Hysteroscopic septal resection, also known as hysteroscopic metroplasty, is a surgical procedure used to correct a uterine septum. A uterine septum is a congenital condition where the uterus is divided by a wall or septum, leading to a partial or complete division of the uterine cavity. This condition can lead to various gynecological issues, including recurrent miscarriages, infertility, and an increased risk of complications during pregnancy. Hysteroscopic septal resection is a minimally invasive surgical technique that aims to remove or reshape the septum, restoring the normal uterine cavity.

Here’s an overview of the hysteroscopic septal resection procedure:

1. Preparation: Before the procedure, your healthcare provider will perform various assessments, including a pelvic exam, ultrasound, and hysteroscopy to confirm the presence, size, and location of the uterine septum. This information helps plan the surgical approach.

2. Anesthesia: Hysteroscopic septal resection is usually performed as an outpatient procedure and often requires local anesthesia or sedation. General anesthesia may also be an option in some cases.

3. Hysteroscope Insertion: A hysteroscope, a thin, lighted tube with a camera at the end, is inserted through the vagina and cervix and into the uterine cavity. This allows the healthcare provider to visualize the uterine septum on a monitor.

4. Septum Resection: Specialized instruments, such as scissors or a wire loop electrode, are inserted through channels in the hysteroscope to remove or resect the uterine septum. The goal is to create a single, normally shaped uterine cavity.

5. Confirmation: The hysteroscope is used to confirm that the uterine septum has been successfully removed or reshaped. The healthcare provider will ensure that the uterine cavity is now free from the septum.

6. Recovery: After the procedure, you will be monitored for a short period to ensure there are no immediate complications. You may experience some cramping, mild vaginal bleeding, or discharge, which is normal and usually subsides within a few days.

7. Post-Procedure Care: Your healthcare provider will provide instructions for post-operative care, including restrictions on activities like sexual intercourse, tampon use, or heavy lifting. You may also be prescribed medications to manage pain or prevent infection.

Hysteroscopic septal resection is an effective treatment for correcting uterine septums and can significantly improve fertility outcomes and reduce the risk of miscarriages in women with this condition. However, as with any surgical procedure, there are potential risks and complications, including infection, bleeding, injury to the uterus, or recurrence of the septum.

Your healthcare provider will discuss the benefits, risks, and expected outcomes of hysteroscopic septal resection with you before the procedure. It’s essential to follow their post-operative instructions and attend any follow-up appointments to ensure a smooth recovery and address any concerns or questions you may have.