Document Detail

Reproductive performance after hysteroscopic metroplasty in the hypoplastic uterus: a study of 29 cases.
MedLine Citation:
PMID:  12504966     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the reproductive performance after hysteroscopic metroplasty performed for hypoplastic uterus. DESIGN: Crossover study (15 patients) and descriptive analysis (14 patients). SETTING: Tertiary care university hospital. POPULATION: Twenty-nine women (mean age: 31.4 years; range: 27-38.5 years) with a hypoplastic malformed uterus and a history of primary infertility and/or recurrent abortion and/or preterm delivery were included in this study. Fourteen women suffered from primary infertility and 15 women had previous pregnancies. Twenty-three women had been exposed to diethylstilboestrol in utero. METHODS: Women underwent hysteroscopic metroplasty between January 1996 and May 1999. MAIN OUTCOME MEASURES: Rate of pregnancies and live births, anatomical results. RESULTS: The mean follow up was 40 months (range: 13-67 months). Twenty-one women (72.4%) experienced 30 pregnancies. Thirteen women gave birth to 16 live infants. At the time of the follow up, four women were pregnant in the second trimester. Compared with previous pregnancies, the rate of deliveries increased from 3.8% to 63.2%. No complications occurred during metroplasty. The hysteroscopic anatomical results were good in all cases. CONCLUSIONS: Our results suggest that hysteroscopic metroplasty, with its simplicity and minimal post-operative sequelae, seems to be an operation of choice in women with a hypoplastic malformed uterus and a history of severe infertility and/or recurrent pregnancy loss.
Emmanuel Barranger; Amélie Gervaise; Séverin Doumerc; Hervé Fernandez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  109     ISSN:  1470-0328     ISO Abbreviation:  BJOG     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-12-30     Completed Date:  2003-01-23     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  1331-4     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynaecology, Antoine Béclère Hospital, Clamart Cedex, France.
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MeSH Terms
Abortion, Habitual / etiology*
Cross-Over Studies
Follow-Up Studies
Infertility, Female / etiology*
Obstetric Labor, Premature / etiology*
Postoperative Complications / etiology*
Reproductive Medicine
Survival Analysis
Uterus / pathology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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