1. The use of hysteroscopic metroplasty with diode laser to increase endometrial volume in women with septate uterus: preliminary results.
- Author
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Nappi, Luigi, Falagario, Maddalena, Angioni, Stefano, De Feo, Vincenzo, Bollino, Michele, and Sorrentino, Felice
- Subjects
SEMICONDUCTOR lasers ,UTERUS ,HYSTEROSCOPY ,MULLERIAN ducts ,OPERATIVE surgery ,ULTRASONIC imaging - Abstract
Background: Septate 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. Results: We 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 cm
3 (range 1.7–2.1), and there was a complete removal of septum with no intrauterine synechiae at follow-up hysteroscopy. Conclusions: Office 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. [ABSTRACT FROM AUTHOR]- Published
- 2021
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