| Uterine malformation: diagnosis and results after hysteroscopic metroplasty. | |
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MedLine Citation:
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PMID: 20117769 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate reproductive outcomes after hysteroscopic metroplasty of uterine septa using three-dimensional ultrasound. DESIGN: Prospective study. SETTING: University teaching hospital. PATIENT(S): One hundred fourteen women with uterine septa. INTERVENTION(S): Three-dimensional ultrasound followed by hysteroscopic resection of the uterine septum (metroplasty). MAIN OUTCOME MEASURE(S): Reproductive outcome after hysteroscopic metroplasty. RESULT(S): The diagnosis of the uterine septum was made as part of a workup for the following: routine infertility workup (33.3%), miscarriage in the first trimester (22.8%), three or more miscarriages (22.8%), Cesarean section (11.4%), premature delivery (7.9%), and normal delivery (1.8%). Ten (8.8%) women had a septum involving one-quarter of their uterus, 18 (15.8%) had a septum involving one-half of their uterus, and 86 (75.4%) had a septum involving more than one-half of their uterus. After hysteroscopic metroplasty, 72 (70%) of 103 women with desired fertility delivered live-born children (63 at term [87.5%] and 9 preterm [12.5%]). Twenty-four (23%) women with desired fertility did not achieve pregnancy and 7 had spontaneous miscarriages. CONCLUSION(S): Three-dimensional ultrasound followed by hysteroscopic metroplasty of uterine septa is a safe and effective office procedure. Women with a septum occupying more than one-half of their uterine cavity have a very high chance of successful pregnancy after metroplasty. |
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Authors:
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Olav Istre; Julianna Schantz-Dunn; Thomas Tiede Vellinga |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2010-1-29 |
Journal Detail:
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Title: Fertility and sterility Volume: - ISSN: 1556-5653 ISO Abbreviation: - Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-2-1 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Gynecology and Obstetrics, Oslo University Hospital, Ullevål, Oslo, Norway; Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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