The use of hysteroscopic metroplasty with diode laser to increase endometrial volume in women with septate uterus: preliminary results

Gynecological Surgery

Luigi Nappi¹  Michele Bollino¹  Vincenzo De Feo¹  Felice Sorrentino¹  Maddalena Falagario¹  Stefano Angioni² 

[1] Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, Viale L. Pinto, 71100, Foggia, Italy;Department of Surgical Sciences, Division of Gynecology and Obstetrics, University of Cagliari, Cagliari, Italy;

关键词: Septate uterus;    Metroplasty;    Diode laser;    Hysteroscopy;    3D ultrasound;   

DOI  :  10.1186/s10397-021-01093-8

来源: Springer

【 摘 要 】

BackgroundSeptate uterus is a common Mullerian ducts anomaly. The aim of our pilot study was the evaluation of diode laser hysteroscopic metroplasty efficacy to increase endometrial volume in women with septate uterus.ResultsWe prospectively enrolled 10 consecutive patients with septate uterus undergoing office hysteroscopic metroplasty with diode laser between February and November 2019. Endometrial volume was evaluated before and 3 months after surgery using 3D transvaginal ultrasound. The surgical procedure was uncomplicated in all patients, the endometrial volume increased at 3 months follow-up (the median increase was 1.9 cm3 (range 1.7–2.1), and there was a complete removal of septum with no intrauterine synechiae at follow-up hysteroscopy.ConclusionsOffice hysteroscopic metroplasty with diode laser is a safe procedure and has preliminary showed to increase endometrial volume. The increase in endometrial volume by 3D-TV US could be used as a prognostic factor for the reproductive outcomes.

【 授权许可】

CC BY