Hysteroscopic metroplasty improves gestational outcome in women with recurrent spontaneous abortion

Study Objective. To compare the reproductive outcome in women with recurrent spontaneous abortion (RSA) associated with septate uterus after hysteroscopic metroplasty compared with patients who did not undergo surgery. Design. Longitudinal evaluation (Canadian Task Force classification 11-2). Setting. University of Rome, Tor Vergata-affiliated endoscopic unit. Patients. Forty-eight consecutive women with septate uterus and RSA were enrolled in the study. Interventions. Hysteroscopic metroplasty. Measurements and Main Results. Reproductive outcome in terms of term pregnancy was significantly improved after hysteroscopic metroplasty compared with controls (76% vs. 20%). No differences were found in the prevalence of preterm delivery between groups (4% vs. 5%). Conclusion. Our data suggest that hysteroscopic septum incision can improve pregnancy outcome in patients with RSA associated with septate uterus