Does an incompletely septate uterus require surgery?

Many women often experience miscarriage during pregnancy, making pregnancy a headache. Later, they go for a check-up and find that there are congenital abnormalities in the uterus. This situation is generally seen in patients with mediastinal uterus. Moreover, even if patients with mediastinal uterus become pregnant, it may cause problems such as intrauterine growth retardation of the fetus, or even more serious problems. Therefore, once a uterine septate is present, timely treatment is required.

A septate uterus refers to a situation in which the mediastinum is not absorbed after the two mesonephric ducts merge, dividing the uterus into two halves, but the appearance of the uterus is completely normal. Sometimes the mediastinum is incomplete, resulting in a small channel between the two separate uteruses and cervixes, so it is called a communicating uterus. It is often accompanied by vaginal septum, and the channel is often located in the isthmus of the uterus. Sometimes one side of the vagina is partially blocked, and the retained menstrual blood can slowly flow out through the isthmus to the unobstructed vagina on the other side. Therefore, patients may seek medical treatment because of frequent discharge of old bloody secretions from the vagina.

The traditional surgical method for treating uterine septum is to make an abdominal incision in the uterine wall and remove the septum together with part of the uterine wall. This is very traumatic and requires a long recovery time. It requires 3-4 years of contraception before pregnancy, and a cesarean section is required during delivery. There is also a risk of adhesions in the uterine cavity and pelvic cavity after the operation, causing secondary infertility. The diagnosis and treatment of uterine septum by hysteroscopy is simple and quick, with short operation time, less bleeding, less trauma, quick recovery and no adhesion. Does not damage the normal endometrium. No contraception is required after the operation, and you can get pregnant as soon as possible. The integrity of the uterine wall is maintained during the operation, which protects the fertility capacity, helps you get pregnant quickly after the operation, and allows vaginal delivery. Currently, the more advanced technology is "uterine cold knife separation + uterine cavity stent technology".