REPRODUCTIVE OUTCOME AFTER METROPLASTY

Objective: To evaluate the impact of abdominal metroplasty for symmetr ic uterine anomalies on reproductive performance. Method: A retrospect ive analysis of 24 patients who conceived following metroplasty for sy mmetric congenital anomalies during a 5-year period. Results. In patie nts with poor obstetric histories before surgery, the overall fetal su rvival rate increased from 2.5%. before treatment to 73.3% after treat ment and 90.5% of women gave birth to a surviving infant. The remainin g three patients suffering from infertility delivered a full-term infa nt after metroplasty. Antenatal complications occurred in 56.7% of the pregnancies. Conclusion: Abdominal metroplasty clearly improves fetal survival particularly in women suffering from a history of poor obste tric outcome associated with symmetric malformations.