[Experience with hysteroplasty. Indications, technical references, postoperative and long-term outcome]

The authors report their experience with hysteroplasty carried out at the gynecological clinic of the University of Verona between 1974 and 1981 and the 10-year follow-up of these patients. Of 46 operated patients, 4 had uterus septus, 38 uterus bicornis (31 bicornis unicollis and 7 bicornis bicollis) and 4 uterus didelphys. The Strassman intervention was used in 32 cases, the Bret-Palmer intervention in 13 and Jones intervention in 1. The results were very good in 16 cases, satisfactory in 22 and moderate in 8; no negative result has been seen. 38 patients had later a baby. In 4 cases, the uterine malformation was associated with sterility, but this was caused by endometriosis or by pelvic inflammatory disease; therefore, the malformation is not the primary indication for surgery. The best results were achieved in cases of uterus septus or uterus bicornis.