Treatment Details

  Hysteroscopic Adhesiolysis
Hysteroscopic Adhesiolysis
These cases propose that hysteroscopic adhesiolysis resulted in refurbishment of menstruation (Cases 1 and 3) and a normal fashioned uterine cavity (Cases 1–3) albeit at the price of uterine tears (Case 3). Pregnancies after treatment of intrauterine bonds have a high risk of problems including placenta accreta (Case 3). Elsewhere the author has reported a high occurrence of abnormal cornual ostia in patients with sterility but also in women having elective sterilization and presumably normal fruitfulness (Aust NZ J Obstet Gynaecol 1989; 29: 4:425–427). It seems that hysteroscopy offers greater exactness than other methods in assessment of the intrauterine structure but we require much more information to interpret the meaning of intrauterine adhesions seen at hysteroscopy in sterile patients.