Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation?

Area of Science:

• Reproductive Medicine
• Gynecologic Surgery
• Congenital Anomalies

Background:

• Complete uterine septum with double cervix and vaginal septum (U2bC2V1) is a rare congenital genital tract anomaly.
• Diagnosis is challenging, often requiring advanced imaging like MRI and hysteroscopy.
• The efficacy of hysteroscopic metroplasty for this malformation remains debated.

Purpose of the Study:

• To evaluate the effectiveness of hysteroscopic metroplasty in managing U2bC2V1 malformation.
• To assess pregnancy outcomes and symptom improvement after surgical intervention.

Main Methods:

• Three cases of U2bC2V1 malformation diagnosed via MRI.
• Hysteroscopic removal of the uterine septum and resection of the vaginal septum were performed, preserving both cervices.

Main Results:

• All three patients achieved pregnancy post-intervention.
• Patients reported significant improvement in dyspareunia and dysmenorrhea.

Conclusions:

• Hysteroscopic metroplasty is a viable surgical option for U2bC2V1 malformation.
• The procedure can lead to successful pregnancies and alleviate associated symptoms.