Operative Sterilitätsdiagnostik und -therapie
Morphologic reasons for infertility have a prevalence of
3.56.5%.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,
Reviewer: Jürgen Kleinstein,Magdeburg
und Andreas Tandler-Schneider, Berlin
CME Praktische Fortbildung Gynäkologie, Geburtsmedizin und Gynäkologische Endokrinologie 1/2007:4- 16