REPRODUCTIVE OUTCOME FOLLOWING ABDOMINAL METROPLASTY

Objective: To evaluate pregnancy outcome following uterine unification procedures in patients with uterine anomalies. Methods: A retrospecti ve survey included all abdominal metroplasty procedures performed on 4 3 patients at the American University of Beirut Medical Center between January 1, 1974 and December 31, 1991. Age at metroplasty, type of an omaly and surgical procedures, as well as preoperative and postoperati ve reproductive performance were all recorded. Results: Forty (93%) ou t of 43 patients who underwent metroplasty had postoperative live birt hs compared with five (12%) prior to surgery. The fetal wastage rate d ropped from 93% pre- to 16% postoperatively. All seven patients with a history of primary infertility conceived and had live births. Conclus ion: Our data suggest a remarkable improvement following abdominal met roplasty in patients with both typical and uncharacteristic preoperati ve reproductive performance.