Extended resectoscopic versus sequential cold knife-resectoscopic excision of the unclassified complete uterocervicovaginal septum: a randomized trial.
OBJECTIVE
To determine if resectoscopic sectioning of complete uterocervicovaginal septum is as effective as cold knife excision of the vaginal part followed by resectoscopic cutting of the cervicouterine part in symptomatic patients.


METHODS
Randomized controlled clinical trial.


METHODS
University hospital.


METHODS
Thirty-two women with a diagnosis of complete uterocervicovaginal septum who had a history of pregnancy wastage or infertility. They were randomized into two groups: Group A underwent resectoscopic excision of the complete septum starting from the vaginal interoitus; group B underwent cold knife excision of the vaginal part followed by resectoscopic excision of the cervical and uterine parts.


METHODS
Hysteroscopic metroplasty alone or preceded by cold knife excision of the vaginal part.


METHODS
Operating time, perioperative bleeding, complications, reproductive outcome, and patient and husband satisfaction.


RESULTS
Patients in group A showed significantly less operative time and scar-related dyspareunia. There were no significant differences in the reproductive outcome in the two groups.


CONCLUSIONS
Resection of the vaginal part of symptomatizing complete vaginocervicouterine septum using resectoscopic metroplasty makes the procedure faster with less possibility of scar-related dyspareunia than cold knife excision.
Darwish
Atef M
AM
Women's Health Center, Assiut University, Assiut, Egypt. atef_darwish@yahoo.com
Elsaman
Ali M
AM
D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult