Use of Versapoint to refashion the cervical canal to overcome unusually difficult embryo transfers and improve in-vitro fertilization-embryo transfer outcome: A case series

BACKGROUND: Smooth atraumatic embryo transfer is paramount for the success of in-vitro fertilization (IVF). In difficult cases, cervical canal manipulation may be required. AIM: To see if surgical correction of the cervical canal or cervical canal refashioning could improve ease of embryo transfer. SETTING: Private infertility and IVF hospital. DESIGN: Prospective study. MATERIALS AND METHODS: Patients: 11 women with failed 1-3 IVF cycles with history of extremely difficult embryo transfers (ETs) despite undergoing cervical dilatation in the cycle prior to IVF. INTERVENTIONS: Operative hysteroscopy using Versapoint for refashioning of the cervical canal. MAIN OUTCOME MEASURES: Ease of ET in the subsequent IVF cycle. Secondary outcome measure was to assess reproductive outcome. RESULTS: Easy and atraumatic ET in the IVF cycle after procedure in 100% patients. PR was 46.5%. CONCLUSIONS: Use of Versapoint for refashioning the cervical canal can improve the quality of ET and PR.