Reproductive Surgery

Hysteroscopic uterine septum resection

The uterine septum is a type of birth defect of the uterus where an additional “wall” runs along the cavity of the uterus dividing it into two sub-cavities of smaller size.

Uterine diaphragms are responsible for infertility and can only be resected hysteroscopically. A special interventional hysteroscope is used, other than that used for the removal of polyps or fibroids, which uses electrical power to perform the septum dissection. If the septum is thin and without vessels, surgery could be done using hysteroscopic scissors.

Prior to surgery,the surgeon himself has to proceed to a careful preoperative evaluation by means of transvaginal ultrasound scan in order to know exactly the extent at which the septum projects into the uterine cavity wall in order to avoid possible complications (uterine perforation) at the time of surgery. The condition is immediately treated and the patient is discharged after 1-2 hours.

Septum resection restores the fertility of the woman (if this was the only cause) as it restores the uterine cavity to its normal size.

Watch videos from hysteroscopic resection of septa that led to pregnancy