Korean J Obstet Gynecol.  2001 Feb;44(2):241-245.

Hysteroscopic management of intrauterine adhesion and their reproductive outcomes

• Ju ES
• Kim IG
• Oh YE
• Lee HJ
• Lee TH
• Chun SS

Abstract

One hundred sixty three patients were hysteroscoped for various reasons at our department over 10 year period. Ninety eight patients out of 163 who were diagnosed and treated for their intrauterine adhesions(IUAs) by hysteroscopy were analysed retrospectively. Patients were classified as having mild, moderate or severe stage of IUAs according to American Fertility Society classification. Twenty nine patients(29.6%) had mild IUAs, 43 patients (43.9%) had moderate IUAs, and 26 patients(26.5%) were classified as having severe stage IUAs. The predisposing causal factors of IUAs were abortion, full-term delivery, H. mole, pelvic tuberculosis and myomectomy in order of frequency but in eight cases no cause was identified. After hysteroscopic surgery, although high rate(83.9%) of restoration of normal menstruation was attained but term pregnancy rate was only 53.3% and rather high rate (32%) of preterm or abortion were identified and those pregnancy outcomes were correlated with the stage of IUAs. Complications of surgery consisted of uterine or bladder perforation, pulmonary edema and hemorrhage.

Keyword

Intrauterine adhesion; Hysteroscopy; Reproductive outcomes

MeSH Terms

Classification
Female
Fertility
Hemorrhage
Humans
Hysteroscopy
Menstruation
Pregnancy
Pregnancy Outcome
Pregnancy Rate
Pulmonary Edema
Retrospective Studies
Tuberculosis
Urinary Bladder