Resectoscope or Versapoint for hysteroscopic metroplasty.
OBJECTIVE
To assess the feasibility, safety, and reproductive outcome of hysteroscopic metroplasty using the Versapoint device compared with the resectoscope using the Collins loop.


METHODS
Sixty-three women diagnosed with partial septate uterus were included in the study. Forty-two women underwent hysteroscopic metroplasty using Versapoint and 21 women had the procedure using the resectoscope. Operating time, complications, pregnancy rate, and mode of delivery were recorded. Data were analyzed with the Mann-Whitney test.


RESULTS
Operating time was 20.5 min for the resectoscope group and 15.4 min for the Versapoint group (P<0.05). Pregnancy rate, delivery rate, and spontaneous abortions were similar in both groups.


CONCLUSIONS
Operative hysteroscopy with Versapoint does not require cervical dilation, thus avoiding cervical incompetence, cervical lacerations, and uterine perforation. The Versapoint technique is a safe and effective alternative to the resectoscope. It could be used predominantly in nulligravida women, especially in those with cervical canal stenosis.
Litta
Pietro
P
Department of Gynecological Science and Human Reproduction, University of Padua School of Medicine, Padua, Italy.
Spiller
Elena
E
Saccardi
Carlo
C
Ambrosini
Guido
G
Caserta
Donatella
D
Cosmi
Erich
E
D000328:Adult; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D020702:Hysteroscopes; D015907:Hysteroscopy / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*