Question

Management of uterine septum?

• A. Laparoscopic resection of septum
• B. Hysteroscopic resection of septum
• C. Uterine metroplasty
• D. Laparotomy and reseaction

Answer 1

The Correct Option is B

Management of a uterine septum involves addressing the septum to improve uterine anatomy and function, especially when associated with infertility or recurrent pregnancy loss. The most effective and minimally invasive approach is hysteroscopic resection of the septum. This procedure involves inserting a hysteroscope through the cervix to visualize the septum clearly and use surgical instruments to resect it. This approach is preferred because:

• It's minimally invasive, reducing recovery time and complications compared to other surgical methods.
• It allows direct visualization of the septum, ensuring precise resection.
• It has a high success rate in restoring normal uterine anatomy, thus improving reproductive outcomes.

In contrast, other methods such as laparoscopic resection, uterine metroplasty, and laparotomy are either more invasive or not specifically tailored for the septum resection. Hence, hysteroscopic resection of septum is the optimal choice in managing a uterine septum.