Triantafyllidou O, Panagodimou E K, Syggelos N, Vlahos N F
Facts Views Vis Obgyn. 2024 Dec;16(4):497-504. doi: 10.52054/FVVO.16.4.042.
This is the case of a 30-year-old nulliparous patient with a complete uterine septum, double cervix and non- obstructive longitudinal vaginal septum (Class U2bC2V1 according to the ESHRE/ESGE classification). The patient presented with severe dyspareunia and dysmenorrhea. Imaging revealed a complex Müllerian anomaly and hysteroscopic treatment was agreed. We present an approach of hysteroscopic metroplasty after insertion of a Foley catheter balloon in one uterine hemi-cavity, which serves as a guide for septum resection using a resectoscope in the contralateral hemi-cavity. No complications were encountered. The patient was discharged after a short period of observation. A post-operative evaluation revealed complete resection of the vaginal septum and the formation of a single, normal uterine cavity.
这是一名30岁未生育患者的病例，其患有完全性子宫纵隔、双宫颈和非梗阻性纵向阴道纵隔（根据ESHRE/ESGE分类为U2bC2V1级）。患者出现严重性交困难和痛经。影像学检查显示为复杂的苗勒管畸形，遂同意进行宫腔镜治疗。我们介绍一种在一侧子宫半腔插入Foley导尿管球囊后进行宫腔镜子宫成形术的方法，该球囊可作为对侧半腔使用电切镜切除纵隔的引导。未发生并发症。经过短时间观察后患者出院。术后评估显示阴道纵隔完全切除，形成了单一的正常子宫腔。
