In cooperation with

Abstract

Operative Sterilitätsdiagnostik und -therapie

Morphologic reasons for infertility have a prevalence of 3.5–6.5%.Congenital uterine anomalies like a non-reabsorbed uterine septum, acquired uterine malformations distorting the cavum uteri like submucous fibroids, polyps or intrauterine synechiae (Asherman's syndrom) can be diagnose easy and effective by hysteroscopy.The hysteroscopic metroplasty to treat an uterine septum and other intrauterine surgical therapies like synechiolysis or removal of fibroids are effective procedures which subsequently improve the obstetrical outcome.

Tubal pelvic damage also is a common cause of infertility, and laparoscopy is the accepted gold standard for ist diagnosis. Overall,hysterosalpingography as a non-invasive investigation is unreliable for diagnosing tubal pathology. Tubal reconstructive surgery sill is an appropriate and effective treatment in the era of assisted reproductive technologies and furthermore has multiple indications especially in younger patients and previously sterilized women who desire restoration of their fertility.

Cordula Schippert, Ismini Staboulidou,
Hans-Walter Schlößer

Reviewer: Jürgen Kleinstein,Magdeburg
und Andreas Tandler-Schneider, Berlin

CME Praktische Fortbildung Gynäkologie, Geburtsmedizin und Gynäkologische Endokrinologie 1/2007:4- 16