Paper Information

Journal:   IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY   FALL-WINTER 2008 , Volume 10 , Number 2; Page(s) 107 To 112.
 
Paper: 

THE EVALUATION OF REPRODUCTIVE OUTCOME OF SEPTATED UTERUS CORRECTED BY HYSTEROSCOPIC METROPLASTY

 
 
Author(s):  VAHDAT MANSOUREH*, SARIRI E., HAGHGOU AMENEH, YOUSEF NEZHAD H., FERESHTEHNEJAD S.M.
 
* DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, HAZRAT-E-RASOUL HOSPITAL, IRAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES, TEHRAN, IRAN
 
Abstract: 

Introduction: Congenital uterine anomalies resulting from mullerian fusion defects are the most common malformations of the reproductive system. The purpose of this study was to evaluate the reproductive outcome after hysteroscopic metroplasty in women with septated uterus who suffer from infertility or recurrent abortion.
Material and Methods: This descriptive study was performed during the period from 2003 to 2004 at Rasul-e-Akram Hospital of Iran Medical University. A total of 19 women (aged 21-35 years) with primary infertility or recurrent abortion and septateuteri underwent hysteroscopic septum resection. All septa were removed with a scissor at 90o and patients were followed up. The patients were seen on the first postoperative day and visited approximately 2 months later for assessment of surgical outcomes. This assesment was accomplished with hysterosalpingography (HSG). Statistical analysis was carried out using SPSS V. 11.5.
Results: The duration of infertility among the patients differed from 2 to 14 years with the mean of 5.4 (SD=3.26) years. The mean follow-up period for 9 women was 7.3 (SD=1.94) months and six of them (66.6%) concived a pregnancy within 3-12 months after the surgery.
Conclusion: It seems that the hysteroscopic septum resection is accompanied by a significant improvement in the reproductive performance of women who suffer from infertility or recurrent abortion.

 
Keyword(s): SEPTATED UTERUS, PRIMARY INFERTILITY, HYSTEROSCOPICMETROPLASTY, RECURRENTABORTION
 
References: 
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