The Technique of Vaginal Septum as Uterine Septum: A New Approach for the Hysteroscopic Treatment of Vaginal Septum

ABSTRACT Study objectives To evaluate the outcomes of a new hysteroscopic technique for the treatment of longitudinal vaginal septum. Design A retrospective study . Setting Arbor Vitae Center for Endoscopic Gynecology, Rome, Italy. Patients Thirty women who underwent hysteroscopic treatment for vaginal septum. Intervention All enrolled patients underwent pelvic examination, hysteroscopy, and two-dimensional ultrasound. In case of diagnosis of partial or complete uterine septum, magnetic resonance imaging or three-dimensional ultrasound were carried out and surgical procedures were performed after diagnostic laparoscopy was used to better visualize the uterine fundus. All patients were treated with the technique using vaginal septum as uterine septum (VaSUS), or the same methodology applied for uterine septum. Measurements and Main Results The procedure was successfully accomplished in all patients, and longitudinal vaginal septums were totally resected. There were no perioperative complications, and in only one case, vaginal bleeding occurred owing to an erroneous identification of the excision line that was easily remedied with coagulation by resectoscope. Dyspareunia has improved or completely disappeared in all patients. Conclusion The technique of VaSUS for the resectoscope of LVS appears to be safe and effective with good outcomes, even in terms of dyspareunia.