Uterine Septum Resection: Correcting Structural Issues for Fertility

Hysteroscopic

What is Uterine Septum Resection?

A uterine septum is a congenital condition where a septum (wall) divides the uterus into two cavities. This structural abnormality can cause infertility, miscarriages, or complications during pregnancy. Uterine septum resection is a surgical procedure that corrects this condition by removing the septum, thereby improving the chances of fertilization and a successful pregnancy.

Why is Septum Resection Performed?

Women with a uterine septum may face difficulties conceiving or maintaining a pregnancy. This surgery is recommended when the septum causes recurrent miscarriage, infertility, or preterm labor that cannot be treated with medication alone. The goal of the procedure is to restore the uterine cavity to a normal shape to support successful implantation and pregnancy.

Procedure for Septum Resection

    1. Anesthesia: The procedure is performed under general anesthesia to ensure you are comfortable and pain-free.
    2. Preparation: The cervix is gently dilated using sterile saline to provide clear visualization of the uterus and create space for the procedure.
    3. Insertion of Hysteroscope: A hysteroscope, a thin and lighted tube, is inserted through the vagina and cervix to the uterus, eliminating the need for external incisions.
    4. Resection and Removal: Specialized instruments are passed through the hysteroscope to cut and resect the septum and remove excess tissue. This reshapes the uterus to provide optimal conditions for pregnancy.

Post-Surgery Recovery

    1. Same-Day Discharge: Most patients can leave the clinic on the same day as the procedure. However, it’s important to have a driver present to take you home.
    2. Discomfort and Cramping: Mild cramping or spotting is normal after surgery. Pain medication will be provided, but it is generally only needed for about 24 hours.
    3. Follow-Up Care: For a smooth recovery, avoid heavy lifting, intense exercise, and sexual intercourse for at least two weeks. If you experience heavy bleeding, severe cramps, or any concerning symptoms, be sure to contact your healthcare provider.

Success Rate of Uterine Septum Resection

Conception Success: Approximately 60% of women conceive successfully after undergoing uterine septum resection. The procedure significantly improves the chances of a healthy pregnancy for women facing infertility or recurrent miscarriages due to a uterine septum.

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