title: Reproductive performance after hysteroscopic metroplasty in the hypoplastic uterus: a study of 29 cases.
abstract: OBJECTIVE
  To evaluate the reproductive performance after hysteroscopic metroplasty performed for hypoplastic uterus.
  
  
  METHODS
  Crossover study (15 patients) and descriptive analysis (14 patients).
  
  
  METHODS
  Tertiary care university hospital.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
authors.affiliation: Department of Obstetrics and Gynaecology, Antoine Béclère Hospital, Clamart Cedex, France.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Barranger
authors.forename: Amélie
authors.initials: A
authors.lastname: Gervaise
authors.forename: Séverin
authors.initials: S
authors.lastname: Doumerc
authors.forename: Hervé
authors.initials: H
authors.lastname: Fernandez
mesh_terms: D000026:Abortion, Habitual / Q000209:etiology*; D000328:Adult; D018592:Cross-Over Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology*; D007752:Obstetric Labor, Premature / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D011247:Pregnancy; D011379:Prognosis; D018456:Reproductive Medicine; D016019:Survival Analysis; D014599:Uterus / Q000473:pathology* / Q000601:surgery