Hysteroscopic metroplasty in the diethylstilbestrol-exposed uterus and similar nonfusion anomalies: effects on subsequent reproductive performance; a preliminary report

Nagel, Theodore C.; Malo, John W.

doi:10.1016/s0015-0282(16)55789-6

Cited by 48 publications

(32 citation statements)

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“…The results from our series support those reported by Nagel and Malo [8] and indicate that hysteroscopic metroplasty is a rela tively simple and efficient treatment option with no com plications. The number of cases listed is too small for a statistical evaluation of the results, but they are neverthe less promising.…”

Section: Discussionsupporting

confidence: 90%

“…Other possible etiologies for the T-shaped uterus include congenital miillerian malformations, or acquired defects due to uterine infections or instrumentation. Re cently, Nagel and Malo [8] published the first series of 8 women with T-shaped uteri who underwent hystéroscopie metroplasty and their reproductive outcome. Their re sults showed a successful outcome of term deliveries in 3 of 6 women with recurrent spontaneous abortions, and no success in 2 women with primary infertility.…”

Section: Discussionmentioning

confidence: 99%

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Beneficial Effect of Hysteroscopic Metroplasty on the Reproductive Outcome in a ‘T-Shaped’ Uterus

Katz

Ben-Arie

Lurie

et al. 1996

Gynecol Obstet Invest

108

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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.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Beneficial Effect of Hysteroscopic Metroplasty on the Reproductive Outcome in a ‘T-Shaped’ Uterus

Katz

Ben-Arie

Lurie

et al. 1996

Gynecol Obstet Invest

108

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“…Different methods and instruments for the hysteroscopic metroplasty have been used, including scissors 6 and a resectoscope with a monopolar hook 7,8 . The choice of the technique seems to depend on operating time, cost of instrumentation and rate of complication.…”

Section: Discussionmentioning

confidence: 99%

Reproductive performance after hysteroscopic metroplasty in the hypoplastic uterus: a study of 29 cases

Barranger¹

2002

BJOG: An International Journal of Obstetrics and Gynaecology

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Objective To evaluate the reproductive performance after hysteroscopic metroplasty performed for hypoplastic uterus. Design Crossover study (15 patients) and descriptive analysis (14 patients).Setting Tertiary care university hospital.Population Twenty-nine women (mean age: 31.4 years; range: 27 -38.5 years) with a hypoplastic malformed uterus and a history of primary infertility and/or recurrent abortion and/or preterm delivery were included in this study. Fourteen women suffered from primary infertility and 15 women had previous pregnancies. Twenty-three women had been exposed to diethylstilboestrol in utero. Methods Women underwent hysteroscopic metroplasty between January 1996 and May 1999. Main outcome measures Rate of pregnancies and live births, anatomical results.Results The mean follow up was 40 months (range: 13 -67 months). Twenty-one women (72.4%) experienced 30 pregnancies. Thirteen women gave birth to 16 live infants. At the time of the follow up, four women were pregnant in the second trimester. Compared with previous pregnancies, the rate of deliveries increased from 3.8% to 63.2%. No complications occurred during metroplasty. The hysteroscopic anatomical results were good in all cases. Conclusions Our results suggest that hysteroscopic metroplasty, with its simplicity and minimal postoperative sequelae, seems to be an operation of choice in women with a hypoplastic malformed uterus and a history of severe infertility and/or recurrent pregnancy loss.

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“…50 Although authors reporting on small series recount positive impressions about the impact of surgery on subsequent reproductive outcome, 51 the efficacy of these procedures remains to be rigorously evaluated.…”

Section: Anatomy and Morphological Measurementsmentioning

confidence: 99%

Pelvic Imaging in Reproductive Endocrinology

Ziegler¹,

Streuli²,

Santulli³

et al. 2014

Yen &Amp; Jaffe's Reproductive Endocrinology

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Hysteroscopic metroplasty in the diethylstilbestrol-exposed uterus and similar nonfusion anomalies: effects on subsequent reproductive performance; a preliminary report

Cited by 48 publications

References 6 publications

Beneficial Effect of Hysteroscopic Metroplasty on the Reproductive Outcome in a ‘T-Shaped’ Uterus

Beneficial Effect of Hysteroscopic Metroplasty on the Reproductive Outcome in a ‘T-Shaped’ Uterus

Reproductive performance after hysteroscopic metroplasty in the hypoplastic uterus: a study of 29 cases

Pelvic Imaging in Reproductive Endocrinology

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Hysteroscopic metroplasty in the diethylstilbestrol-exposed uterus and similar nonfusion anomalies: effects on subsequent reproductive performance; a preliminary report

Cited by 48 publications

References 6 publications

Beneficial Effect of Hysteroscopic Metroplasty on the Reproductive Outcome in a &lsquo;T-Shaped&rsquo; Uterus

Beneficial Effect of Hysteroscopic Metroplasty on the Reproductive Outcome in a &lsquo;T-Shaped&rsquo; Uterus

Reproductive performance after hysteroscopic metroplasty in the hypoplastic uterus: a study of 29 cases

Pelvic Imaging in Reproductive Endocrinology

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Product

Resources

About

Beneficial Effect of Hysteroscopic Metroplasty on the Reproductive Outcome in a ‘T-Shaped’ Uterus

Beneficial Effect of Hysteroscopic Metroplasty on the Reproductive Outcome in a ‘T-Shaped’ Uterus