COMPLETE UTERINE SEPTUM WITH CERVICAL DUPLICATION AND LONGITUDINAL VAGINAL SEPTUM

We introduce a combined vaginal and hysteroscopic approach to the trea tment of a special class of septate uterus: complete uterine septum wi th cervical duplication and longitudinal vaginal septum, In a 22 year- old women with a 4-year history of infertility, a transcervical lysis of the complete septum with an operating resectoscope and complete inc ision of the vaginal septum was performed, A pediatric No, 8 Foley cat heter was inserted in the right cervix, The left cavity was distended with 1.5% glycine via the resectoscope. The septum electrosurgically i ncised at a point above the internal cervical os until the Foley cathe ter was visualized, The uterine septum was incised in a superior direc tion until the tubal ostium could be visualized, After the hysteroscop ic procedure, the vaginal longitudinal septum was incised completely, The result was unification of two uterine cavities and the vagina, con ception within 5 months, and ongoing pregnancy (30 weeks), Our patient had a rare uterine deformity, This procedure enables transcervical me troplasty for a complete septum in patients who have had repeated repr oductive wastage and primary infertility.