SURGICAL HYSTEROSCOPY IN TREATMENT OF SEP TATE UTERUS - SYSTEMATIC TREATMENT OR SELECT INDICATION

Objectives : A retrospective study to evaluate the fertility rate afte r endoscopic hysteroplasty in the case of a septate uterus. Method : F rom 1st January 1988-31st December 1996, 93 patients showing a septate uterus were treated by endoscopic hysteroplasty. The hospitalisation is short. one day surgery or our office. A control of uterine cavity b y hysteroscopy did next to two months. Results : Patients were evaluat ed after a period in excess of 6 months (6 months-8 years). 63 pregnan cies were archived amongst the 84 patients to be reviewed (75%). The f ertility rate achevied is higher amongst infertile patients (80,3%) co mpared with that of sterile patients (64%). Conclusion. In the presenc e of septate uterus the endoscopic hysteroplasty is an efficient treat ment in the case of secondary infertility and of unexplained sterility .