The introduction of hysteroscopy to diagnose and treat intrauterine conditions, specifically to divide the uterine septum, or metroplasty, has replaced the traditional laparotomy approach, and objective results demonstrate its salutary effects in women treated. Hysteroscopic metroplasty averts the implications of major invasive abdominal surgery, with good and satisfactory results in pregnancy and live-birth rates, despite the lack of prospective, randomized, controlled studies. A careful review of the published results supports this type of treatment when the uterine septum adversely affects normal reproductive function.
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Hysteroscopic metroplasty and its reproductive impact among the social networks: A cross-sectional analysis on video quality, reliability and creators' opinions on YouTube, TikTok and Instagram.
Int J Med Inform
December 2024
Obstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy. Electronic address:
Background: Usefulness of hysteroscopic metroplasty to improve reproductive outcomes is controversial and debated among reproductive specialists and, consequently, patients.
Methods: We performed a cross-sectional analysis to assess the quality, reliability, and level of misinformation in YouTube, Instagram, and TikTok videos about hysteroscopic metroplasty. Videos on each social network retrieved using "hysteroscopy" and "septate uterus" or "uterine septum" as keywords were assessed using Patient Education Materials Assessment Tool for audio-visual (PEMAT A/V) content, the modified DISCERN (mDISCERN), Global Quality Scale (GQS), Video Information and Quality Index (VIQI) and Misinformation assessment.
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 Müllerian anomaly and hysteroscopic treatment was agreed.
View Article and Find Full Text PDFMaternofetal Outcomes in Women With Congenital Uterine Anomalies.
Cureus
November 2024
Department of Obstetrics and Gynaecology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Müllerian anomalies are congenital disorders that affect the female reproductive system, often leading to a range of obstetric complications. These anomalies include structural abnormalities such as arcuate, septate, unicornuate, and bicornuate uteri, which can impact fertility, pregnancy outcomes, and delivery methods. This case series presents five patients with different types of Müllerian anomalies, including septate, arcuate, and unicornuate uteri.
View Article and Find Full Text PDFIntraoperative ultrasound for uterine septum resection: a systematic review and meta-analysis.
Arch Gynecol Obstet
December 2024
Department of Maternal and Child Health and Urology, Sapienza University, Viale Regina Elena, 324, 00161, Rome, Italy.
Article Synopsis
- Septate uterus is a common uterine malformation that can negatively impact fertility, prompting treatments like hysteroscopic metroplasty for affected individuals.
- A systematic review and meta-analysis evaluated the effectiveness of intraoperative ultrasound monitoring during hysteroscopic metroplasty compared to other monitoring methods or no monitoring at all.
- Results showed that intraoperative ultrasound significantly reduced the occurrence of residual septum greater than 10 mm and any residual septa, with similar procedure times and fewer complications, indicating potential benefits for future reproductive outcomes.
Embryofetoscopy followed by hysteroscopic evacuation of a first trimester missed abortion in a woman with septate uterus.
Fertil Steril
November 2024
Obstetrics, Gynecology, and Reproductive Sciences Department, Minimally Invasive Gynecology Division, University of Miami, Miller School of Medicine, Miami, Florida.
Objective: To describe the technique of embryofetoscopy performed with 5Fr instruments with targeted evacuation of the gestational sac followed by a visual dilatation and curettage (D&C) using the hysteroscopic tissue removal system for the management of first trimester missed abortion in a patient with uterine septum.
Design: Video case-report.
Setting: University tertiary-care hospital.
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