Surgical correction of T-shaped uteri in women with reproductive failure: Long term anatomical and reproductive outcomes - 11/01/19
, Bulent Urman a, cBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 6 |
| Iconographies | 5 |
| Vidéos | 0 |
| Autres | 0 |
Abstract |
Objective |
To evaluate the long term anatomical and reproductive outcomes of hysteroscopic treatment for T shaped uterus in patients presenting with reproductive failure.
Methods |
This prospective cohort study included 56 patients with a history of long-standing unexplained infertility, recurrent implantation failure (RIF), and/or recurrent pregnancy loss (RPL) who were eligible for metroplasty by office hysteroscopy. Office hysteroscopy under conscious sedation was performed. Anatomical outcomes were assessed with pre- and postoperative measurements of the transostial, isthmic and myometrial diameters and the uterine volume using three-dimensional transvaginal sonography (3D-TVS). Reproductive outcome was assessed after spontaneous or assisted conception.
Results |
Hysteroscopic treatment significantly increased the volume of the uterus from a mean of 2.5+1mL before surgery to 3.2±1mL by the end of 1 year as measured by 3D-TVS. According to the main indication to perform metroplasty, 20 of 32 (62.5%) patients with long standing unexplained infertility, 9 of 14 (64%) patients with RIF, and 8 of 10 (80%) patients with RPL conceived either spontaneously or with assisted reproduction.
Conclusions |
Office hysteroscopic metroplasty results in a significant long-term expansion of the uterine cavity and improved reproductive outcomes in women presenting with a T shaped uterus and poor reproductive history.
Le texte complet de cet article est disponible en PDF.Keywords : Dysmorphic uterus, T-shaped uterus, Hysteroscopy, Implantation failure, Pregnancy loss
Plan
| ☆ | Aysen Boza presented this scientific work orally at VI. Society of Reproductive Medicine and Surgery Congress on 4th of October 2017 in Antalya, Turkey. |
Vol 48 - N° 1
P. 39-44 - janvier 2019 Retour au numéro
Article précédent
- The impact of a patient’s social status on the cost of vaginal deliveries: an observational study in a French university hospital
- Thomas Vermeulin, Mélodie Lucas, Loëtizia Froment, Valérie Josset, Pierre Czernichow, Eric Verspyck, Véronique Merle
- The incidence, causes, and management of lower urinary tract injury during total laparoscopic hysterectomy
- Abdurrahman Hamdi ?nan, Adnan Budak, Emrah Beyan, Ahkam Göksel Kanmaz
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?