Original article
The use of hysteroscopy in the diagnosis and treatment of the septate uterus: authors’ experience and literature review

Abnormalities of the uterus have long been considered a cause of pregnancy complications such as premature labour, foetal malposition and infertility. The uterine septum is built of fibromuscular tissue and can have different forms – from a small bulge in the uterine fundus to a septum dividing the uterine cavity into two parts. Hysteroscopy is the best method of diagnosing uterine septum and is considered a golden standard in visualizing uterine cavity.
Aim: To analyze the use of hysteroscopy in the diagnosis and treatment of septate uterus.
Materials and methods: We analyzed the course of hysteroscopy in 24 patients with diagnosed septum who were admitted to and treated in the 1st Clinic of Obstetrics and Gynaecology, Medical University of Warsaw, in years 1995-2004.
Results: Nineteen cases of uterine septum were confirmed during hysteroscopy – 11 of them removed in one procedure. All resectoscopies were performed under laparoscopic control, which is also considered a golden standard in gynaecology. Five patients were qualified to the following hysteroscopy after 3 months of therapy (danazol, gestagens).
Conclusions: Hysteroscopic metroplasty is a safe method of diagnosing and treating septate uterus.