Question
What is the preferred management of a uterine septum?
| A. |
Laparoscopic resection of septum
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| B. |
Hysteroscopic resection of septum
|
| C. |
Uterine metroplasty
|
| D. |
Laparotomy and resection
|
Show Answer
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Correct Answer » B
Explanation
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|
A uterine septum is the most common Müllerian duct anomaly, resulting from failure of resorption of the midline septum after fusion of the Müllerian ducts. This condition is associated with:
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Recurrent pregnancy loss
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Infertility
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Preterm delivery
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Malpresentation
The preferred management is hysteroscopic septal resection (hysteroscopic metroplasty).
Procedure
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A hysteroscope is introduced through the cervix into the uterine cavity.
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The fibrous septum is visualized directly.
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The septum is cut using scissors, electrosurgery, or laser.
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The procedure restores a normal uterine cavity.
Advantages:
