Hysteroscopic management of intrauterine adhesion and their reproductive outcomes.

Ju, Eung Sik; Kim, Il Gyu; Oh, Young Eun; Lee, Hyun Jung; Lee, Taek Hu; Chun, Sang Sik

Original Article

Korean Journal of Obstetrics & Gynecology 2001;44(2):241-245.
Published online February 1, 2001.

Hysteroscopic management of intrauterine adhesion and their reproductive outcomes.

Eung Sik Ju, Il Gyu Kim, Young Eun Oh, Hyun Jung Lee, Taek Hu Lee, Sang Sik Chun

Department of Obstetrics and Gynecology, College of Medicine, Kyungpook National University, Taegu, Korea.

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.

Key Words: Intrauterine adhesion, Hysteroscopy, Reproductive outcomes