Beneficial effect of hysteroscopic metroplasty on the reproductive outcome in a T-shaped uterus

image of Hysterosonography-of-T-shape
Hysterosonography of T-shaped uterus. DES-exposed women with a T-shaped uterus who want to improve their reproductive function should be encouraged to undergo hysteroscopic metroplasty.

Abstract

Beneficial effect of hysteroscopic metroplasty on the reproductive outcome in a ‘T-shaped’ uterus, Gynecologic and obstetric investigation, NCBI PubMed PMID: 8821883, 1996.

Eight women (aged 27-43) with reproductive dysfunction who were diagnosed by hysterosalpingogram and hysteroscopy as having a ‘T-shaped‘ uterus were operated on using fiberoptic hysteroscopic guidance; the uterine side walls were incised until a normal uterine cavity was achieved.

The women’s gynecologic and obstetric records were compared before and after the operation.

  • In all the 8 women the operation was without complications and resulted in a satisfactory uterine cavity.
  • Before the operative procedure, the women had had 10 spontaneous abortions and 1 ectopic pregnancy.
  • The postoperative performance available for 7 of the 8 women showed 4 term pregnancies in 3 women, 1 ectopic pregnancy, and no abortions.

Our study suggests that hysteroscopic metroplasty in women with a T-shaped uterus improves the reproductive outcome, mainly in women with repeated abortions. We conclude that women with a T-shaped uterus who want to improve their reproductive function should be encouraged to undergo hysteroscopic metroplasty.

More DES DiEthylStilbestrol Resources

Have your say ! Share your views