Question

The best treatment option for a septate uterus is:

• A. Tompkins metroplasty
• B. Jones metroplasty
• C. Strassmann metroplasty
• D. Transcervical hysteroscopic resection of the septum

Hint:

Choose the minimally invasive route that avoids opening the uterus.

Answer 1

The Correct Option is D

Step 1: A septate uterus is best treated by removing the septum, and the modern, preferred technique is hysteroscopic (transcervical) resection of the septum.
Step 2: Hysteroscopic metroplasty has a high success rate (about 80 to 89 percent), a short hospital stay, and low postoperative morbidity such as infection or adhesions.
Step 3: Because the uterus is not opened, the subsequent chance of vaginal delivery is high, unlike abdominal metroplasty where a cesarean section is mandatory.
Step 4: The abdominal procedures, Strassmann, Jones, and Tompkins metroplasty, are older open operations now largely replaced. So the best option is transcervical hysteroscopic resection of the septum.
Ref: Dutta Gynaecology, 6th ed, p. 47.