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.
University of Saskatchewan