A review of 13 patients with uterine anomalies from 1982 to 1990 was made to determine the relationship of anomalies to infertility, to obstetric outocome, and to indication for metroplasty.
Patients with septate and bicornuate anomalies were found to be poor obstetric performers and likely candidate for repair.
It was found that infertility was an uncommon problem in these patients and it should rarely be an indication for metroplasty.
Prior to surgical correction of uterine malformation, 45 of 49 pregnancies (91.3%) had ended with spontaneus abortion.
Following metroplasty, 10 patiets had a total 18 pregnancies, 4(22.2%) of which ended in abortion, 5(27.8%) in premature delivery and 9(50.0%) in term birth, for a living baby rate of 55.6%.
in properly selected patients, metroplasty procedure can be performed safely, and are associated with excellent reproductive outcome.
There was no unusual intraoperative or postoperative complications.
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