FERTILITY AND ABORTION RATES FOLLOWINGHYSTEROSCOPIC RESECTION OF UTERINE SEPTA

Objectives: the presented work studied the effect of uterine septum resection in patients with short and long septa on obstetric outcomes specially the abortion rates and preterm deliveries

Subjects and methods: 100 hundred patients known to have uterine septum had been recruited to a private clinic in Benha city –Egypt and classified into two groups according to the length of septum, group A with short septum<2.5cmand groupB with long septum >2.5 cm, all patients subjected to hysterosopic resection of septa after counseling and signed informed consent.

Results: The infertility rate was significantly lower in group b after surgery (39.47% vs 10.53%, P = .006). However, no significant difference was observed in the infertility rate between groups A and B. There were no significant differences in pregnancy rate, and preterm live births rate among the 2 groups (P >.05 for all). In Group A the change is only in the rate of term and preterm which was significant but abortion rate didnt differ, this was the group of the smalls septum <2.5cm.Significant change occurred in the rate of abortion in group b (25 before resection dropped to 10 after with p value of 0.001 a high significant difference also there were a significant change in all other items including the pregnancy rate and term pregnancy (pregnancy rate elevated from 35 cases to 40 cases with p value 0.01 also the rate of term pregnancy highly increased from25 cases before septum resection to 38 cases after resection with p value 0.007

Conclusion: large uterine septum >2.5cm resection associated with increase in fertility and decreased rates of abortions.