Hysteroscopic correction of septate uterus

Figure 1. Balloon technique for hysteroscopic correction of a complete septate uterus.

Table I. Pre-, intra- and postoperative data for six patients with complete uterine septum

Age Past history Time of Postoperative pregnancy(years) surgery (min)

23 Primary infertility; 50 Term pregnancylongitudinal vaginal septum (Caesarean section)

28 Recurrent abortion 30 Term pregnancy(three abortions)

30 One abortionOne preterm birth 25 –

23 Primary infertility,longitudinal vaginal septum 25 –

31 Recurrent abortions 30 Term pregnancy(three abortions)

24 Secondary infertility 20 –(one abortion)

uterus and septate vagina: report of a previously undescribed Mu¨llerianat 16 weeks gestation. Because of the prophylactic cervicalanomaly.Hum. Reprod., 11, 218–219.

suture, the advantage of this technique of spared cervicalDaly, D.C., Tohan, N., Walters, C.et al. (1983) Hysteroscopic resection ofincision could not be clearly demonstrated. Although Vercellini the uterine septum in the presence of a septate cervix.Fertil. Steril., 39,

560–563.et al. (1989) could not show a positive effect of IUD insertionLudmir, J., Samuels, P., Brooks, S. and Mennuti, M.T. (1990) Pregnancyand postoperative oestrogen administration, we used these two

outcome of patients with uncorrected uterine anomalies managed in a high-adjuvants with good results for the prevention of intrauterine risk obstetric setting.Obstet. Gynecol., 75, 906–910.

Perino, A., Chianchiano, N., Simonaro, C. and Cittadini, E. (1995) Endoscopicadhesions after septal dissection.management of a case of complete septate uterus.Hum. Reprod., 10,The described balloon technique offers the possibility of2171–2173.

sparing the cervical septum during septum dissection in patientsRock, I. A., Murphy, A.A. and Cooper IV, W.H. (1987) Resectoscopicwith a complete uterine septum. The good clinical results of techniques for the lysis of a class V: complete uterine septum.Fertil. Steril.,

48, 495–496.our procedure lead us to favour this technique. Because aSalle, B., Sergeant, P., Gaucherand, P.,et al. (1996) Transvaginalcomplete uterine septum is such a rare uterine malformation,

hysterosonographic evaluation of septate uteri: a preliminary report.Hum.a definitive recommendation can be given only after a random- Reprod., 11, 1004–1007.

Vercellini, P., Fedele, L., Arcaini, L.et al. (1989) Value of intrauterineized multicentre study. In all cases of a uterine septum, andevice insertion and estrogen administration after hysteroscopic metroplasty.indication for dissection must be critically proven because, evenJ. Reprod. Med., 34, 447–450.

without intervention, term pregnancies have been reported.Vercellini, P., Ragni, G., Trespidi, L.et al. (1994) A modified technique forcorrection of the complete septate uterus.Acta Obstet. Gynecol. Scand.,73, 425–428.

ReferencesReceived on October 14, 1996; accepted on January 7, 1997American Fertility Society (1988) The American Fertility Society

classifications of adnexal adhesions, distal tubal occlusion, tubal occlusionsecondary to tubal ligation, tubal pregnancies and intrauterine adhesions.Fertil. Steril., 49, 944–955.

Balasch, J., Moreno, E., Martinez-Roman, S.et al. (1996) Septate uterus withcervical duplication and longitudinal vaginal septum: a report of three newcases.Eur. J. Obstet. Gynecol. Reprod. Biol., 65, 241–243

Candiani, M., Busacca, M., Natale, A. and Sambruni, I. (1996) Bicervical

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