title: Surgical approach to and reproductive outcome after surgical correction of a T-shaped uterus.
abstract: BACKGROUND
  The aim of this study was to describe the surgical approach to, and evaluate the reproductive outcome of, a T-shaped uterus.
  
  
  METHODS
  The study included 97 women who were eligible for hysteroscopic surgery, by either monopolar or bipolar electrosurgical instruments. All had diagnostic hysteroscopy 2 months afterwards to assess the success of the procedure and determine whether any synechiae were present.
  
  
  RESULTS
  Forty-eight women (49.5%) became pregnant after metroplasty. The overall live birth rate per pregnancy before surgery was 0%; for these patients, it increased to 73%, and their miscarriage rate fell from 78 to 27% (P < 0.05). For all 57 pregnancies in 48 women, the ectopic pregnancy rate was 9% (n = 5), the miscarriage rate 28% (n = 16), the preterm delivery rate 14% (n = 8), the term delivery rate 49% (n = 28) and the live birth rate was 63% (n = 36).
  
  
  CONCLUSIONS
  Hysteroscopic metroplasty improves the live birth rate for women with a T-shaped uterus and a history of primary infertility, recurrent abortion or preterm delivery, although it is not a treatment of infertility.
authors.affiliation: Service Gynécologie Obstétrique, Hôpital Bicêtre, Kremlin Bicêtre, France. herve.fernandez@bct.aphp.fr
authors.forename: Hervé
authors.initials: H
authors.lastname: Fernandez
authors.forename: Olivier
authors.initials: O
authors.lastname: Garbin
authors.forename: Vanina
authors.initials: V
authors.lastname: Castaigne
authors.forename: Amélie
authors.initials: A
authors.lastname: Gervaise
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Levaillant
mesh_terms: D000026:Abortion, Habitual / Q000601:surgery; D000328:Adult; D001723:Birth Rate; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007247:Infertility, Female / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D011271:Pregnancy, Ectopic; D012189:Retrospective Studies; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery*