Comparison Between Scissors and Resectoscope in Resection of Uterine Septum

Abstract

Background: Septate uterus is a common congenital uterine malformation. It is due to abnormal resorption of the Mullerian canal in embryonic life. Poor reproductive outcomes (e.g., abortion and preterm births) are associated with septate uterus.
 Aim of the work: The present study aimed to compare scissors and resectoscope regarding the efficacy and safety in resection of uterine septum.
 Patients and Methods: This study was conducted in the outpatient clinic of Al-Azhar University Hospital (New Damietta) from December 2017 to October 2020. Women were assigned into one of the two groups. The first included fifteen women, who underwent septoplasty by scissor and the Group II included fifteen women who were submitted to septoplasty by bipolar resectoscope.
 Results: Group (I) had a higher pain score in group I than group II with a significant difference. Mild pain was reported in 10 cases (66.7%) in group I and 4 (26.7%) in group II. However, moderate pain was reported for 5 cases (33.3%) and 11 cases (73.3%) in groups I and II, respectively, with a statistically significant difference. However, both groups were comparable regarding patient characteristics, operative data, postoperative complications and postoperative results of hysteroscopy, three months after the resection of the uterine septum.
 Conclusion: Scissor is preferred over the bipolar resectoscope especially in thin septum. It is associated with comparable outcome to the bipolar resectoscope. However, bipolar resectoscope was associated with significantly higher pain scores than scissors.