Fertility and pregnancy outcomes following hysteroscopic septum division.
OBJECTIVE
We sought to evaluate retrospectively the efficacy of hysteroscopic metroplasty in a population of women with a history of recurrent pregnancy loss or infertility who were also known to have a uterine septum.


METHODS
Hysteroscopic metroplasty was performed on 26 women with a uterine septum and a history of either recurrent pregnancy loss or infertility. The metroplasty was performed using a Versapoint bipolar needle device (in 23% of cases) or a resectoscopic knife electrode with cutting current (in 77% of cases). The main outcome measures were rates of clinical pregnancy and live birth.


RESULTS
Nineteen women had a hysteroscopic metroplasty because of recurrent pregnancy loss. Postoperatively, the pregnancy rate was 95%, and the live birth rate was 72%. The seven infertile patients had pregnancy and live birth rates of 43% and 29%, respectively.


CONCLUSIONS
Hysteroscopic metroplasty using either the Versapoint bipolar needle device or a knife electrode is both safe and effective. In women with recurrent pregnancy loss, future fertility is not impaired, and live birth rates are significantly improved.
Hollett-Caines
Jackie
J
St. Joseph's Health Care, Department of Obstetrics and Gynaecology, University of Western Ontario, London ON.
Vilos
George A
GA
Abu-Rafea
Basim
B
Ahmad
Riad
R
D000026:Abortion, Habitual / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007247:Infertility, Female / Q000209:etiology* / Q000601:surgery; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery