[Hysteroscopic septoplasty: after miscarriages?]

Abstract

Objective: To assess reproductive outcome of women affected by septate uterus after surgical correction.

Patients and methods: It is a retrospective study. The setting is a French university hospital. Surgery was performed on 66 patients between 2000 and 2010. Hysteroscopic metroplasty was performed in every group once the diagnosis was made. There were two groups: 35 patients affected by septate uterus had past history of miscarriages, preterm and term deliveries. Thirty-six patients had never been pregnant.

Results: In the group of 35 patients with a previous obstetric history, the rate of miscarriages was 57.1% before surgery and 10% after surgery. There was a significant gain of live birth ratio of 55% among women being pregnant after surgery compared to women being pregnant before surgery. For patients with no pregnancy before surgery, obstetrical results are the following ones: miscarriages 25.9%, preterm deliveries 11% and term deliveries 59.3%.

Discussion and conclusion: Hysteroscopic septoplasty is an easy technique with few complications in our study. Hysteroscopic septoplasty is strongly recommended after recurrent miscarriages or premature deliveries. We use to propose surgery to every patient affected by septate uterus, even if they have never been pregnant.

Keywords: Cloison utérine; Malformation utérine; Metroplasty; Pronostic obstétrical; Reproductive outcome; Septate uterus; Septoplastie hystéroscopique; Uterine malformation.