This video abstract demonstrates simultaneous use of pelvic ultrasound and hysteroscopy to resect uterine septum. Septate uteri are found in 1 to 15 per 1000 women and are associated with pregnancy complications.
Some gynecologic procedures are more challenging or contraindicated in women with uterine septum including non-resectoscopic endometrial ablation and insertion of intrauterine devices.
Ultrasonography is a useful tool that can be added to hysteroscopic metroplasty. It improves visualization during resection of uterine septum and has been demonstrated to increase the rates of complete resection.