Reproductive Outcome of Transcervical Uterine Incision in Unicornuate Uterus
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AbstractBackground: The pregnancy outcome of the unicornuate uterus is associated with an increased risk of miscarriage, cervical incompetence, and a number of obstetric complications. However, at present, there is no accepted treatment method for women with unicornuate uterus, other than expectant measures. The aim of this study was to evaluate the reproductive outcome of transcervical uterine incision (TCUI) in patients with unicornuate uterus.
Methods: Thirty-three patients with unicornuate uterus presented to our tertiary center for infertility or miscarriage. All 33 patients underwent TCUI and were followed up for 10-52 months. The pregnancy outcomes (first-trimester miscarriage, second-trimester miscarriage, preterm, term, intrauterine death, ongoing pregnancy, and live birth) before and after TCUI were compared by t-test.
Results: Among 31 patients who attempted to conceive after TCUI, twenty conceived including one termination of pregnancy, one second-trimester miscarriage, one ectopic pregnancy, five preterm deliveries, 11 term delivery, and one ongoing pregnancy. There were 16 live births in total. There was significant reduction in the first-trimester miscarriage rate (t = 4.890; P < 0.001), increase in term delivery (t = -3.288; P = 0.002), and live birth rates (t = -4.073; P < 0.001) after TCUI.
Conclusion: TCUI appeared to improve the pregnancy outcome in women with unicornuate uterus presenting with infertility or miscarriage.
All Author(s) ListXia EL, Li TC, Choi SNS, Zhou QY
Journal nameChinese Medical Journal
Year2017
Month2
Day5
Volume Number130
Issue Number3
PublisherMEDKNOW PUBLICATIONS & MEDIA PVT LTD
Place of PublicationIndia
Pages256 - 261
ISSN0366-6999
LanguagesEnglish-United Kingdom
KeywordsHysteroscopy,Pregnancy Outcome,Surgery,Transcervical Incision of Uterus,Unicornuate Uterus,Uterine Anomalies
Web of Science Subject CategoriesMedicine, General & Internal;General & Internal Medicine

Last updated on 2020-11-10 at 01:05