No clinical relevance of the height of fundal indentation in subseptate or arcuate uterus: a prospective study

作者：Gergolet Marco^*; Campo Rudi; Verdenik Ivan; Suster Natasa Kenda; Gordts Stephan; Gianaroli Luca

来源：Reproductive BioMedicine Online, 2012, 24(5): 576-582.

DOI：10.1016/j.rbmo.2012.01.025

• arcuate uterus
• congenital uterine anomalies classification
• septate uterus
• subseptate uterus
• spontaneous miscarriage
• hysteroscopic metroplasty

The American Fertility Society has classified the arcuate uterus as a minor malformation with a benign clinical behaviour. The aim of this prospective study was to verify whether there is any scientific basis for this differentiation. Patients with at least one early miscarriage and a subseptate or arcuate uterus were admitted for hysteroscopic metroplasty. Patients were allocated to a subseptate uterus group, with an indentation of 1.5 cm or more, or an arcuate uterus group, with a smaller indentation. The miscarriage rates after metroplasty were similar between the two groups (14.0% in the subseptate uterus group versus 11.1% in the arcuate uterus group). Before metroplasty, the miscarriage rates were significantly higher in subseptate uterus group, as well as in the arcuate uterus group (both P %26lt; 0.001). According to these results, there is no evidence to support that the arcuate uterus has a different effect on the reproductive outcome in comparison to the subseptate uterus, neither before nor after surgical correction of the anomaly. Since there is no scientific basis for a separate classification of the arcuate uterus, a review of the classifications of uterine congenital anomalies should be considered as necessary.

• 出版日期2012-5