RT Journal Article
T1 Hysteroscopic septum resection and reproductive medicine: A SWOT analysis.
A1 Spanish Infertility SWOT Group (SISG), 
A1 Checa, M A
A1 Bellver, J
A1 Bosch, E
A1 Espinós, J J
A1 Fabregues, F
A1 Fontes, J
A1 García-Velasco, J
A1 Requena, A
K1 Infertility
K1 Metroplasty
K1 Preterm delivery
K1 Recurrent miscarriage
K1 Septate uterus
K1 Septum resection
K1 Spontaneous abortion
AB Hysteroscopic septum resection in women with unfavourable reproductive and clinical outcomes has become common practice worldwide to improve reproductive results. No clear evidence on the possible advantages and drawbacks of this procedure has been published. In this opinion paper, based on a SWOT (strengths, weaknesses, opportunities, threats) analysis, the different aspects of this strategy are evaluated. Currently, no level 1 published evidence supports uterine resection in women with septate uterus. Clinical evidence from the studies analysed matches the more recent guidelines and suggests an improvement in reproductive outcomes after hysteroscopic resection of the septum, particularly in infertile women and women who have experienced recurrent miscarriages. In a patient with no history of infertility or prior pregnancy loss, it may be reasonable to consider septum incision after counselling about the potential risks and benefits of the procedure. Published clinical data in favour of the intervention, however, are based on studies with important methodological limitations. In this situation, the clinician and patient should reach an agreement together, based on the pros and cons of this intervention. Well-designed randomized controlled trials are required to confirm the clinical benefits and cost-effectiveness of this procedure.
YR 2018
FD 2018-10-22
LK http://hdl.handle.net/10668/13295
UL http://hdl.handle.net/10668/13295
LA en
DS RISalud
RD Apr 6, 2025