Objective: To assess the safety and efficacy of hysteroscopic resection of the uterine septum in patients with a Class Va septate uterus.
Design: Retrospective clinical study.
Setting: University outpatient surgical center.
Patient(s): Twenty-one patients with Class Va uterus treated between 1985-1998 in the senior author's academic practice.
Intervention(s): Hysteroscopic metroplasty with preservation of cervical septum.
Main outcome measure(s): Intraoperative and postoperative complications; postoperative cumulative pregnancy and delivery rates.
Result(s): No long-term complications were encountered. Fourteen of 15 women who attempted pregnancy postoperatively delivered viable neonates; the 15th is in an ongoing pregnancy.
Conclusion(s): Surgical correction of the complete uterine septum with preservation of the cervical septum is associated with low morbidity and satisfactory postoperative obstetric outcome.