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Ege Journal of Medicine
2018, Cilt 57, Sayı 3, Sayfa(lar) 125-130
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Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study
Deniz Şimşek1, Çağrı Güven2, Çağdaş Şahin3, Ali Akdemir3, Ahmet Mete Ergenoğlu3, Ahmet Özgür Yeniel3, Fatih Şendağ3
1Ahlat State Hospital, Clinic of Obstetrics and Gynecology, Bitlis, Turkey
2Denizli State Hospital, Clinic of Obstetrics and Gynecology, Denizli, Turkey
3Ege University Faculty of Medicine, Department of Obstetrics and Gynecology İzmir, Turkey
Keywords: Septate uterus, hysteroscopic septoplasty, resectoscope, hysteroscopy, cold scissor

Aim: Uterine septum affects a large proportion of women, especially patients with recurrent abortion. Hysteroscopic septoplasty is a novel and minimally invasive method for its treatment. Pregnancy rates after hysteroscopy vary in different studies. We aimed to evaluate pregnancy outcomes after hysteroscopic septoplasty and to compare the beneficial effects of different hysteroscopic techniques.

Materials and Methods: Patients undergoing hysteroscopic septoplasty between 2007 and 2013 in Ege University were retrospectively reviewed. Patients’ pregnancy outcomes were followed-up by using the university’s registry system and telephone interviews. Live birth rates and miscarriages were determined. Different surgical techniques (resectoscope, cold scissors) were compared regarding live birth ratios.

Results: One hundred twenty two patients were included in this study. Ninety-four pregnancies occurred with an overall pregnancy rate of 77%. Seventy nine live births and 15 abortions had occurred. Sixty-six women (54%) gave at least one live birth. Hysteroscopic septoplasty was performed in 72 (59%) and 50 (41%) patients using resectoscope and cold scissors with 5mm hysteroscope, respectively. Fourty two (58%) of patients undergoing septoplasty by resectoscope and 24 patients (48%) of patients undergoing septoplasty by cold scissors group had a live birth. There was no statistically significant difference among the pregnancy outcomes of the two surgical techniques.

Conclusion: Hysteroscopic septoplasty is a safe, effective and minimally invasive method for uterine septum treatment. There is no significant difference in the live birth rates according to whether the resectoscope or cold scissors were used. Infertile patients with uterine septum should be offered the option of hysteroscopy which is feasible with low complication rates and high pregnancy rates.


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