Document Detail


Fertility and pregnancy outcomes following hysteroscopic septum division.
MedLine Citation:
PMID:  16643719     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We sought to evaluate retrospectively the efficacy of hysteroscopic metroplasty in a population of women with a history of recurrent pregnancy loss or infertility who were also known to have a uterine septum. METHODS: Hysteroscopic metroplasty was performed on 26 women with a uterine septum and a history of either recurrent pregnancy loss or infertility. The metroplasty was performed using a Versapoint bipolar needle device (in 23% of cases) or a resectoscopic knife electrode with cutting current (in 77% of cases). The main outcome measures were rates of clinical pregnancy and live birth. RESULTS: Nineteen women had a hysteroscopic metroplasty because of recurrent pregnancy loss. Postoperatively, the pregnancy rate was 95%, and the live birth rate was 72%. The seven infertile patients had pregnancy and live birth rates of 43% and 29%, respectively. CONCLUSION: Hysteroscopic metroplasty using either the Versapoint bipolar needle device or a knife electrode is both safe and effective. In women with recurrent pregnancy loss, future fertility is not impaired, and live birth rates are significantly improved.
Authors:
Jackie Hollett-Caines; George A Vilos; Basim Abu-Rafea; Riad Ahmad
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  28     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-04-28     Completed Date:  2006-07-13     Revised Date:  2006-09-18    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  156-9     Citation Subset:  IM    
Affiliation:
St. Joseph's Health Care, Department of Obstetrics and Gynaecology, University of Western Ontario, London ON.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Habitual / surgery*
Adult
Female
Humans
Hysteroscopy / methods*
Infertility, Female / etiology*,  surgery
Pregnancy
Pregnancy Outcome
Retrospective Studies
Treatment Outcome
Uterus / abnormalities*,  surgery
Comments/Corrections
Comment In:
J Obstet Gynaecol Can. 2006 Jul;28(7):580; author reply 580   [PMID:  16916477 ]
J Obstet Gynaecol Can. 2006 Jul;28(7):580; author reply 580   [PMID:  16916478 ]

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