HYSTEROSCOPIC METROPLASTY

Study Objective. To evaluate 10 years' experience with hysteroscopic t reatment of septate uterus in Italy. Design. Multicenter retrospective study conducted from January 1988 to March 1997 (Canadian Task Force classification II-2). Setting. Twelve Italian centers for minimally in vasive therapy. Patients. Women (total 973) with hysteroscopically dia gnosed septate uterus. Interventions. Hysteroscopic metroplasty perfor med with scissors, resectoscope, or neodymium:yttrium-aluminum-garnet laser. Measurements and Main Results. Data on indications for hysteros copic metroplasty, details of patient management from pretreatment to follow-up, and pregnancy course and delivery were collected by questio nnaire. Main indications were two or more abortions and primary infert ility. Most procedures were performed with the resectoscope, followed by scissors and laser. Few minor complications occurred. Pregnancy rat es were good. Conclusion. Hysteroscopy is safe and effective treatment of septate uterus in terms of both pregnancy rate and outcome.