title: Reproductive Outcomes of Hysteroscopic Septoplasty Techniques.
abstract: OBJECTIVE
  Since little is known regarding the correlation between different techniques used during hysteroscopic septoplasty and reproductives outcomes, we amied to evaluate the results of two different techniques of hysteroscopic septoplasty (HS).
  
  
  METHODS
  Data were retrospectively reviewed on 49 patients who underwent HS for symptomatic septate uterus from January 1, 2010, through April 30, 2014. The patients were divided into 2 groups based on the HS technique used. Group I consisted of 27 patients who underwent HS by monopolar hook cautery with the operating hysteroscope. Group II consisted of 22 patients who had the procedure performed with scissors and guided by an office hysteroscope. All the procedures in the both groups were performed in the operating room under general anesthesia. Pregnancy outcomes within the first year after HS for both groups were evaluated.
  
  
  RESULTS
  Reproductive outcomes were obtained from 44 patients who attempted to conceive after HS within the first year. In the 25 patients in group I, 23 had pregnancies, of which 15 (65.2%) continued to term, 3 (13%) ended in a preterm live birth, and 5 (21.7%) ended in loss of pregnancy (abortion). In the 19 patients in group II, there were 17 pregnancies, of which 11 (64.7%) continued to term, 2 (11.7%) ended in a preterm live birth, and 4 (23.5%) ended in first- or second-trimester abortion. The overall live-birth rate was 78.2% in group I and 76.4% in group II (P = .85).
  
  
  CONCLUSIONS
  Our data show that the rates of pregnancy that reach term and overall rates of live births are similar between the 2 HS techniques. Additional studies are needed to evaluate the impact of the techniques on reproductive outcomes.
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Ozlem
authors.initials: O
authors.lastname: Dural
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Cenk
authors.initials: C
authors.lastname: Yasa
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Ercan
authors.initials: E
authors.lastname: Bastu
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Funda Gungor
authors.initials: FG
authors.lastname: Ugurlucan
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Sultan
authors.initials: S
authors.lastname: Can
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Gamze
authors.initials: G
authors.lastname: Yilmaz
authors.affiliation: Istanbul University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Faruk
authors.initials: F
authors.lastname: Buyru
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000295:instrumentation / Q000379:methods*; D050498:Live Birth; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D047928:Premature Birth; D012189:Retrospective Studies; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*
keywords: Hysteroscopic surgery; Reproductive outcome; Septate uterus