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Women's Health & Gynecology

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Aabstract

Research Article

Isthmocele: Successful Surgical Management of an Under- Recognized Iatrogenic Cause of Secondary Infertility

Fulop Istvan, Atombosoba A. Ekine, Tekse Istvan, Rucz Arpad, Siklosi Pal

Correspondence Address :

Atombosoba A. Ekine
Department of Obstetrics and Gynaecology and Assisted Reproductive Technology unit
Robert Karoly Magan Korhaz
Budapest, Hungary
Tel: +36- 30-314-8669
Email: adokin1960@gmail.com

Received on: , Accepted on: , Published on:

Citation: Fulop Istvan, Atombosoba A. Ekine, Tekse I, Rucz Arpad, Siklosi Pal (2017). Isthmocele: Successful Surgical Management of an Under-Recognized Iatrogenic Cause of Secondary Infertility

Copyright: 2017 Atombosoba A. Ekine, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Background: The aim of our study was to assess the prevalence and the benefits of endoscopic surgical procedures to patients with secondary infertility.
Design: This is a retrospective hospital based study, in a private hospital with a major profile in assisted reproductive techniques and endoscopic surgery in Budapest, Hungary.
During the study period of between 1st January 2013 - 31st December 2016, patients presenting with secondary infertility after one or more caesarean section were evaluated, using the HyCoSy and diagnostic hysteroscopy. Within a group of 15 patients diagnosed with isthmocele who had surgical treatment, 80% (n=12/15) became pregnant within 24months and delivered before 36 months of treatment. All the patients had hysteroscopy guided laparoscopic isthmoplasty, except one who had hysteroscopy procedure alone.
Conclusion: We therefore conclude, that the combined use of laparoscopy and hysteroscopy is an effective method for the accurate diagnosis and treatment of patients with isthmocele related infertility problems based on assessment of their reproductive performance after the surgery, even though larger studies maybe suitable to confirm the effectivity of the procedure.

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