PROSPECTIVE EVALUATION OF MEDIUM-TERM OUTCOMES OF PATIENTS UNDERGOING HYSTEROSCOPIC UTERINE SEPTUM RESECTION

Authors : Gülten ÇİRKİN TEKEŞ, Reyhan GÜNDÜZ, Nizamettin BOZBAY, Rezan BUĞDAY, Elif AĞAÇAYAK

Pages : 85-92

Doi:10.33457/ijhsrp.821619

View : 14 | Download : 6

Publication Date : 2021-04-28

Article Type : Research Paper

Abstract :Objectives: To retrospectively and prospectively investigate the pregnancy outcomes after hysteroscopy insert ignore into journalissuearticles values(H/S); for septum resection in patients detected to have a uterine septum after presenting with a history of recurrent pregnancy loss insert ignore into journalissuearticles values(RPL);, diagnosis of secondary infertility or primary infertility. Methods: This study included 62 patients with infertility or a history of RPL who underwent hysteroscopic uterine septum resection. Patients who had uterine anomalies other than a uterine septum, such as submucous myoma, endometrial polyp were excluded. Those discharged home with a live infant after a uterine septum operation were compared based on certain variables, those who succeeded and those who failed were categorized into group 1 and group 2, respectively. The two groups were compared with regard to the total number of deliveries before and after the operation, total number of abortions, preterm and term deliveries, delivery methods, control hysterosalpingographies insert ignore into journalissuearticles values(HSG); and whether they were reoperated. Results: In our study, 25 insert ignore into journalissuearticles values(40%); patients were primary infertile, 37 insert ignore into journalissuearticles values(60%); had secondary infertility or a history of RPL. Hysteroscopic septum resection was performed under general anesthesia in 61 and spinal anesthesia in 1 of these patients. Of the patients who were postoperatively discharged home with a live infant, 8 insert ignore into journalissuearticles values(26.7%); were determined to be primary infertile and 22 insert ignore into journalissuearticles values(73.3%); to have secondary infertility or a history of RPL. The rate of discharge with a live infant was determined as 76.9% among patients who conceived. The success rate of Group 1 patients, who were secondary infertile or had history of RPL, was significantly higher compared to patients who were primary infertile. Conclusions: Hysteroscopic uterine septum resection is a method with an easy application and high effectiveness. The success of the operation is particularly higher in patients who have a history of RPL or are secondary infertile compared with patients who are primary infertile.
Keywords : Infertility, recurrent pregnancy loss, uterine septum, hysteroscopy