Reproductive outcome after metroplasty.

Objective: To evaluate the impact of abdominal metroplasty for symmetric uterine anomalies on reproductive performance.

Method: A retrospective analysis of 24 patients who conceived following metroplasty for symmetric congenital anomalies during a 5-year period.

Results: In patients with poor obstetric histories before surgery, the overall fetal survival rate increased from 2.5%, before treatment to 73.3% after treatment and 90.5% of women gave birth to a surviving infant. The remaining three patients suffering from infertility delivered a full-term infant after metroplasty. Antenatal complications occurred in 56.7% of the pregnancies.

Conclusion: Abdominal metroplasty clearly improves fetal survival particularly in women suffering from a history of poor obstetric outcome associated with symmetric malformations.