BENEFICIAL EFFECT OF HYSTEROSCOPIC METROPLASTY ON THE REPRODUCTIVE OUTCOME IN A T-SHAPED UTERUS

Eight women (aged 27-43) with reproductive dysfunction who were diagno sed by hysterosalpingogram and hysteroscopy as having a 'T-shaped' ute rus were operated on using fiberoptic hysteroscopic guidance; the uter ine side walls were incised until a normal uterine cavity was achieved . The women's gynecologic and obstetric records were compared before a nd after the operation. In all the 8 women the operation was without c omplications 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 t he 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, mainl y in women with repeated abortions. We conclude that women with a T-sh aped uterus who want to improve their reproductive function should be encouraged to undergo hysteroscopic metroplasty.