Residual uterine septum of less than 1 cm after hysteroscopic metroplasty does not impair reproductive outcome

Luigi Fedele, Stefano Bianchi, Maurizio Marchini, Raffaella Mezzopane, Giuliana Di Nola, Luca Tozzi

Research output: Contribution to journalArticle

94 Citations (Scopus)

Abstract

The objective of this study was to ascertain if incomplete correction leaving a residual uterine septum of ≤ 1 cm affects fertility outcome. Reproductive outcome in 17 women with a residual septum of between 0.5 cm and 1 cm after hysteroscopic metroplasty was compared to that in 51 women with no residual septum or one of <0.5 cm, Septal lysis was performed with microscissors or resectoscope. One month after operative hysteroscopy, abdominal ultrasonography was performed on all the women and those with a residual septum of > 1 cm then underwent a second operative hysteroscopy to complete the lysis. The cumulative pregnancy and birth rates were calculated and the curves compared using the log-rank test. The cumulative 18 month probability of becoming pregnant was 44.5% in the patients with residual septum and 52.7% in those with no residual septum (not significantly different), and the cumulative 18 month probability of giving birth to a child Was 27.5 and 36% respectively (also not significant). The presence of a residual uterine septum of between 0.5 and 1 cm as shown by ultrasonography appears not to worsen the reproductive prognosis compared with that in women in whom the septum has been completely or almost completely corrected.

Original languageEnglish
Pages (from-to)727-729
Number of pages3
JournalHuman Reproduction
Volume11
Issue number4
Publication statusPublished - Apr 1996

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Hysteroscopy
Birth Rate
Pregnancy Rate
Fertility
Ultrasonography
Parturition

Keywords

  • Hysteroscopic metroplasty
  • Residual uterine septum
  • Septate uterus

ASJC Scopus subject areas

  • Physiology
  • Developmental Biology
  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

Residual uterine septum of less than 1 cm after hysteroscopic metroplasty does not impair reproductive outcome. / Fedele, Luigi; Bianchi, Stefano; Marchini, Maurizio; Mezzopane, Raffaella; Di Nola, Giuliana; Tozzi, Luca.

In: Human Reproduction, Vol. 11, No. 4, 04.1996, p. 727-729.

Research output: Contribution to journalArticle

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