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Not every subseptate uterus requires surgical correction to reduce poor reproductive outcome
Author(s) -
Pang LiHong,
Li MuJun,
Li Mingqing,
Xu Hong,
Wei ZhouLing
Publication year - 2011
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2011.07.030
Subject(s) - medicine , pregnancy , septoplasty , obstetrics , abortion , incidence (geometry) , uterus , gynecology , prospective cohort study , surgery , genetics , physics , optics , biology , nose
Objective To evaluate whether hysteroscopic septoplasty should be performed in all women diagnosed with subseptate uterus. Methods In a prospective study, 138 patients diagnosed with subseptate uterus at the First Affiliated Hospital of Guangxi Medical University, Nanning, China, were enrolled between January 1, 2006, and March 1, 2011, and reproductive outcomes were compared among women who did and those who did not undergo hysteroscopic resection. Women were divided in 2 groups: group A comprised women with a history of recurrent spontaneous abortion (RSA), and was subdivided into control (A1) and surgery (A2) groups; group B comprised women with no history of poor reproductive outcomes, and was subdivided into control (B1) and surgery (B2) groups. Results The rates of pregnancy and term delivery were higher in group A2 than in group A1 ( P < 0.05). The incidence of RSA and preterm delivery was higher in group A1 than in group A2 ( P < 0.05). There was no difference in pregnancy rate, incidence of RSA, or preterm or term delivery between group B1 and group B2. Conclusion Hysteroscopic septoplasty significantly improved pregnancy outcomes in women with a history of RSA, but did not influence reproductive outcomes in women with no history of poor pregnancy outcomes.