Diode Laser Hysteroscopic Metroplasty for Dysmorphic Uterus: a Pilot Study

Area of Science:

• Reproductive Medicine
• Minimally Invasive Surgery
• Gynecology

Background:

• Dysmorphic uterus, specifically T-shaped or Y-shaped, is associated with infertility and pregnancy complications.
• Hysteroscopic metroplasty is a surgical option to correct uterine cavity abnormalities.

Purpose of the Study:

• To evaluate the efficacy and safety of diode laser hysteroscopic metroplasty for dysmorphic uterus.
• To assess the impact of this procedure on reproductive outcomes.

Main Methods:

• Retrospective, single-center pilot study with prospective follow-up.
• 25 nulliparous women with dysmorphic uterus and infertility underwent diode laser hysteroscopic metroplasty.
• Outcomes included operative time, complications, hysteroscopic appearance, pregnancy, and live birth rates.

Main Results:

• No complications were reported during or after the procedure.
• Follow-up hysteroscopy and 3D ultrasound showed satisfactory uterine cavity appearance in all cases.
• Fifteen women pursued fertility treatments, achieving a 60% pregnancy rate and a 78% rate of ongoing pregnancies/deliveries.

Conclusions:

• Diode laser hysteroscopic metroplasty is a safe and effective ambulatory procedure for correcting dysmorphic uteruses.
• The technique significantly improves reproductive outcomes, including pregnancy and live birth rates.