{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T22:40:28Z","timestamp":1791758428561,"version":"4.3.4"},"reference-count":57,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A T\u2010shaped uterus is a uterine malformation, which can be either congenital or acquired, potentially impairing fertility and increasing the risk of miscarriage. Diagnosis primarily relies on three\u2010dimensional ultrasound and hysteroscopy. Hysteroscopic metroplasty is the standard surgical intervention aimed at restoring normal uterine anatomy and potentially improving reproductive outcomes. This narrative review, conducted in accordance with SANRA (Scale for the Assessment of Narrative Review Articles) guidelines, is based on a comprehensive database search and critically evaluates observational and interventional studies on the definition, diagnosis, and management of T\u2010shaped uterus in the context of in\u00a0vitro fertilization. Recent studies indicate that correction of this anomaly might not only improve spontaneous conception rates but also enhance the outcomes of IVF. However, the precise role of metroplasty in patients undergoing IVF outcomes remains controversial. Some evidence indicates that surgical correction might improve embryo implantation and endometrial perfusion. Despite these promising observations, randomized controlled trials are necessary to define optimal patient selection criteria and to confirm the true benefit of metroplasty in the context of IVF. Future research should also address the potential risks associated with the procedure. A standardized diagnostic and therapeutic approach might contribute to improved reproductive outcomes in affected patients.<\/jats:p>","DOI":"10.1002\/ijgo.70827","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T09:06:40Z","timestamp":1769072800000},"page":"86-95","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Metroplasty before\n                    <scp>IVF<\/scp>\n                    in women with a T\u2010shaped uterus: A clinical challenge"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4117-6603","authenticated-orcid":false,"given":"Fabio","family":"Barra","sequence":"first","affiliation":[{"name":"Unit of Obstetrics and Gynecology IRCCS Ospedale Policlinico San Martino  Genoa Italy"},{"name":"Department of Health Sciences (DISSAL) University of Genoa  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5822-5857","authenticated-orcid":false,"given":"Irene","family":"Gazzo","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine Ospedale Evangelico Internazionale  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1556-0962","authenticated-orcid":false,"given":"Alessandro","family":"Favilli","sequence":"additional","affiliation":[{"name":"Section of Obstetrics and Gynecology, Department of Medicine and Surgery University of Perugia  Perugia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8394-1994","authenticated-orcid":false,"given":"Consuelo","family":"Russo","sequence":"additional","affiliation":[{"name":"Gynecological Unit, Department of Surgical Sciences University of Rome \u201cTor Vergata\u201d  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Monaco","sequence":"additional","affiliation":[{"name":"Gynecological Unit, Department of Surgical Sciences University of Rome \u201cTor Vergata\u201d  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3773-991X","authenticated-orcid":false,"given":"Franco","family":"Alessandri","sequence":"additional","affiliation":[{"name":"Unit of Obstetrics and Gynecology IRCCS Ospedale Policlinico San Martino  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1082-3062","authenticated-orcid":false,"given":"Sandro","family":"Gerli","sequence":"additional","affiliation":[{"name":"Section of Obstetrics and Gynecology, Department of Medicine and Surgery University of Perugia  Perugia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8521-3675","authenticated-orcid":false,"given":"Luis Alonso","family":"Pacheco","sequence":"additional","affiliation":[{"name":"Unidad de Endoscopia Ginecol\u00f3gica, Centro Gutenberg Hospital Xanit Internacional  M\u00e1laga Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3821-201X","authenticated-orcid":false,"given":"Caterina","family":"Exacoustos","sequence":"additional","affiliation":[{"name":"Gynecological Unit, Department of Surgical Sciences University of Rome \u201cTor Vergata\u201d  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2225-5568","authenticated-orcid":false,"given":"Simone","family":"Ferrero","sequence":"additional","affiliation":[{"name":"Academic Unit of Obstetrics and Gynecology IRCCS Ospedale Policlinico San Martino  Genoa Italy"},{"name":"Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI) University of Genoa  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det098"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmv048"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)59942-7"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(80)90913-8"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(99)00153-3"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.20845"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deae148"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-025-07986-9"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2021.06.003"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0000000000000807"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41073-019-0064-8"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23108"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11051251"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2024.12.013"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-015-0909-1"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-019-05050-x"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.16.02003"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/der056"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2019.07.030"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2019.09.023"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2018.04.036"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2015.08.195"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1159\/000317266"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1933719118756774"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-021-06147-y"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2019.04.020"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2022.2085681"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23603"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2016.05.014"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-022-01381-2"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40738-019-0063-y"},{"issue":"4","key":"e_1_2_14_33_1","first-page":"317","article-title":"Reproductive outcomes of patients with T\u2010shaped and septate uterus following metroplasty: an observational study","volume":"11","author":"Pabuccu R","year":"2020","journal-title":"Facts Views Vis Obgyn"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12134232"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2014.10.016"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.52054\/FVVO.13.003"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s43032-021-00607-1"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/13645706.2023.2247483"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2019.05.011"},{"key":"e_1_2_14_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2022.06.012"},{"key":"e_1_2_14_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.05.050"},{"key":"e_1_2_14_42_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0001-6349.2001.10228.x"},{"key":"e_1_2_14_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2022.102450"},{"key":"e_1_2_14_44_1","doi-asserted-by":"publisher","DOI":"10.1093\/hropen\/hoad023"},{"key":"e_1_2_14_45_1","doi-asserted-by":"publisher","DOI":"10.1093\/hropen\/hoab026"},{"key":"e_1_2_14_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10815-020-01739-0"},{"key":"e_1_2_14_47_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dez101"},{"key":"e_1_2_14_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000017966"},{"key":"e_1_2_14_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gyobfe.2006.07.027"},{"key":"e_1_2_14_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2020.101743"},{"key":"e_1_2_14_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2016.01.005"},{"key":"e_1_2_14_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2022.102354"},{"key":"e_1_2_14_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2024.102833"},{"key":"e_1_2_14_54_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9092857"},{"key":"e_1_2_14_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2013.12.032"},{"key":"e_1_2_14_56_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmaa009"},{"key":"e_1_2_14_57_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms232214138"},{"key":"e_1_2_14_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiochem.2018.03.012"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70827","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70827","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70827","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T19:06:49Z","timestamp":1781809609000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70827"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,22]]},"references-count":57,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/ijgo.70827"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70827","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,22]]},"assertion":[{"value":"2025-10-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}