Question

Best treatment option for septate uterus

• A. Tompkins Metroplasty
• B. Jones metroplasty
• C. Strassmann metroplasty
• D. Transcervical hysteroscopic resection of the septum

Answer 1

The Correct Option is D

The appropriate treatment for a septate uterus primarily depends on the severity of the condition and the symptoms presented, such as recurrent pregnancy loss or complications during pregnancy. A septate uterus is characterized by a fibrous or muscular septum dividing the uterine cavity, which can impede normal reproductive processes.

The best treatment option is Transcervical hysteroscopic resection of the septum. This minimally invasive surgical procedure involves the use of a hysteroscope—a thin, lighted tube inserted through the cervix—to visualize the interior of the uterus. The septum is then carefully excised using surgical instruments. This approach offers several advantages:

• Minimally Invasive: The procedure is performed via the cervix, eliminating the need for abdominal incisions, leading to quicker recovery and reduced risk of infections or complications.
• Preservation of Uterine Structure: The shape and functionality of the uterus are preserved, lowering the risk of scarring and ensuring the integrity of the uterine wall.
• Improvement in Reproductive Outcomes: Successful resection of the septum often results in improved fertility outcomes and reduced rates of miscarriage.

Other options like Tompkins, Jones, and Strassmann metroplasties involve more invasive surgical techniques, which are usually considered only if hysteroscopic resection is not feasible. Thus, the transcervical hysteroscopic resection is the recommended approach for treating a septate uterus, especially focusing on enhancing fertility and reducing pregnancy-related complications.