title: Reproductive outcome after hysteroscopic metroplasty in women with septate uterus and otherwise unexplained infertility.
abstract: OBJECTIVE
  To evaluate the reproductive outcome of hysteroscopic metroplasty performed in women with septate uterus and otherwise unexplained primary infertility.
  
  
  METHODS
  Prospective, observational study.
  
  
  METHODS
  Tertiary center for reproductive medicine.
  
  
  METHODS
  Sixty-one patients with uterine septa and otherwise unexplained primary infertility.
  
  
  METHODS
  Hysteroscopic division of the uterine septum.
  
  
  METHODS
  Reproductive outcome after hysteroscopic metroplasty.
  
  
  RESULTS
  Of 61 women, 25 (41%) conceived within 8-14 (mean 11.2) months after hysteroscopic metroplasty. Of these, 18 (29.5% of the total group) had live births (13 carried to term and 5 had preterm deliveries), and 7 (11.5% of the total group) had spontaneous abortions. Cervical cerclage was performed in 9 women; only 1 (11.1%) of these patients and 4 (44.4%) of the 9 who did not have a cerclage had preterm deliveries. Twelve of the 18 women (66.6%) who had live births were delivered by cesarean section.
  
  
  CONCLUSIONS
  Women with uterine septum and otherwise unexplained infertility might benefit from hysteroscopic metroplasty.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Gülhane Military Medical Academy, Ankara, Turkey. rpabuccu@gata.edu.tr
authors.forename: Recai
authors.initials: R
authors.lastname: Pabuçcu
authors.forename: Victor
authors.initials: V
authors.lastname: Gomel
mesh_terms: D000328:Adult; D023802:Cerclage, Cervical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D007752:Obstetric Labor, Premature / Q000209:etiology; D011247:Pregnancy; D011446:Prospective Studies; D002581:Uterine Cervical Incompetence / Q000150:complications / Q000601:surgery; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*