{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T22:40:29Z","timestamp":1791758429636,"version":"4.3.4"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"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":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The primary objective of this study is to assess the impact of hysteroscopic metroplasty on symptom relief, including dysmenorrhea, dyspareunia, and menstrual blood flow in women with partial uterine septa (U2a class). Additionally, the study aims to investigate potential correlations between clinical and ultrasonographic characteristics and changes in these symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective cohort study conducted at a single center, enrolling women who underwent hysteroscopic metroplasty between March 2022 and September 2023. Participants presented with dysmenorrhea, dyspareunia, and abnormal menstrual blood flow and had expressed a desire for pregnancy. Preoperative symptom severity was measured using a visual analog scale, ranging from 0 to 100. Preoperative three\u2010dimensional transvaginal ultrasonography was performed to assess septal characteristics. A 12\u2010month follow\u2010up was conducted to evaluate changes in symptoms postoperatively. Exclusion criteria included alternative causes of pelvic pain, incomplete septum correction necessitating further surgery, and pregnancy or hormonal therapy within 12\u2009months prior to or following the surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 52 symptomatic patients with U2a uterine septa underwent hysteroscopic metroplasty, and data from 44 patients were analyzed according to the inclusion and exclusion criteria. Postoperative assessments revealed a significant reduction in dysmenorrhea (mean\u2009\u00b1\u2009standard deviation: 50.2\u2009\u00b1\u200920.5 vs. 33.1\u2009\u00b1\u200920.4,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and dyspareunia (mean\u2009\u00b1\u2009standard deviation: 41.4\u2009\u00b1\u20099.5 vs. 28.6\u2009\u00b1\u200924.5,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.028). However, no significant changes were observed in menstrual blood flow.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hysteroscopic metroplasty in patients with partial uterine septa results in significant symptom relief, particularly for dysmenorrhea and dyspareunia. These findings underscore the potential benefits of metroplasty beyond reproductive outcomes. Further large\u2010scale studies are necessary to confirm these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70906","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:58:34Z","timestamp":1773010714000},"page":"906-912","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hysteroscopy metroplasty for partial septate uterus: Just a matter of infertility?"],"prefix":"10.1002","volume":"174","author":[{"given":"Alessandro","family":"Arena","sequence":"first","affiliation":[{"name":"Division of Gynaecology and Human Reproduction Physiopathology IRCCS Azienda Ospedaliero \u2013 University of Bologna  Bologna Italy"},{"name":"Department of Medical and Surgical Sciences (DIMEC) University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnese","family":"Virgilio","sequence":"additional","affiliation":[{"name":"Unit of Gynecology IRCCS Humanitas Research Hospital, Rozzano  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Franceschini","sequence":"additional","affiliation":[{"name":"Department of Gynecological and Obstetric San Luca Hospital  Lucca Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0188-1332","authenticated-orcid":false,"given":"Erika","family":"Bettiol","sequence":"additional","affiliation":[{"name":"Division of Gynaecology and Human Reproduction Physiopathology IRCCS Azienda Ospedaliero \u2013 University of Bologna  Bologna Italy"},{"name":"Department of Medical and Surgical Sciences (DIMEC) University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierandrea","family":"De Benedetti","sequence":"additional","affiliation":[{"name":"Division of Gynaecology and Human Reproduction Physiopathology IRCCS Azienda Ospedaliero \u2013 University of Bologna  Bologna Italy"},{"name":"Department of Medical and Surgical Sciences (DIMEC) University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Sardina","sequence":"additional","affiliation":[{"name":"Division of Gynaecology and Human Reproduction Physiopathology IRCCS Azienda Ospedaliero \u2013 University of Bologna  Bologna Italy"},{"name":"Department of Medical and Surgical Sciences (DIMEC) University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Cincotta","sequence":"additional","affiliation":[{"name":"Division of Gynaecology and Human Reproduction Physiopathology IRCCS Azienda Ospedaliero \u2013 University of Bologna  Bologna Italy"},{"name":"Department of Medical and Surgical Sciences (DIMEC) University of Bologna  Bologna 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