Removal of a residual portion of a uterine septum in women of advanced reproductive age

Obstetric outcome

Zsolt Kormányos, Béla G. Molnár, A. Pál

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Background: To learn more about the obstetric outcome after initial septum resection and remnant septum (≤1 cm) resection. Methods: In 94 patients with septate uteri who underwent uterine septum resection, the reproductive efficiency was analysed in a prospective observational study. The reproductive outcome was analysed after initial resection and (if required) consecutive procedures. Results: A total of 94 women were enrolled in the study; all had had two or more miscarriages. The septum was completely removed during the first hysteroscopy in 58 (62%) cases. A residual septum was observed in 36 (38%) patients. Subsequent operative hysteroscopy was performed in the cases (29/36; 80.5%) involving repeated miscarriage and unsuccessful conception. The minimum observation time was 24 months. The difference in delivery rate after the first hysteroscopy between those with a normalized uterine cavity (26/58; 44.8%) and those with remnants (7/36; 19.4%) was statistically significant (P <0.05). In fact, following the normalization of the uterine cavity, 62.1% (18/29) of the patients delivered, as compared with 19.4% of those (7/36) with a residue and Kaplan-Meyer curves revealed a statistically significant difference (P <0.05). Conclusions: Women with a remnant uterine septum have an increased chance of successful pregnancy with an improved obstetric outcome after normalization of the uterine cavity.

Original languageEnglish
Pages (from-to)1047-1051
Number of pages5
JournalHuman Reproduction
Volume21
Issue number4
DOIs
Publication statusPublished - Apr 2006

Fingerprint

Hysteroscopy
Obstetrics
Spontaneous Abortion
Uterus
Observational Studies
Observation
Prospective Studies
Pregnancy

Keywords

  • Hysteroscopy
  • Infertility
  • Metroplasty
  • Miscarriage
  • Remnant septum

ASJC Scopus subject areas

  • Physiology
  • Developmental Biology
  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

Removal of a residual portion of a uterine septum in women of advanced reproductive age : Obstetric outcome. / Kormányos, Zsolt; Molnár, Béla G.; Pál, A.

In: Human Reproduction, Vol. 21, No. 4, 04.2006, p. 1047-1051.

Research output: Contribution to journalArticle

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