[Hysteroscopic metroplasty for uterine enlargement: a treatment for diethylbestrol-exposed and hypoplastic uteri].

Objective: To determine the feasibility of correcting the uterine deformity in the diethylbestrol-exposed uterus and hypoplastic uterus.

Design: Hysteroscopic metroplasty. Patients served as their own controls.

Patients: Five patients referred for primary sterility (2 cases) or primo-secondary infertility with recurrent pregnancy loss or ectopic pregnancy (3 cases). Three of them had been exposed in utero to diethylbestrol. All of them have a hypoplastic uterus or uterine deformities as seen by hysterosalpingogram.

Outcome Measures: Postoperative hysterosalpingogram aspect. Ability to conceive and carry pregnancy to livebirth.

Results: All the postoperative hysterosalpingograms appeared more normal than the preoperatively. Three patients have conceived since surgery.

Conclusion: Hysteroscopic metroplasty is feasible. It gives good anatomic results. This technique could be used in the patients with diethylbestrol-exposed or hypoplastic uteri, with severe infertility, recurrent pregnancy loss or implantations failures in a IVF programm.