Two Cases of Unicornuate Uterus Treated by Transcervical Incision of Uterus Metroplasty Successfully Pregnancy and Literature Review

Xia, Enlan; Xue-bing, Peng; Ma, Ning; Xiao, Yu; Qu, Jing

doi:10.1016/j.jmig.2013.08.480

Cited by 1 publication

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“…[ 27 ] Markham and Waterhouse[ 28 ] believed that patients with unicornuate uteri were not candidates for surgical reconstruction. On the contrary, our previous article[ 29 ] reported three live births in unicornuate uterus after TCUI, suggesting that TCUI could improve the pregnancy outcomes of unicornuate uterus by enlarging the uterine cavity. The present study showed a statistically significant improvement in the first-trimester miscarriage, term delivery, and live birth rate after TCUI.…”

Section: Discussionmentioning

confidence: 77%

Reproductive Outcome of Transcervical Uterine Incision in Unicornuate Uterus

Xia

Choi

et al. 2017

Chinese Medical Journal

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Background:The pregnancy outcome of the unicornuate uterus is associated with an increased risk of miscarriage, cervical incompetence, and a number of obstetric complications. However, at present, there is no accepted treatment method for women with unicornuate uterus, other than expectant measures. The aim of this study was to evaluate the reproductive outcome of transcervical uterine incision (TCUI) in patients with unicornuate uterus.Methods:Thirty-three patients with unicornuate uterus presented to our tertiary center for infertility or miscarriage. All 33 patients underwent TCUI and were followed up for 10–52 months. The pregnancy outcomes (first-trimester miscarriage, second-trimester miscarriage, preterm, term, intrauterine death, ongoing pregnancy, and live birth) before and after TCUI were compared by t-test.Results:Among 31 patients who attempted to conceive after TCUI, twenty conceived including one termination of pregnancy, one second-trimester miscarriage, one ectopic pregnancy, five preterm deliveries, 11 term delivery, and one ongoing pregnancy. There were 16 live births in total. There was significant reduction in the first-trimester miscarriage rate (t = 4.890; P < 0.001), increase in term delivery (t = −3.288; P = 0.002), and live birth rates (t = −4.073; P < 0.001) after TCUI.Conclusion:TCUI appeared to improve the pregnancy outcome in women with unicornuate uterus presenting with infertility or miscarriage.

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Section: Discussionmentioning

confidence: 77%