Reproductive outcomes after metroplasty by resectoscope

The reproductive outcomes in 232 women after transcervical metroplasty (199 3-96) have been evaluated. The 83% postoperative pregnancy rate in the grou p of women complaining fetal wastage was significantly higher compared to t he 18% postoperative pregnancy rate in the infertile group (P < 0.0001). Th e structures of 300 pregnancies before the operation significantly differed to the structure of 144 pregnancies after the operation (P < 0.001). The s pontaneous abortion rate lowered from 78 to 11% (P < 0.0001). The delivery rate increased from 13 to 81%. Preterm deliveries dropped from 55 to 10% of all deliveries (P < 0.0001). Ectopic pregnancy rate showed no difference: 8 and 8%. The mean neonatal weight was 3333 g. Perinatal and neonatal data in the metroplasty group showed no difference compared to the data in the c ontrols. The results highlight both the curative and the preventive role of this safe and simple endoscopic procedure.