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Human Reproduction, Vol. 11, No. 4, pp. 727-729, 1996
© 1996 European Society of Human Reproduction and Embryology

research-article

Residual uterine septum of less than 1 cm after hysteroscopic metroplasty does not impair reproductive outcome

Luigi Fedele1, Stefano Bianchi, Maurizio Marchini, Raffaella Mezzopane, Giuliana Di Nola and Luca Tozzi

Department of Obstetrics and Gynaecology, University of Milano, Via Commenda 12 20211 Milano, Italy

Correspondence: 1To whom correspondence should be addressed

The objective of this study was to ascertain if incomplete correction leaving a residual uterine septum of ≤1 cm affects fertility outcome. Reproductive outcome in 17 women with a residual septum of between 0.5 cm and 1 cm after hysteroscopic metroplasty was compared to that in 51 women with no residual septum or one of <0.5 cm. Septal lysis was performed with microscissors or resectoscope. One month after operative hysteroscopy, abdominal ultrasono-graphy was performed on all the women and those with a residual septum of >1 cm then underwent a second operative hysteroscopy to complete the lysis. The cumulative pregnancy and birth rates were calculated and the curves compared using the log-rank test. The cumulative 18 month probability of becoming pregnant was 44.5% in the patients with residual septum and 52.7% in those with no residual septum (not significantly different), and the cumulative 18 month probability of giving birth to a child was 27.5 and 36% respectively (also not significant). The presence of a residual uterine septum of between 0.5 and 1 cm as shown by ultrasonography appears not to worsen the reproductive prognosis compared with that in women in whom the septum has been completely or almost completely corrected.

Key words: hysteroscopic metroplasty/residual uterine septum/septate uterus


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