Hysteroscopic treatment of complete uterine septum, double cervix and longitudinal vaginal septum (U2bC2V1): the use of a Foley catheter balloon.

O Triantafyllidou, E K Panagodimou, N Syggelos, N F Vlahos
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Abstract

This is the case of a 30-year-old nulliparous patient with a complete uterine septum, double cervix and non- obstructive longitudinal vaginal septum (Class U2bC2V1 according to the ESHRE/ESGE classification). The patient presented with severe dyspareunia and dysmenorrhea. Imaging revealed a complex M��llerian anomaly and hysteroscopic treatment was agreed. We present an approach of hysteroscopic metroplasty after insertion of a Foley catheter balloon in one uterine hemi-cavity, which serves as a guide for septum resection using a resectoscope in the contralateral hemi-cavity. No complications were encountered. The patient was discharged after a short period of observation. A post-operative evaluation revealed complete resection of the vaginal septum and the formation of a single, normal uterine cavity.

References

  1. J Minim Invasive Gynecol. 2013 Jan-Feb;20(1):22-42 [PMID: 23312243]
  2. J Minim Invasive Gynecol. 2020 Mar - Apr;27(3):581 [PMID: 31352070]
  3. J Minim Invasive Gynecol. 2014 Sep-Oct;21(5):940-4 [PMID: 24681064]
  4. J Minim Invasive Gynecol. 2022 Apr;29(4):465-475 [PMID: 34648934]
  5. Am J Obstet Gynecol MFM. 2023 Jan;5(1):100762 [PMID: 36220552]
  6. J Minim Invasive Gynecol. 2023 Sep;30(9):681-682 [PMID: 37454726]
  7. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2022 Nov 28;47(11):1487-1494 [PMID: 36481626]
  8. J Pediatr Adolesc Gynecol. 2015 Dec;28(6):e189-91 [PMID: 26376072]
  9. J Minim Invasive Gynecol. 2023 Jun;30(6):441-442 [PMID: 36870474]
  10. J Minim Invasive Gynecol. 2012 Jan-Feb;19(1):34-9 [PMID: 22020009]
  11. J Clin Med. 2022 Dec 26;12(1): [PMID: 36614990]
  12. J Minim Invasive Gynecol. 2023 Sep;30(9):716-724 [PMID: 37196886]
  13. Taiwan J Obstet Gynecol. 2013 Jun;52(2):308-10 [PMID: 23915875]
  14. Facts Views Vis Obgyn. 2023 Jun;15(2):167-170 [PMID: 37436055]
  15. Fertil Steril. 2021 Aug;116(2):602-604 [PMID: 33975726]
  16. Ultrasound Obstet Gynecol. 2011 Oct;38(4):371-82 [PMID: 21830244]
  17. Hum Reprod. 2021 Apr 20;36(5):1260-1267 [PMID: 33793794]
  18. Hum Reprod. 2013 Aug;28(8):2032-44 [PMID: 23771171]
  19. J Clin Med. 2022 Jun 08;11(12): [PMID: 35743362]
  20. J Minim Invasive Gynecol. 2020 Sep - Oct;27(6):1287-1294 [PMID: 31812613]
  21. J Minim Invasive Gynecol. 2016 May-Jun;23(4):557-66 [PMID: 26829218]
  22. Curr Urol Rep. 2023 Jan;24(1):1-9 [PMID: 36595101]

Word Cloud

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