Surgical approach to and reproductive outcome after surgical correction of a T-shaped uterus

Abstract

Background: The aim of this study was to describe the surgical approach to, and evaluate the reproductive outcome of, a T-shaped uterus. Methods: The study included 97 women who were eligible for hysteroscopic surgery, by either monopolar or bipolar electrosurgical instruments. All had diagnostic hysteroscopy 2 months afterwards to assess the success of the procedure and determine whether any synechiae were present. Results: Forty-eight women (49.5) became pregnant after metroplasty. The overall live birth rate per pregnancy before surgery was 0; for these patients, it increased to 73, and their miscarriage rate fell from 78 to 27 (P < 0.05). For all 57 pregnancies in 48 women, the ectopic pregnancy rate was 9 (n 5), the miscarriage rate 28 (n 16), the preterm delivery rate 14 (n 8), the term delivery rate 49 (n 28) and the live birth rate was 63 (n 36). Conclusions: Hysteroscopic metroplasty improves the live birth rate for women with a T-shaped uterus and a history of primary infertility, recurrent abortion or preterm delivery, although it is not a treatment of infertility. © 2011 The Author.