Reproductive outcome after transcervical resection in women with subseptate uterus.

Abstract

Objective: To examine the efficacy of transcervical resection (TCR) for subseptate uterus in patients with infertility or recurrent miscarriage.

Design: Retrospective study.

Patients: Twenty-five patients with infertility or recurrent miscarriage who underwent TCR for subseptate uterus in Nagasaki University Hospital between October 1996 and June 2014.

Interventions: TCR and laparoscopic surveillance under general anesthesia.

Main outcome: Pregnancy rate and live birth rate after TCR.

Result: Pregnancy rates in primary infertility, secondary infertility, and recurrent miscarriage groups were 50% (4/8), 50% (2/4), and 100% (13/13), respectively. The live birth rates in the primary infertility, secondary infertility, and recurrent miscarriage groups were 83% (5/6), 100% (2/2) and 86% (18/21), respectively. Of 25 deliveries after TCR, 12 were performed by caesarean section. Although one caesarean section was performed for perioperative uterine perforation, the others were performed for obstetric indications: repeat caesarean section (5/12), breech presentation (3/12), placenta previa (1/12), placental abruption (1/12), and arrested labor (1/12).

Conclusion: Pregnancy and live birth rates improved in patients with recurrent miscarriage after TCR for subseptate uterus.