Department of Obstetrics and Gynecology, Erzurum
6 Düzce University, Faculty of Medicine Department of Obstetrics and Gynecology, Düzce (Turkey)
Clin. Exp. Obstet. Gynecol. 2016, 43(4), 584–587; https://doi.org/10.12891/ceog3056.2016
Published: 10 August 2016
Abstract

Objective: To investigate the impact of hysteroscopic metroplasty on pregnancy outcome in women with complete or incomplete uterine septum (US) accompanying infertility. Materials and Methods: Seventy-three patients who had hysteroscopic metroplasty for complete and incomplete US with primary and secondary infertility were reviewed. Obstetric outcomes (number of pregnancies, live births, and miscarriages) up to 36 months follow up period were investigated. Results: Twenty-five patients in complete US and 28 patients in incomplete US became pregnant in 36 months follow up. Postoperative miscarriage rate was significantly lower in patients with complete US (p = 0.0001, p = 0.0001, respectively). The mean gestational week at the time of birth and mean birth weight of the infants were significantly lower in patients with complete US compared to the incomplete US cases (p = 0.026, p = 0.049, respectively). Postoperative pregnancy rate was significantly lower in incomplete US patients with primary infertility compared with secondary infertility (p = 0.037). Conclusion: Hysteroscopic metroplasty improves fertility and pregnancy performance. This improvement is more prominent in patients with complete US, and incomplete US patients with secondary infertility.
Keywords
Complete uterine septum
Incomplete uterine septum
Hysteroscopic metroplasty
Obstetric outcome.
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