[Hysteroscopic metroplasty for uterine enlargement: a treatment for diethylbestrol-exposed and hypoplastic uteri].
OBJECTIVE
To determine the feasibility of correcting the uterine deformity in the diethylbestrol-exposed uterus and hypoplastic uterus.


METHODS
Hysteroscopic metroplasty. Patients served as their own controls.


METHODS
Five patients referred for primary sterility (2 cases) or primo-secondary infertility with recurrent pregnancy loss or ectopic pregnancy (3 cases). Three of them had been exposed in utero to diethylbestrol. All of them have a hypoplastic uterus or uterine deformities as seen by hysterosalpingogram.


METHODS
Postoperative hysterosalpingogram aspect. Ability to conceive and carry pregnancy to livebirth.


RESULTS
All the postoperative hysterosalpingograms appeared more normal than the preoperatively. Three patients have conceived since surgery.


CONCLUSIONS
Hysteroscopic metroplasty is feasible. It gives good anatomic results. This technique could be used in the patients with diethylbestrol-exposed or hypoplastic uteri, with severe infertility, recurrent pregnancy loss or implantations failures in a IVF programm.
Garbin
O
O
Service de Gynécologie et d'Obstétrique, Centre Médico-Chirurgical et Obstétrical de la Sécurité sociale, Schiltigheim.
Dellenbach
P
P
D000014:Abnormalities, Drug-Induced / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D004054:Diethylstilbestrol / Q000009:adverse effects*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D015907:Hysteroscopy / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome; D013518:Surgery, Plastic / Q000379:methods*; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities*
D004054:Diethylstilbestrol