Hysteroscopic treatment of the uterine septum: a clinician's experience.
OBJECTIVE
I reviewed my experience with the diagnosis and hysteroscopic treatment of uterine septa.


METHODS
This article is a retrospective review of cases from 1992-1999. A septate uterus was diagnosed in a total of 40 patients, and all were treated by hysteroscopic resection.


RESULTS
The rate of preoperative pregnancy loss was 77.4%, and the uncomplicated delivery rate was 6.5%. After hysteroscopic septum resection 21 patients reported a total of 22 pregnancies with an 18.2% miscarriage rate and a 77.3% uncomplicated delivery rate.


CONCLUSIONS
Hysteroscopic treatment of uterine septa is a safe, simple, and effective procedure. It can be used for all types of uterine septa, it attains optimal obstetric outcomes, and it should be undertaken whenever a uterine septum is diagnosed.
Hickok
L R
LR
Pacific Gynecology Specialists, the Division of Reproductive Medicine and Surgery, Swedish Hospital Medical Center, Seattle, WA, USA.
D000022:Abortion, Spontaneous / Q000453:epidemiology; D000328:Adult; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D015994:Incidence; D007247:Infertility, Female / Q000209:etiology / Q000628:therapy; D011183:Postoperative Complications; D011184:Postoperative Period; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*