Reproductive outcome following resectoscope metroplasty in women having a complete uterine septum with double cervix and vagina

OBJECTIVE: To evaluate reproductive outcomes in women with complete uterine septum with double cervix and vagina following resectoscope metroplasty. METHODS: The pregnancy outcomes of 21 women who underwent vaginal and uterine septum resection were compared with those of 15 untreated women with similar clinical characteristics. The Fisher exact test and the Mann-Whitney test were used for statistical analysis. RESULTS: Cycle fecundity was better (33.4%+/-28.5% vs 12.2%+/-4.7%; P=0.046), the rate of term delivery significantly increased (P<0.05), and the rate of spontaneous abortion decreased (P<0.05) in the treatment group. CONCLUSION: Resectoscope metroplasty was found to improve the pregnancy outcomes of women having primary infertility or a history of pregnancy loss associated with a complete uterine septum with double cervix and vagina.