What is septate uterus hysteroscopy?
Hysteroscopy is a minimally invasive procedure which is used to treat a septate uterus. It is a technique that involves inserting a thin, lighted tube (hysteroscope) through the vagina and cervix into the uterus. It provides a clear view of the uterine cavity to the surgeon allowing them to diagnose any abnormalities and perform corrective procedures.
Operative hysteroscopy involves using the hysteroscope not only to view but also to treat issues, like removing the septum or correcting other uterine anomalies.
Septate uterus hysteroscopy procedure:
- Before the procedure, the patients undergo pre-operative evaluation, including ultrasound or MRI to confirm the presence of a septum. This is usually done under anaesthesia.
- After confirming the presence of a septum, a hysteroscope is gently inserted through the cervix to examine the uterine cavity.
- After locating the septum, specialized surgical instruments are passed through the hysteroscope to cut and remove the septum.
- After removing the septum, the surgeon ensures the uterine cavity is properly unified and is clear of any obstruction.
- Then the hysteroscope is removed and the patient is moved to recovery.
The procedure usually lasts 30 minutes to 1 hour and is usually performed on an outpatient basis (patient can go home the same day). Patients may experience mild cramping and discomfort for a few days, other than that, there is no other issues.After the procedure, a follow-up appointment is usually scheduled to monitor healing.
The success rate of a septate uterus hysteroscopy is high, with many women experiencing improved fertility and reduced pregnancy complications. Studies show that the removal of septum highly increases the chance of successful pregnancies in women who previously experienced recurrent miscarriages.