Metroplasty for the complete septate uterus: does cervical sparing matter?

STUDY OBJECTIVES

To verify if section of the cervical septum facilitates hysteroscopic metroplasty of a complete septate uterus, and to determine if this technique is associated with intraoperative bleeding or postoperative obstetric complications.

DESIGN

Prospective, observational study.

SETTING

Academic department and tertiary care referral center for malformations of the female genital tract.

PATIENTS

Ten women with complete septate uterus.

INTERVENTIONS

The cervical portion of the septum was incised with Metzenbaum scissors and the corporeal portion with microscissors under hysteroscopic guidance.

MEASUREMENTS AND MAIN RESULTS

Mean +/- SD operating time for the entire procedure was 24 +/- 7 minutes, with a mean distention fluid deficit of 480 +/- 190 ml. No significant bleeding was encountered during cervical septum incision. At follow-up hysteroscopy, the cervices were competent, and no women experienced second-trimester abortion or premature delivery.

CONCLUSIONS

Section of the cervical septum with scissors is simple, rapid, and safe, facilitates corporeal hysteroscopic metroplasty, and may be considered a valid procedure to correct a completely septate uterus.